Towards a Gender Equal Recovery - 2021/2022 GENDER EQUITY VICTORIA
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Towards a Gender Equal Recovery 2021/2022 GENDER EQUITY VICTORIA Submission to the 2021-2022 Victorian State Budget
Gender Equity Victoria acknowledges the traditional custodians of country across Australia and we pay our respect to Elders past and present. We recognise and apologise for the human suffering and injustice that Aboriginal and Torres Strait Islander people have experienced as a result of colonisation and generations of discrimination and marginalisation. We acknowledge that the removal of children has and continues to devastate individuals, families and entire com- munities and that the intention of those policies has been to assimilate Aboriginal and Torres Strait Islander children. We recognise Aboriginal and Torres Strait Islander people as a sovereign people who have never ceded their sovereignty of this land and we acknowledge Aboriginal and Torres Strait Islander people’s human right to self-determination. We are committed to working in solidarity and partnership with Aboriginal and Torres Strait Islander people to im- prove women’s health, safety and wellbeing. CONTACT GEN VIC PHONE: 03 9418 0921 | EMAIL: genvic@genvic.org.au | WEB: genvic.org.au POSTAL ADDRESS: Suite 207, 134 Cambridge St, Collingwood VIC 3066 2 | TOWARDS A GENDER EQUAL RECOVERY
Contents Introduction - 4 Imagining a Care COVID-19 intersectional impact and Economy - 25 experiences of women Protecting and valuing care work during and beyond pandemic Gender Equal Job Creation and Social Protection - 8 Creating a Gender and Disaster Creating sustainable employment Workforce - 29 beyond government stimulus Building resilient communities, strengthening prevention and Boosting Women’s Health response Services - 15 Accessing medical and health Strengthening our Gender Equal services and information Communities - 31 Arts, Tourism, Online Safety, Gender Responsive Budgeting Financial Security and a Strong Architecture - 22 Gender Equity Sector Using budgeting to respond to en- trenched disadvantage 21/22 GEN VIC BUDGET SUBMISSION| 3
Introduction 2021/2022 Victoria has a once in a lifetime opportunity, We stand ready to support government’s pio- presented by the global COVID19 pandemic, to neering Gender Equality Act and continue the restructure its economy, public health and journey towards a gender equal recovery. social support system to build back better in ways that benefit everyone. In our second submission on behalf of our sector, we present a vision for a gender equal A gender equal recovery has the potential to recovery, with initiatives addressing the follow- deliver significant economic and social benefits ing key themes: for Victoria. The International Monetary Fund has identified closure of the gender gap would • Gender equal job creation help governments lift Gross Domestic Prod- • Boosting Women’s Health Services uct by as much as 35%. Ensuring budgets are • Gender Responsive Budget Architecture gender responsive is the right thing to do from • Imagining a Care Economy a human rights perspective, but more impor- • Increasing investment for gender-based tantly, they are proving to be the economically violence in crisis and emergency responsible decision, too. • Strenthening our gender equal communities Our 20/21 Budget submission was the first time the Victorian Gender Equality and Women’s About our submission Rights sector came together with a consoli- dated submission of initiatives needed to drive Our submission is informed by our members. better outcomes for men, women and gender We have 42 women’s and gender equity organ- diverse people. We were pleased that our call isations undertaking work for women’s rights for focussed investment in gender equity was and gender equality across a range of public, heard, and the first steps were taken to begin private and community sectors, with expertise shaping a gender responsive State Budget. in everything from gendered health, economic security and business, arts, sport and history and women’s rights. “Putting women at the In addition to hearing from expert organisa- heart of our recovery tions, we also reached out to women across the from coronavirus will mean State of Victoria for their feedback via a survey on the priorities for this budget cycle. we recover stronger and faster as a community. It’s We are constantly improving our own practices of collaborative community engagement in the the right thing to do – and recommendations we make to Government the smart thing to do” - about Budget priorities. Gabrielle Williams MP Minister for Women and the Prevention of Family Violence. But the journey Towards a Gender Equal Re- covery will take more than one budget cycle. Sustained effort is required to create gender equal jobs and a gender equal Victoria. 4 | TOWARDS A GENDER EQUAL RECOVERY
Priority Investments ($M) PRIORITY 1. GENDER EQUAL JOB LIFTING WOMEN’S PRODUCTIVITY 0.9 CREATION THROUGH GENDER RESPONSIVE BUDGETING BOOSTING THE GENDER EQUITY 47.2 WORKFORCE TO PREVENT GEN- PRIORITY 4. IMAGINING A CARE ECONOMY DERED VIOLENCE JOBS FOR THE CARE ECONOMY A GENDER EQUITABLE WORK- 32.58 $ FORCE THROUGH TAFE KEEPING VULNERABLE WOMEN 1.18 INTEGRATED FAMILY VIOLENCE 19 OUT OF THE CRIMINAL JUSTICE SERVICE LAWYERS SYSTEM FAST TRACKING AT RISK WOMEN 63.04 FAMILY VIOLENCE TRAINING FOR .67 IN EMPLOYMENT LAWYERS PRIORITY 2. BOOSTING WOMEN’S HEALTH CARING FOR SEX WORKERS SERVICES $ INCREASING INVESTMENT IN THE 13.24 PRIORITY 5. CREATING A GENDER & WOMEN’S HEALTH SERVICES PRO- DISASTER WORKFORCE GRAM PRIORITISE GENDER EQUALITY IN 8.4 CREATING A GENDER & DISASTER HEALTH AND WELLBEING OUT- WORKFORCE ACROSS THE STATE $ COMES OF VICTORIA IMPLEMENTATION OF A VICTORI- 16.9 SCALING UP THE GENDER & DI- 6.8 AN SEXUAL AND REPRODUCTIVE SASTER POD WITHIN WOMEN’S HEALTH STRATEGY HEALTH SERVICES RECOGNISE THE IMPORTANCE OF 3.88 PRIORITY 6. STRENGTHENING GENDER GENDERED VIOLENCE PREVEN- EQUAL COMMUNITIES TION PUT HER NAME ON IT: RECOG- 18.97 MENTAL HEALTH & WELLBEING 9.5 NISING INCREDIBLE VICTORIAN FOR WOMEN WOMEN THROUGH PLACE, ART AND TOURISM RESEARCH AND ACTION ON 6.8 WOMEN STRENGTHENING WOM- 10.2 WOMEN IN A CHANGING SOCIETY EN – ARTS, FESTIVALS AND CON- – CLIMATE CHANGE AND COVID19 FERENCES FOR COVID19 RECOV- RECOVERY ERY OTHER WOMEN’S HEALTH ISSUES SAFE, STRONG AND RESILIENT 2.12 $ GENDER EQUITY SECTOR SUPPORTING WOMEN WITH CAN- .8 CREATING SAFE ONLINE SPACES 5.4 CER FOR WOMEN PRIORITY 3. GENDER RESPONSIVE WIRE BUILDING LEADERSHIP AND 1.73 BUDGETING FINANCIAL CAPACITY OF WOMEN ECONOMIC AND BUDGETARY CA- 1.89 TOTAL 271.2 PACITY BUILDING IN THE GENDER EQUITY SECTOR 21/22 GEN VIC BUDGET SUBMISSION| 5
COVID-19: A gendered health disaster More women have been infected by the virus Sexual and Reproductive Health services for than men in Australia and more women have women were affected by the pandemic. died from it too What women are telling 1800 MY OPTIONS 3,500 Male Female Sex-disaggregated data on Callers to Women’s Health Victoria’s 1800 MY OPTIONS service infections in Australia have experienced: 27.777 cases 1,750 51.27% Female Delays in calling, with women presenting 48.73% Male at later gestation (12+ weeks) 200 Male Female Sex-disaggregated data on deaths in Australia Family violence, including violence of a more severe nature 904 deaths 100 51.71% Female 48.29% Male Anxiety about the impacts of the virus on their pregnancy and fear of contracting the virus when accessing health services Women’s mental health was also severely Other health issues were also being expe- affected rienced – not all of them bad, but certainly needing further research and investigation as During lockdown, women are significantly more likely than to how and why the pandemic resulted in these men to have felt: anomalies. 40% 30% 30% 22% 28% 16% Homebirth Pre COVID19: 4% interest in homebirthing Post COVID19: 26% interest in homebirthing (Australian College of Midwives) NERVOUS THAT EVERYTHING LONELY WAS AN EFFORT Breast Cancer Screening 35% 27% 37% 37% drop in Breast Cancer Screening (Victorian Cancer Council) of females have of females have of women aged moderate to severe moderate to severe 18-24 report suicidal levels of depression, levels of stress, thoughts, compared compared to 19% compared to 10% to 17% of men of males of males The She-Cession: The Economic Impact WOMEN MEN $ 109,000 women lost their jobs in Victoria. Most jobs lost in part 2.5% time and casual roles. 4.5% Current Victorian unemployment Majority of the casual Women are depleting The payroll impact workers unable to their superannuation on women has rate is 8.1% for women compared access JobKeeper are at a higher rate been greater than to 5.9% for men. women. than men when withdrawing men across many industries. emergency Covid-19 funds. 6 | TOWARDS A GENDER EQUAL RECOVERY
Intersectional Experiences: of COVID-19 Migrant and Refugee Women long periods of social isolation at home, rather than risk exposure in community. This in turn At the beginning of the global pandemic, impacted on mental health and loneliness. women from Asian backgrounds experienced a spike in public racism and ostracism, as China High dependency on underpaid, casualised was revealed as the origin point of COVID19. care workforce – who work across multiple sites to make ends meet - placed women with 50% of people infected in Australia are from mi- disabilities at high risk of infection and death if grant and refugee backgrounds, though people quarantine rules are breached. In some circum- born overseas make up only 28% of the total stances women with disabilities chose less than population of Australia. optimal care at home, to avoid exposure to the virus. Nine public housing towers in Victoria were placed under unprecedented quarantine Access to affordable, measures at the height of the Second Wave of high speed internet COVID19 – the vast majority of Victorians placed for telehealth and to in this situation were new arrivals to Australia. address social isolation emerged as a “Hot Zone” suburbs were predominantly fundamental human areas with culturally and linguistically diverse rights issue for Women populations, highlighting severe gaps in the with Disabilities during communication of public health information COVID-19. for multi-lingual communities and leading to stigma. First Nations Women with disabilities Strong action by Aboriginal Community Health Group homes and care facilities were high risk Organisations to protect Victorian Aboriginal sites for COVID19 infection and death in Victoria. communities – at high risk of infection and death due to health comorbidities - meant that The presence of comorbidities in most COVID19 First Nations women were largely protected deaths, intensified anxiety amongst women from the physical harm of COVID19. with disabilities with many women choosing However, home based lockdowns of first nations families, placed women at higher risk of family violence, with reports of increased de- mand in indigenous family violence services. 1 in 5 of Djirra’s new clients experienced family violence that has been triggered by or made worse by COVID. LGBTIQ & Gender diverse people The presence of comorbidities in most COVID19 deaths was also significant for LGBTIQ communities who also have significant health disparities connected to HIV, higher rates of cancer, obesity and poorer mental health and suicide risk. 21/22 GEN VIC BUDGET SUBMISSION| 7
Gender Equal Job Creation & Social Protection The 20/21 State Budget laid the foundation for a gender lens to be applied on job creation in Victoria. 109,000 women’s jobs were lost during the pan- demic. The $150 million job subsidy program Invest in the Gender Equity announced at the state budget creates 6000 1 Workforce to prevent roles for women which is welcome. gendered violence This is only 6% of the jobs lost. There is so much still to do. Creating a gender equitable 2 To create sustainable employment that lasts workforce through TAFE beyond government stimulus investment, we need to create pathways and pipelines, working Fast-tracking at risk women into alongside targeted industries. 3 employment GEN VIC and its members make the following recommendations to create sustainable em- ployment opportunities for women in Victoria: 8 | TOWARDS A GENDER EQUAL RECOVERY
Invest in the Gender Equity 1 Workforce to prevent gendered violence The Royal Commission into Family Violence recommended the development of a 10 Year Industry Plan for family violence prevention and response with commensurate funding for transition and enhancement. While the plan has been developed as required by 31 Decem- ber 2017, commensurate funding to expand the workforce, particularly in primary prevention, has not taken place. Gendered violence is a shadow pandemic, requiring intergenerational solutions integrat- ed across health, justice, emergency services and violence prevention institutions, as well as adapted responses to suit demographic and geographic settings. While great reforms have been made, since the This means creating a minimum of 500 jobs Royal Commission, incidents of violence against in gender equity and gendered violence to women in the home have increased, sexual support: assaults and rapes are up as are incidents of sexual harassment investigated by the Victorian • The translation of Respect Victoria’s mass Equal Opportunity and Human Rights Com- behavioural change campaigns within a mission. range of settings, including regional, health sectors, local government, schools and edu- The primary prevention workforce has not cational institutions and workplaces. expanded to meet the demands of either the • State-wide rollout of the Workplace Equal- reforms of the Royal Commission into Family ity and Respect initiative within the TAFE Violence or the new Gender Equality Act 2020. sector, including support for TAFES to transition towards gender equal skills based According to the 2017 Family Violence Indus- education and promoting more opportuni- try Survey, the primary prevention workforce ties for women in trades. in Victoria only has 250 people employed in • Regional Prevention of Violence Against it, mostly in part time roles. For every 1 person Women Partnerships and Plans to deliver employed in primary prevention and gender local based prevention projects to drive equity, they are responsible for initiatives that down rates of violence within targeted change the behaviour of another 25,436 people. The demands on this workforce are too much LGA’s and to undertake evaluation of what and it is being set up to fail, if it does not receive works in violence prevention design. an urgent boost. • migrant and refugee communities, where the need for multi-lingual gendered vio- We also know from the Industry plan, that the lence information and prevention initiatives primary prevention workforce is 93.8% female. must be tailored with cultural sensitivity We recommend the tripling of the primary and grassroots community participation. prevention and gender equality workforce over • Emergency management and disaster the next four years as both an imperative to response agencies to prepare for and mit- fulfil the obligations under the Industry Plan, igate the gendered impacts of disaster in address increasing rates of gendered violence communities. and as a strategy for gendered job creation. INVESTMENT REQUIRED: Gender Equity Workforce to prevent Violence ($M) 2021-22 2022-23 2023-24 2024-25 TOTAL BOOSTING GENDER EQUITY 11.8 11.8. 11.8 11.8 47.2 AND PRIMARY PREVENTION OF GENDERED VIOLENCE WORKFORCE INTEGRATED FAMILY VIO- 4.75 4.75 4.75 4.75 19 LENCE LEGAL SERVICE 21/22 GEN VIC BUDGET SUBMISSION| 9
Creating a gender equitable 2 workforce through TAFE VET policy should be revised to ensure providers hold workforce expertise, facilities and services Women are entering the workforce in record that are appropriate for the provision of gen- numbers. Women currently comprise 47.4% of der equitable VET across all industries. Change all employed persons in Australia and are 37.7% requires structures and practices to be created of all full-time employees and 68.2% of all part- that support gender equality in the VET work- time employees. place itself, and uphold the principles of the Victorian Gender Equality Act. While women’s entry into the workforce is one of the greatest shifts in the last 30 years, women A VET gender equality strategy at state-wide, continue to be disadvantaged and segregated regional and institutional levels would enable in both industry and sectors, and in the educa- long planned incremental change in a way that tion settings. is practical for industry. If we are to address segregation and create Prosperity through Gender Equity prosperity, we must create a gender equal Victorian TAFE system, addressing systems, Building the workforces for tomorrow requires structures, attitudes and norms that perpetuate whole of government collaboration – especially gender inequalities and empowering TAFE’s to workforces that are gender equitable. There is a implement the Gender Equality Act to deliver a real opportunity for that collaboration in Victo- truly gender equal skills and training system. ria – between government, industry, providers (VET) and the gender equity workforce. The Embed transformational commitment to forthcoming implementation of the Gender gender equity within VET Equality Act will provide a real and timely lever to address a major driver of inequality that Transforming the VET system so that it is more exists in VET and address a barrier to prosperity reflective of the economic potential in a diverse for all Victorians. Australian workforce, will require time and structural supports. CEO’s with VET institu- Evidence tells us that the VET workforce is ineq- tions, while dynamic and driven, cannot create uitable. In addition to VET’s workplace, systems change alone. They need to have internal sup- and structures, the impact of its services (edu- ports – lead drivers of transformational change cation and training, provision of skilled labour) within the institutions – to support their work, contributes to systemic inequity within the as well as external communities of practice Victorian workforce itself. embedded into regional communities to deep- en the work at a local level. Further, they need To address this systemic inequality, the Victo- gender equity industry professionals to drive rian VET system a number of areas need to be policy change and innovation at a state-wide addressed from VET pedagogy and teaching strategic level. practices across all areas of learning, to VET funding and compliance policy, VET leadership To bring about sustained cultural change, and governance and industry engagement. through a gender equitable change VET sector, It is a systemic and structural change proposal. a regionalised and state-wide structure of support for VET CEO’s, boards and Equality & When combined with the future recommenda- Respect staff is required. Delivering on the Roy- tions of the “Macklin Review of VET”, is provided al Commission into Family Violence recommen- two levers to address inequality in the skills dations, the Gender Equality Act obligations system and through this, have major impact on and the Macklin review to build a revision the inequality across the Victorian workforce. TAFE system will need structure, staff and in- vestment within and outside of the institutions. Supporting job creation and skilled gender equity workers through a she-cession VET policy (including funding policy) can be improved to ensure funded training providers Creating gender equitable gender change hold workforce expertise, facilities and services within VET, not only works to create more gen- are appropriate for the provision of gender der equal job opportunities into the future, but equitable VET. This will support structures and delivers immediate benefits by creating jobs practices that deliver gender equality workers within the sector dedicated to gender equali- to industry, and support the delivery of the ty. This strategy seeks to create the career and Government’s vision for the Victorian Gender learning pathway and the development frame- Equality Act . Appropriate levels of funding is work, that will develop and support the skills needed to achieve the transformational change required to fill around 500 jobs in gender equity required. across Victoria. These jobs include gender and 10 | TOWARDS A GENDER EQUAL RECOVERY
disaster workforce, multicultural/bicultural workforce to build career and education workers as well as the workers in defined enti- pathways for the sector (including recognis- ties that over time should have a gender equity ing existing trained workers in GE and TAE) resource/officer. (WHV/GEN VIC) This comprises a career and learning pathway Developing long term policy solutions to gen- that provides guidance on how the careers and der inequity in VET education of these workers in all their diverse settings are supported and a community of • Within skills and higher education division, practice for the workers. Together these will be resource labour forecasting and policy vital to nurture this new sector in a sustainable to undertake and deliver Gender Equity way. Labour forecast modelling and evaluation framework for skills impact Building our VET system to support our new • Appoint Gender Equity Advocate/leader- and emerging Gender Equity Workforce ship to work with the Commissioner for Gender Equity in the public Sector to drive Preparing our VET sector to sustainably develop and oversee the implementation of the VET and maintain the currency of Victoria’s new and Gender Equality Strategy at a statewide emerging gender equity workforce will require level – across the public provider, and to investment in developing skilled trainers and support its impact through RTO’s who use assessors in gender equity assessment and public funds education, building appropriate pedagogical • Establish labour forecasting workforce practice and, maintaining quality resources. model that is gender sensitive to assist in Further, to assist in developing the broader the planning for VET utilisation and support workforce, and to provide clear careers and TAFE’s to undertake impact assessments as learning advice for current and potential work- per the GE Act requirements ers, a career pathway will need to be developed which can be used by careers advisors in VET to : Plan, support and develop the gender equity workforce across Victoria: • Positioning and implementation of the Gender Equality Accredited Course and Micro credentials to build the gender equity workforce (WHV) • Advocate for uptake and ongoing invest- ment in gender equity skills and workforces through the state including the VET system aligning regulatory requirements (WHV/ GEN VIC) • Support for a community practice for gender equity workers including educators across Victoria (GEN VIC) • Invest to support implementation of the gender equity readiness tool (assessment of how ready someone is to work in the gen- der equity industry as a GE worker) (WHV) Maintain excellence in gender equity curriculum development • Supporting the maintenance of curriculum and resources • Implement and develop pedagogical/ teaching practice of educators to align to requirements for transformational educa- tion for skills in gender equity – including updating the pedagogical framework and building the capacity of VET workforces to teach the gender equity courses (WHV) • Work with the existing gender equity 21/22 GEN VIC BUDGET SUBMISSION| 11
INVESTMENT REQUIRED: A Gender Equitable Workforce through TAFE ($M) 2021-22 2022-23 2023-24 TOTAL EMBEDDING A STRUCTURE FOR SUSTAINED COMMITMENT TO GENDER EQUITY WITHIN VET IMPLEMENTATION AND SCALE UP OF CURRENT GE PILOTS (PER TAFE (15 INSTITUTES APPROX. 500K $ $ $ $ PER YEAR PER TAFE) INCLUDING MAINTAIN AND SCALE UP OF GENDER 7.5 6 5.5 19 EQUITY OFFICERS ACROSS ALL TAFE PROVIDERS COMMUNITIES OF PRACTICE PARTNERSHIPS WITH 1.02 1.02 1.02 3.06 LOCAL WOMEN’S HEALTH SERVICES TO SUPPORT GENDER EQUITY WITHIN TAFE REGIONALLY AND AT A STATEWIDE LEVEL DEVELOPING A GENDER EQUALITY STRATEGY FOR .45 .45 .25 1.150 VET INSTITUTIONS USING GEN VIC GENDER EQUITY ACTION PARTNERSHIP PLAN, SUPPORT AND DEVELOP THE GENDER EQUITY WORKFORCE ACROSS VICTORIA CAREER AND EDUCATION PATHWAYS FOR THE .75 .75 .50 2 SECTOR SUPPORT FOR A COMMUNITY PRACTICE FOR GEN- .2 .2 .2 .6 DER EQUITY WORKERS INCLUDING EDUCATORS ACROSS VICTORIA ADVOCATE FOR UPTAKE AND ONGOING INVEST- - - - - MENT IN GENDER EQUITY SKILLS AND WORKFORC- ES S THROUGH THE STATE INCLUDING THE VET SYSTEM ALIGNING REGULATORY REQUIREMENTS MAINTAIN EXCELLENCE IN GENDER EQUITY CURRICULUM DEVELOPMENT SUPPORTING THE MAINTENANCE OF THE CURRI- .38 .38 .31 1.07 LUCLUM • Implement and develop pedagogical/teaching practice of educators to align to requirements for transformational education for skills in gen- der equity – including updating the pedagogi- cal framework and building the capacity of vet workforces to teach the gender equity courses • Investment to build capacity of learn local work- force to deliver non-accredited course for job seekers and through this support gaps in the gender equity workforce pipeline • Invest to support implementation of the gender equity readiness tool (assessment of how ready someone is to work in the gender equity indus- try as a GE worker) DEVELOPING LONG TERM POLICY SOLUTIONS TO GENDER INEQUITY IN VET GENDER EQUALITY ADVISOR OFFICE IN DEPART- 1.9 1.2 1.0 4.1 MENT OF EDUCATION AND TRAINING ESTABLISH GENDER EQUITY LABOUR FORECAST 1.0 0.6 - 1.6 MODEL AND EVALUATION FRAMEWORK FOR SKILLS IMPACT TOTAL 13.2 10.6 8.78 32.58 12 | TOWARDS A GENDER EQUAL RECOVERY
Fast-Tracking at Risk Women 3 into Employment The unemployment figures do not tell all of the story about the economic impact of COVID19 on women. This is because, it is estimated that up to 320,000 women have given up finding any work at all, taking themselves off the job seeker cycle and withdrawing from the work- place. In Australia, women are over represented in casual and part-time roles (68.7%) and are almost twice as likely to be underemployed, making them more vulnerable to financial insecurity and unemployment during an eco- nomic crisis. In addition, women in rural and regional areas are far more likely to experience disadvantage than their male and metropolitan GEN VIC member, Fitted for Work, working counterparts. with the banking industry, has developed a Women’s Employment Recovery Program to There is a strong link between unemployment assist women facing financial hardship due to and disadvantage and a significant impact unemployment of underemployment to find on health and well-being. new, sustainable jobs through an online com- munity of employment mentors, who provide Disadvantage magnifies with age: women peer support in a virtual environment. retire with approximately half the superannuation of men (ASFA White Paper, Fitted for Work’s builds 2013), making them more likely to live in women’s financial resil- poverty later in life. Furthermore, intersectional ience and independence, disadvantage means mature age women, breaking intergenerational survivors of domestic violence and women liv- reliance on welfare. Wom- ing in rural and regional areas are likely to en leave Fitted for Work be unemployed for longer. equipped and motivated to thrive in the workplace. Long term unemployment for women, partic- ularly for those women over 45 years of age, What they do works. In 19/20 over 8000 is an intractable problem. However, there are women’s lives transformed by the indepen- solutions. dence and economic security that work brings. Women have the best chance of succeeding at There is a huge opportunity with a strong getting work when job placement commitment and the right investment, to take services are responsive and tailored to their this successful approach to the next level across needs and circumstances. Victoria. 21/22 GEN VIC BUDGET SUBMISSION| 13
The program, which has been successfully support of a dedicated economic infrastructure delivered on a fee for service basis for women for success. hardship clients at the CBA, is adaptable as a COVID19 Women’s Employment Recovery Fitted for Work’s Regional Women’s Hub is en- Program. visaged as follows: Regional women’s hubs for work, entrepreneur- The hubs would reinvigorate communities and ialism and innovation. reduce social isolation, offer women entry level volunteer positions to provide sense of purpose, The intersection of the bushfire crisis and the opportunity for social impact and positive con- COVID-19 pandemic has left women in rural tribution and counteracts the effects of stress, and regional areas disproportionately vulnera- anxiety and depression, create pathways to ble to unemployment and financial hardship. reskill and find new employment and provide Job losses for women have been far greater in networks and opportunities to build on practi- rural and regional areas. cal knowledge Several of our members are deeply invested in Rural and regional women’s health services the idea of creating regional based women’s have also been building partnerships at a hubs which would encourage women impact- regional level to boost rural women’s opportuni- ed by drought, fire and the pandemic to rebuild ties for greater economic security. livelihoods in their communities with the INVESTMENT REQUIRED: Fast Tracking At Risk Women into Employment ($M) 2021-22 2022-23 2023-24 2024-25 TOTAL WOMEN’S EMPLOYMENT 15.00 15.00 15.00 15.00 60.0 RECOVERY PROGRAM REGIONAL WOMEN’S HUB 0.76 0.76 0.76 0.76 3.04 TOTAL 15.76 15.76 15.76 15.76 63.04 14 | TOWARDS A GENDER EQUAL RECOVERY
Boosting Women’s Health Services More women have been infected by COVID19 safety and individual wellbeing. Further, as a than men in Australia and more women have. vaccine becomes available, it will be necessary died from the virus as well. to respond to any concerns, criticisms or doubts placed on the efficacy of mass immunisations. The gendered nature of health implications of the virus are extensive, with the impact on Investing in the health of women and girls is women leading to higher rates of mental health not just important for individuals, but to the disorders (resulting in a 2800% increase to the Victorian community as a whole. In 2020 re- Alfred Hospital’s mental health clinic), a reluc- search conducted by Michelle Remme, Profes- tance to seek medical support for sexual and sor Anna Vassall and colleagues (BMJ, 2020), reproductive health issues, including preg- found investment in women’s health could be nancy and birth (resulting in a 26% increase in among the “best buys” for broader economic home-birthing) and delays in ac- development and societal wellbeing. This is cessing treatment for treatment breast cancer (resulting in a 37% 3,500 Male Female Sex-disaggregated data on drop in screenings) infections in Australia As we build back from a second 27.777 cases wave COVID19 quarantine, it will 51.27% Female be important that Victorian wom- 48.73% Male 1,750 en once again access the medical and health services they need. Women need to understand new health options available to them – including the range of flexible health service delivery, less inva- sive treatments and strategies for improving self-care, personal 21/22 GEN VIC BUDGET SUBMISSION| 15
because women’s health and 200 Male Female wellbeing are intimately linked to the care and wellbeing of fam- Sex-disaggregated data on ilies and children, as well as the deaths in Australia provision of care across the com- munity. Healthier women and 904 deaths their children contribute to more 100 51.71% Female productive and better-educated 48.29% Male societies (Onarhein; Iversen and Bloom; PLoS One, 2016). Since 1988, Women’s Health Services (WHS) have been fun- damental infrastructure in the provision of preventative health measures in Victoria, delivering projects, programs and services to 50.9% of the population. But the history of Women’s Health Women’s Health Services have Services goes much further back, with origins in not received an increase in core the women’s equality movements of the 1970’s, when health information was delivered through funding since their establishment grassroots consciousness raising. in 1988. Women’s Health Services Today, Women’s Health Services are centres of are expected to be doing more excellence in gendered health promotion and with less, resulting in missed op- prevention, winning awards for their innova- tions and achievements. But despite decades of portunities and increased risk of policy and health reform success that has made gender inequity across the Victo- the lives of Victorian women safer and stronger, they remain small, dedicated but undervalued rian health care system. services. Changing demographics • Address the mental health consequences of COVID19 on women; In 2011 the total Victorian population of females • Influence policy with regard to engage- (ABS) was 2.796 million. In 2019 the number of ment of migrant and refugee women in females in Victoria had grown to 3.329 million. the community, including during public housing lockdowns; In addition to this, those females in the esti- • Design and roll out specific primary pre- mate resident population from countries other vention campaigns on women’s health than Australia grew from 577,180 in 1996 to during the pandemic 964,840 in 2016 across some 200 plus, countries • Educate frontline staff and local govern- of birth. As the Multicultural Centre for Wom- ment officials on the connection between en’s Health points out in its 20/21 submission to disasters and gendered stereotypes and the Victorian Government’s Annual Budget: gendered violence • Support the primary prevention workforce “The population of migrant women in Victoria • Advocate for continued health promotion doubled over the previous ten-year period, and and primary prevention work to support numbers will continue to grow. Population women during the pandemic including projections estimate a net increase of 2.9 mil- applying a gender lens to recovery lion migrants by 2056, including a net increase • Advocate for state and federal COVID of at least 44,000 migrant women per year. response and recovery strategies to be In 2020 over one million migrant women call inclusive of women’s sexual and reproduc- Victoria home” tive health needs, especially migrant and refugee women, women with disabilities Increased demand due to COVID19 pan- and women in rural and regional areas demic • To respond to disproportionate impact on gender equality, including increased The global COVID19 demanded even more of domestic and caring responsibilities, in- the sector, with Women’s Health Services called creased financial impact through loss of on to: income, experience of gendered violence • Apply a gendered lens on the consequenc- and increased risk to predominantly wom- es of COVID19, in relation to response and en front line healthcare workers planning for a gender equal recovery; 16 | TOWARDS A GENDER EQUAL RECOVERY
Interest in the health and wellbeing course, with particular needs during child-bear- benefits of gender equity increase ing years. Significant changes in policy have occurred Women have unique health service needs, how- since the last review of the guidelines. The ever the application of gender norms, sexual implementation of recommendations from and biological stereotyping and the poor use the Royal Commission into Family Violence, of sex and gender disaggregated data often the creation of new family violence prevention results in gender inequities in the health care infrastructure, a Sexual & Reproductive Health system. Strategy and a new Gender Equality Act have increased demand for the expertise of Women’s Women’s Health Services counteract gendered Health Services. health inequities by ensuring Victorian wom- en have access to tailored, gendered health In addition, changes to demography have also information with which to navigate healthcare impacted WHS capacity to serve women in choices across the Victorian health system while community with adequate health promotion also working to address the underlying causes and prevention initiatives. Victoria’s popula- of women’s ill-health. We focus our services tion has grown significantly with the number in the areas of health promotion of women’s of women being served by the WHS program health and wellbeing to address the social de- jumping from 2.796 million in 2011 to 3.329 mil- terminants that intersect with gender, and lead lion in 2019.. to poor health outcomes for women. Addressing gender inequities in Victoria The opportunities and risks for health promo- with a specific focus on health tion and prevention with a gendered lens have changed significantly in the last five years. Women are the highest users of health facilities There has been significant legislative change, in Australia. They are more likely to be hospi- policy reform and government investment in talised than men and they are more likely to enhancing gender equality, preventing and see professionals for a health condition (17.5% responding to family violence, responding to compared to 12.6%). Further, the sexual and massive bushfires that were evidently exacer- reproductive health needs of women mean bated by climate change, and implementing women require tailored health interventions unprecedented response to the COVID-19 and approaches at different stages of the life- pandemic. 6 Key Priorities: The Women’s Health Services Council argues for - Priority 1: Increase investment in the Women’s Health Program 1. Incrementally increase investment for health prevention and promotion, including family violence prevention, from 2-3% to 9-12% of Victorian health and violence re- $ sponse expenditure. 2. Boost Women’s Health Services funding in recognition of changes in population and $8.1M demographics, the impact of COVID19, to restore historic funding cuts and improve gendered data collection via the Women’s Health Atlas. 3. Boost Multicultural Centre for Women’s Health in recognition of changes in popula- $4.2M tion and demographics for migrant and refugee women, the impact of COVID19 and historic funding cuts to support bilingual educators and translation services. 4. Fund exploration of dedicated First Nations resources within the Women’s Health $0.6M Program, to ensure that the sexual and reproductive health, health consequences of gender inequity and gendered violence and mental health issues for First Na- tions women are integrated or aligned with the Women’s Health Program. Funding should support collaboration between the Women’s Health Service’s Council and one or all of the following First Nations agencies - Koorie Women Mean Business and/or Victorian Aboriginal Community Controlled Health Organisation and/or Djirra. 5. Support alignment between LGBTIQ health services and the Women’s Health Program to ensure women’s health promotion and primary prevention, especially $ sexual and reproductive health, provides for queer and trans people. 6. Support Gender Equity Victoria’s secretariat support to the Women’s Health Services $0.34 M Council. 21/22 GEN VIC BUDGET SUBMISSION| 17
Priority 2: Support gender equity in Victorian women’s health and wellbeing outcomes 7. Prioritise the promotion of gender equity and prevention of gender inequity through the Women’s Health Program, ensuring Victorian Women’s Health Priorities include recognition of the health inequities caused by economic insecurity and other social $ disadvantages of women. 8. Resource the Action for Gender Equality Partnership to support gender equal trans- $3.3 M formation across public sector health organisations. 9. Dedicate resources to address the health consequences of gender inequity on Victo- $5.1 M rian women. Priority 3: implementation of a Victorian Sexual & Reproductive Health Strategy 10. Continued and increased investment in 1800 My Options to improve access path- $2.5 M ways for all women to affordable contraception, abortion and sexual health. 11. Provide funding for Womens’ Health Services to establish and provide leadership $6.8 M and capacity building for SRH in all regions: • Furthering their role as leadership and coordinating agencies in their regions around SRH needs assessment, training, and capacity building. • Undertaking health promotion efforts to enhance SRH and rights, increase ac- cess to SRH services and reduce stigma and discrimination at community level and within primary care on abortion • Ensure a specific focus on regional and rural Women’s Health Services to ensure equal access to SRH across Victoria. • Supporting strategic networking and coordination of SRH activities at the local level through an SRH COP. 12. Ensure SRH services are accessible and culturally sensitive for key priority popula- $7.6 M tions: • Invest in Aboriginal and Torres Strait Islander led organisations to ensure SRH is accessible and culturally sensitive for this population. • Further consultation with Aboriginal and Torres Strait Islander organisations and communities to confirm further investments in a future plan relevant to this population. • Develop a specific SRH strategy with and for Aboriginal and Torres Strait Islander people. • Invest in the Aboriginal health workforce to develop and provide culturally ap- propriate and community led health literacy interventions on SRH for Aboriginal and Torres Strait Islander Communities. • Invest in VACCHO to provide training and capacity building to health services to ensure they are culturally safe and accessible for Aboriginal and Torres Strait Islander Women. • Invest in Women with Disability led organisations to ensure SRH is accessible and culturally sensitive for this population. • Further consultation with Women with a disability to confirm further invest- ments in a future-plan relevant to this population. • Invest in Women Disability Victoria to develop and provide culturally appropri- ate and community led health literacy interventions on SRH for women with a disability. • Invest in Women Disability Victoria to provide training and capacity building to health services to ensure they are culturally safe and accessible for women with a disability. • Invest in migrant and refugee led organisations to ensure SRH is accessible and culturally sensitive for this population. • Further consultation with migrant and refugee women to confirm further in- vestments in a future-plan relevant to this population. • Invest in the Multicultural Centre for Women’s Health to develop and provide culturally appropriate and community led health literacy interventions in lan- guage on SRH for migrant and refugee communities. • Invest in Multicultural Centre for Women’s Health to provide training and capac- ity building to health services to ensure they are culturally safe and accessible for women with a disability. 18 | TOWARDS A GENDER EQUAL RECOVERY
• Invest in organisations led by those with diverse sexual orientation and gender diversity to ensure SRH is accessible and culturally sensitive for this population • Further consultation with communities with diverse sexual orientation and gender identity to confirm further investments in a future-plan relevant to this population. • Invest in the organisations led by those with diverse sexual orientation and gen- der identity to develop and provide culturally appropriate and community led health literacy interventions for this community. • Invest in organisations led by those with diverse sexual orientation and gender identity to provide training and capacity building to health services to ensure they are culturally safe and accessible for this population. Priority 4. Recognise the importance of gendered violence prevention 13. Recognise and provide core funding for the 9 Prevention of Violence Against Wom- $3.4M en Partnerships to support 500 strong organisational partners across the State as fundamental primary prevention of gendered violence infrastructure in the State of Victoria. Maintain the program on an ongoing basis for collective, intergenerational impact. 14. Dedicate funding to PVAW Regional Partnerships to support Local health promo- $0.48M tion campaigns aligned to Respect Victoria’s 16 Days of Activism Campaign Priority 5. Mental health & wellbeing for women 15. Prioritise women’s mental health and wellbeing continue to be included as a Victori- $3.4M an Women’s Health Priority through the Women’s Health Program 16. Fund Women’s Health Victoria to lead and coordinate the Women’s Mental Health $1.2M Alliance, and provide statewide leadership in policy, research and advocacy in wom- en’s mental health 17. Fund Women’s Health Services to promote and prevent mental health in women $3.8M through the application of local and intersectional gender lens on service provision and undertake primary prevention/mental health promotion activities in local areas and with priority population groups. Priority 6: Research and action on women in a changing society – climate change and pandemic recovery 18. Create a statewide Gender & Disaster workforce across the whole of government to promote resilience in communities and prevent a return to rigid gender roles and $ greater risk of gendered violence after disaster. 19. Scale up the award-winning Gender & Disaster Pod is scaled up for state-wide appli- $6.8M cation through Women’s Health Services in anticipation of future disaster prepared- ness, early intervention and response. For more information on the importance of investing in women’s health, check out the GEN VIC’s Women’s Health Services Council: Priorities for Women’s Health Services 2021-2024 on our website www.genvic.org.au 21/22 GEN VIC BUDGET SUBMISSION| 19
Priorities for investment to support Outreach women with cancer Women with cancer outside Melbourne have Access to holistic, person-centred care for limited access to peer support programs, par- Victorians with cancer outside of the acute care ticularly in rural and regional Victoria. Over the system remains limited, particularly in rural and last four years, Counterpart has increased equity regional areas and for women with cancers oth- of access to information by providing its ser- er than breast and gynaecological cancers. vices closer to where women live and through increased use of telehealth. Additional DHHS Given that for many women diagnosed with funding enabled Counterpart to recruit addi- cancer including rare cancers, peer support and tional staff to work with outer metropolitan access to information is limited or non-existent, and rural health professionals to increase these resources should be available to all who awareness of Counterpart’s services; working might find it a useful adjunct to their clinical through health professionals is key to women care. The significant infrastructure provided by with cancer being aware of the services avail- the non-government sector should be formally able to them. recognised as part of the treatment and life after cancer trajectory for all people diagnosed As noted above, the two Victorian Government with cancer. This includes developing referral funded programs significantly increased the pathways and linkages from the acute sector number of women having contact with the out to the community. service. These programs have now finished. Philanthropic funding has also enabled Coun- With 18 years of experience providing profes- terpart to expand its provision of webinars (via sional peer support and information, Coun- the purchase of hardware, software and techni- terpart is well placed to expand the provision cal expertise), which has supported the out- of peer support to all women with cancer and reach work by providing access to high quality outreach into under-serviced areas across and credible cancer information for women Victoria. Nearly 16,000 women were diagnosed wherever they live. with cancer in 20196. By expanding Counterpart services to all women with cancer, nearly 10,000 Priorities for investment to support women more women could benefit. with cancer Women with less publicised and supported Access to holistic, person-centred care for cancer diagnoses get frustrated and disap- Victorians with cancer outside of the acute care pointed that Counterpart services are not avail- system remains limited, particularly in rural and able for them. Counterpart receives emails like regional areas and for women with cancers oth- this one quite frequently: er than breast and gynaecological cancers. Can I ask why women with “other” cancers are Given that for many women diagnosed with not helped here? I’m a bit over ovarian and cancer including rare cancers, peer support and breast cancer getting lots of treatment op- access to information is limited or non-existent, tions, lots of support options and lots of money these resources should be available to all who but I have no support options… especially in might find it a useful adjunct to their clinical rural areas. care. The significant infrastructure provided by the non-government sector should be formally Expansion to all women with cancer recognised as part of the treatment and life after cancer trajectory for all people diagnosed Current Counterpart programs are limited to with cancer. This includes developing referral women diagnosed with breast and gynaecolog- pathways and linkages from the acute sector ical ‘women’s’ cancers. However, many women out to the community. with cancers other than breast cancer – par- ticularly women with rare or low risk of survival With 18 years of experience providing profes- cancers such as pancreatic, lung and brain sional peer support and information, Coun- – have no access to peer support; the support terpart is well placed to expand the provision that only other women who have experienced of peer support to all women with cancer and cancer can provide. outreach into under-serviced areas across Victoria. Nearly 16,000 women were diagnosed Additional investment in Counterpart is need- with cancer in 20196. By expanding Counterpart ed to extend the provision of professional peer services to all women with cancer, nearly 10,000 support and information services to all Victorian more women could benefit. women with cancer to respond to this need and ensure all women with cancer can live well. 20 | TOWARDS A GENDER EQUAL RECOVERY
Outreach Bridge of Support Investment has been made into developing re- Counterpart also requires additional funding lationships with health professionals and broad- to maintain and extend the long-established ening access to services for Victorian women to: Bridge of Support program, where peer sup- port volunteers take the services of Counterpart • continue and build on the momentum to women while they receive cancer treatment gained through the two outreach pro- at either Sunshine Hospital or the Victorian grams, Counterpart needs additional Comprehensive Cancer precinct. This program funding to: is highly valued by both hospital staff and the • work with health professionals across Vic- women who access peer support in this way. toria Currently, Counterpart has reprioritised internal • provide regional programs, such as well- resources to continue funding both Bridge of being days, in partnership with regional Support programs, however this is at the ex- health services pense of other core activities and is not sustain- • provide technical support for an expanded able in the long term. webinar program These activities are currently unfunded and will only be able to be provided at a very basic level if additional funding is not obtained. INVESTMENT REQUIRED: SUPPORT WOMEN WITH CANCER ($M) 2021-22 2022-23 2023-24 2024-25 TOTAL 1. Expand peer support to all Vic- .2 .2 .2 .2 .8 torian women with cancer 2. Continue outreach activities in outer metropolitan and re- gional Victoria 3. Deliver Bridge of Support at the Victorian Comprehensive Cancer Centre, Sunshine Hospi- tal and Northern Hospital 21/22 GEN VIC BUDGET SUBMISSION| 21
Gender Responsive Budgeting The investment in gender equity and gendered initiatives in the 20/21 Budget is a welcome first step in addressing historic under investment in dedicated gender equity programs, as well as addressing historic economic disadvantage of women. A total of $10.76 Billion was included in the Economic and Budgeting capaci- Victorian Gender Equity Budget Statement. 1 ty building for gender equity and This represented 25% of total output initiatives women’s organisations in the fiscal year – which was a significant improvement on previous budgets – but still only represents 4.1% of total Government Sector Lifting Women’s Economic Pro- expenses from transactions. 2 ductivity through Gender Re- sponsive Budgeting One budget cycle alone will not address the entrenched disadvantages of women and gen- der diverse people. Gender equity investment needs to be sustained across multiple budget cycles and the best way to do that is to embed a structure for gender responsive budgeting into Treasury. GEN VIC and its members make the following recommendations to advance Gender Respon- sive Budgeting. 22 | TOWARDS A GENDER EQUAL RECOVERY
incorporated gender responsive budgeting into The Public Accounts and Estimates Commit- their policy making, while Italy committed in tee was midway through a review into gender 2016 to gender budgeting on an experimental responsive budgeting when the pandemic hit. basis. Only the United States is an outlier, which Sadly, this has meant that the biggest stimulus is not a surprise given it is also a non-signatory package in Victorian history is being distributed to the Convention on the Elimination of Dis- without an operational, best practice gender crimination Against Women (CEDAW). lens or structural system for analysing the sex and gender disaggregated impacts of the bud- Almost half of OECD countries have intro- get being place. duced gender responsive budgeting (Austria, Belgium, Finland, Iceland, Israel, Japan, Korea, What is gender responsive budgeting? Mexico, Netherlands, Norway, Spain, Sweden), while others such as Italy, Turkey and the Czech According to Emeritus Professor of economics Republic are in the process of introducing or Rhonda Sharp AM, of the University of South considering it. Australia’s Hawke Research Institute and Re- search Institute for Gender Studies: The Key Features of effective interna- tional Gender Responsive Budgeting “Gender responsive budgeting is an analysis of are: the impact of the budget on gender equality and a process of changing budgetary deci- 1. An empowered authorising environment sion-making and priorities.” for partnership between Treasury and Office of Women to undertake gender In a similar definition adopted by the OECD & responsive budgeting. This may or may not Council of Europe: be codified in legislation. 2. Gender economic experts within Treasury “Gender budgeting is an application of gender and the Office of Women who understand mainstreaming in the budgetary process. It how gender norms underpin budget and means a gender-based assessment of bud- policy setting processes and appreciate the gets, incorporating a gender perspective at all impact of intersecting attributes of disad- levels of the budgetary process and restruc- vantage and vulnerability on gender equity. turing revenues and expenditures in order to Where required, Treasury and the Office of promote gender equality.” Women may also benefit from an external advisory body of economic gender experts Gender responsive budgeting practices vary – like the UK Budget Group – to support across countries, however there are three areas critical gender economic thinking that of gender budgeting encompasses expertise in the academy, industry and community sector. • gender-informed resource allocation 3. Gender equality policy with a focus on whereby individual policy decisions and/or economic empowerment and justice for funding allocations take into account the women, to correct historic and continuing impact of the decision on gender equality; economic disadvantages. • analysis at the sectorial level of the impact 4. The collection or sourcing of regular eco- of decisions on gender equality within that nomic data that is gender-disaggregat- sector or industry; and ed, accounting for differences of impact • overall assessment of the budget as a between men, women and gender diverse whole as to whether it is positive or nega- people. tive for gender equality. 5. The application of an intersectional gender • gender-assessed budgets where the im- lens across policy and programs to deter- pact of the budget as a whole is subject to mine needs’ assessment of women and some degree of gender analysis. gender diverse people at the beginning of a budgetary cycle across all portfolios. Gender responsive budgeting is an accept- 6. A Budget process overlayed with a gen- ed norm of good economic management in dered lens that assesses the impact of advanced economies across the globe. Re- outputs and asset investment, as well as sponsibility for gender responsive budgeting is savings and revenue initiatives, including undertaken in these countries at both national any negative or unintended impacts. and sub-national levels, and occasionally within territorial or local governments as well. Economic and Budgeting capacity building for gender equity and women’s Within the G7 – the seven largest advanced organisations economies in the world – 5 of the 7 (Canada, France, Germany, Japan, and the UK) have In the absence of gender responsive budgeting 21/22 GEN VIC BUDGET SUBMISSION| 23
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