Right to Health

From July 2022 to April 2025, the COVID-19, and Health System Strengthening Support Project (commonly known as CoHSiS) will be in operation. This three-year initiative, funded by the Japan Social Development Fund (JSDF) and administered by the World Bank Group, aims to empower municipalities to prepare for and respond to COVID-19 and other health emergencies. Specifically, CoHSiS’s implementation is focused on two municipalities: Covalima and Viqueque. To ensure gender equality, the project will incorporate CARE's Gender Equality and Women’s Voice Framework into all its intervention. As part of its planning process, the project aims to conduct a comprehensive gender analysis on six key areas of inquiry: (i) Sexual/gender division of labour, (ii) household decision-making, (iii) claiming rights and meaningful participation in public decision-making, (iv) access to public space and services, (v) control over productive assets, and (vi) violence and restorative justice using both primary methods which include utilising SAA methodology in focus group discussions, key interviews with key stakeholders as key informants and individual survey with the community and secondary data sources.
Key findings
Sexual/Gender Division of Labor
Timor-Leste is predominantly a patriarchal society with strong social and gender norms and gendered power imbalances that lead to gender inequality. At the household level, women and girls are overburdened with work as they perform most of the household chores and child and elder care; and spend their time on agriculture or horticulture work as well as contributing to community or cultural events. On the other hand, based on the primary data analysis, men are expected to be breadwinners for the family and women are expected to take care of the household. In cases where men have performed chores outside their prescribed roles, for example, the daily clock showed caring for babies, taking care of the children, and doing household activities like cooking and fetching water, women and the community at large have stigmatised men. When men try to take up roles that are already defined as women's roles, women and the community can even call men "gay". Additionally, women spend an average of 12 hours daily (5 am – 10 pm) on household chores while men spend an average of 9 hours daily on productive work (6 am – 10 pm) taking out resting time from both males and females. Self-confidence and belief in their own abilities are key components that aid women in negotiating for a fairer household division of labour with their partner.
Despite the existence of negotiation between partners for sharing household chores, tasks remain gendered and resistant to change. Men and boys who challenge these norms by performing household chores face backlash and stigmatization. However, there is some evidence of shifting trends, with more men participating in traditionally female chores.
Household Decision-Making
Generally, women have less decision-making power in households, with their scope often limited to daily matters like food consumption and management of finances for daily expenses. Men tend to make the more substantial decisions regarding matters like buying and selling large animals, land, and generally making agricultural choices.
The division of decision-making power varies depending on the marriage system, with some communities adhering to matrilineal traditions where women have more influence, but even in such cases, significant decisions still require consultation with males within the family.
The study highlights that attending traditional ceremonies and making decisions about children's futures, education, and financial matters can lead to conflicts if not handled jointly. While discussions with community members indicated the importance of mutual consultation in women's negotiation for decision-making, the study also found that women who make independent decisions without consulting their husbands are blamed if the outcomes are unfavourable.
Control over productive assets
In Timor-Leste, control over productive assets, including agricultural land, crops, and animals, poses a significant challenge for women. Men predominantly hold control over big productive assets, such as buffalos and horses, and are the primary decision-makers for household assets. There's a clear distinction between "big assets" and "small assets," with women primarily owning the latter, which includes items like Tais (traditional weavings) which have a lower monetary value.
However, there are signs of change, with recent developments, such as training and activities by NGOs and the government, leading to increased participation of women in decisions about household and productive assets. Joint decision-making, especially on assets with lower monetary value, is now more common. In some cases, men are giving women more autonomy over these assets.
Strategies employed by women to negotiate control over productive assets include mutual agreement, open communication, temporary changes in responsibilities, and shared responsibility.
The study also identifies differences in ownership and control of assets between patrilineal and matrilineal societies, where practices can vary significantly. For example, in patrilineal societies, the presence of a male family member often automatically bestows inheritance rights, while in matrilineal societies, women are prioritized for inheritance, particularly regarding land. However, the study notes that it is essential to consider the specific context of individual families. Read More...