title: Conducting a needs assessment for women and girls using a gender analysis framework: the Philadelphia Ujima Coalition for a Healthier Community experience.
abstract: BACKGROUND
  Despite a century of work toward gender equality, sex and gender disparities in health remain. Morbidity and mortality rates as well as quality of care received differ between men and women. The Philadelphia Ujima Coalition for a Healthier Community is composed of 23 academic, social service, wellness, faith-based, governmental, and healthcare organizations. The coalition, funded by the U.S. Department of Health and Human Services, Office on Women's Health, used a community participatory framework to conduct a gender-informed needs assessment of priority areas for women's health.
  
  
  METHODS
  A four-tiered approach was used: 1) Coalition members identified priority areas; 2) we analyzed data from the Southeastern Pennsylvania 2010 Household Health Survey to identify gender differences in health; 3) using a gender analysis framework, we conducted interviews with "key informant" stakeholders; and 4) we conducted a community health assessment including 160 women. We used a participatory process to rank priority areas.
  
  
  RESULTS
  Sex and gender disparities in health outcomes and behaviors were observed. Data were used to identify gender barriers and norms that influence health practices and behaviors, defining priority areas for the health of women and girls. Effective health promotion strategies were also identified.
  
  
  CONCLUSIONS
  A gender-integrated needs assessment of girls and women can reveal priority areas and gender-related objectives that should be included in health promotion programming for girls and women.
authors.affiliation: Women's Health Education Program, Drexel University College of Medicine, Philadelphia, Pennsylvania 19129, USA.
authors.forename: Ana E
authors.initials: AE
authors.lastname: Núñez
authors.forename: Candace
authors.initials: C
authors.lastname: Robertson-James
authors.forename: Serita
authors.initials: S
authors.lastname: Reels
authors.forename: Rose Malinowski
authors.initials: RM
authors.lastname: Weingartner
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Bungy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D055812:Community-Based Participatory Research; D005260:Female; D006293:Health Promotion; D006301:Health Services Needs and Demand; D054624:Health Status Disparities; D006306:Health Surveys; D054625:Healthcare Disparities; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D015143:Philadelphia; D036301:Qualitative Research; D012727:Sex Characteristics; D012737:Sex Factors; D012959:Socioeconomic Factors; D016387:Women's Health; D055815:Young Adult