Assessment of Gender Equality and Workplace Harassment in Health Institutions of Haramaya University, Eastern Ethiopia: A Time to Question our Perception.

Making contextual gender analysis helps to design strong evidence-based institutional strategies for reversing stereotypes that are embedded in the organizational culture. Hence, an institutional-based cross-sectional study was conducted on 401 participants to assess gender equality and workplace harassment among staff members of Haramaya University, College of Health and Medical Sciences, and Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia from November 1 to 30, 2021. Data were collected through a self-administered semi-structured questionnaire. We measured gender equality perception by indicators as a latent variable. To identify predictors of gender equality, a structural equation model fit and a coefficient of regression with 95% CI were used to report the association. Of the total participants, more than 85.5% were female, 36.7% had a bachelor's degree, and about 56.6% were administrative staff. Only 0.5% had a managerial role. The perception of gender equality was predicted positively by political (β =.21, 95% CI: [0.10, 0.31]), institutional (β =.32, 95% CI: [0.09, 0.55]), and sociocultural (β =.18, 95% CI: [0.11, 0.26]) factors. The proportion of workplace harassment in one form of violence ranged from 15.2% to 39%. Preferring dialog to get a solution (9.7%) and the unavailability of a gender office at the hospital (7.5%) were the main reasons for not reporting acts of violence. The findings of this study fortify gender inequality in the health and medical institute of Haramaya university but these disparities were not reported by the participants. A decent workplace, free from harassment and discrimination, has to be set up by implementing the existing gender policies and by designing contextualized strategies. Plain language summary: Gender Equality and Work Place Harassment in Health Institutions Gender refers to culturally specific arrangements and presumptions on the nature and character of men and women. These are manifested in several ideas and practices, which influence the identity, social opportunities, and life experiences of human actors. As a result, institutional cultures, mission statements, strategies, leadership styles, coordination, and staff profile are often gendered and dominated by patriarchal beliefs and attitudes to different degrees. Therefore, gender equity and equality can be ensured with the consideration of the gendered consequences of all actions, the gendered social relation, and power relations. Moreover, Gender-Based Violence is highly prevalent among health professionals, health sciences students, and patients. However, the health sector is lacking conceptual clarity and practical tools to address key challenges to gender mainstreaming. Therefore, this study aimed to assess gender equality and workplace harassment among staff members at health institutions in eastern Ethiopia. The result of this study showed the perception of gender equality was predicted by political, institutional, and sociocultural factors. The proportion of workplace harassment in one form of violence ranged from 15.2% to 39%. Preferring dialog to get a solution and the unavailability of a gender office at the hospital were the main reasons for not reporting acts of violence. The findings of this study fortify gender inequality in the health and medical institute of Haramaya university but these disparities were not reported by the participants. A decent workplace, free from harassment and discrimination, has to be set up by implementing the existing gender policies and by designing contextualized strategies. This survey was strong in presenting gendered analysis and gender-based violence in health and medical institutions in higher education sectors. However, the impacts of gender equality determinants could not be seen in this short study period. [ABSTRACT FROM AUTHOR]