Women Carry An Undue Mental Health Burden. They Shouldn’t Have To

Like so many other global health issues, the burdens of mental health fall hardest on women. Building a more equitable world means acknowledging—and addressing—that gap.

Women Carry An Undue Mental Health Burden. They Shouldn’t Have To
In 2020, Project HOPE began delivering mental health and resiliency trainings for health care workers around the world — the majority of whom are women. (Courtesy KUN Humanity System+, 2020)

The month of May marked Mental Health Awareness Month—a movement that takes me back to the time I spent in my home country, Lebanon, after the massive Port of Beirut blast in August 2020.

One day, as I passed by a group of mothers and young children sharing their regular daily news and chitchat, I couldn’t help but notice the number of signs that these women were experiencing distress and potential mental health issues. One of them shared her inability to sleep at night, another mentioned her kids’ involuntary urination episodes and another was constantly hearing glass shattering.

It was then I realized that we were facing a mental health crisis on top of all the other crises in the country. My eyes opened to the widespread need for high-quality mental health services—especially for women and children.

Although it is not commonly known, gender can be a determinant when it comes to mental health. Remarkable gender differences are found in the patterns of mental health disorders. Common risk factors that increase a woman’s risk of developing mental health disorders include gender-based violence; a lower socioeconomic status due to low income and income inequality; a lower social status including subordination; holding the continuous duty of being a caregiver to other family members; stressful gender-based rolesdiscriminationabuse; and other stressors and life events.

By 2020, depression—which is almost twice as prevalent in women—was predicted to be the second leading cause of the global disability burden. In addition, women are the largest group affected by post-traumatic stress disorders, which is the direct result of the high rate of sexual violence women experience: Nearly one in five women suffer from rape or attempted rape in their lifetimes. Not to mention violence, wars and disasters disproportionately impact women and children.

Women Carry An Undue Mental Health Burden. They Shouldn’t Have To
Clara, 32, was injured in the Port of Beirut explosion in August 2020, an event that also left a lasting impact on her as a psychologist. “What I saw in the hospital is something I can never forget,” she says. “There’s going to be a considerable amount of [mental] trauma.” (Firas Itani / Project HOPE, 2020)

In developing countries, there is a huge gap in the availability and accessibility of specialized mental health services. Rather than visiting mental health specialists, women are more likely to seek mental health support in primary health care settings while accompanying their children or while attending consultations for other health issues. This leads to many mental health conditions going unidentified and therefore not treated. Often, women do not feel fully comfortable disclosing certain psychological and emotional distress because they fear stigmatization, confidentiality breaches or not being taken seriously.

COVID-19 has put the mental well-being of the entire world at risk. More adults are reporting struggles with mental health and substance use and are experiencing more symptoms of anxiety and depressive disorders. The stressors caused by the pandemic have affected the entire population; however, the effect on women and mothers specifically has been greater.

Women, the unsung heroes of the pandemic, face mounting pressures amid this global health crisis. Reports suggest that the long-term repercussions of COVID-19 could undo decades of progress for women and impose considerable additional burdens on them, threatening the difficult journey toward gender equality.

Unemployment, parenting responsibilities, homeschooling or caring for sick relatives are all additional burdens on women’s daily lives during the pandemic. It’s also important that we acknowledge the exponential need for mental health support for health care workers, and particularly health care mothers, who are juggling both their professional duties and their parenting responsibilities. They are the heroes on the front lines of the fight against the virus, and it’s crucial to prioritize their physical as well as their mental health. Acknowledging the massive need for this support, Project HOPE is implementing Mental Health and Resilience Training sessions in different countries across the globe targeting health care workers responding to COVID-19. More than 75 percent of the health care workers participating in the training sessions are women.

More research is needed to understand the mental health issues of specific groups, including women, and to identify protective factors to help maintain their well-being. Additional awareness programming is also important to decrease the stigma around mental health, normalize the topic and encourage support-seeking behaviors. It has been shown that the availability of high-quality mental health services at the primary health care level is the most efficient way to target all the vulnerable populations who are most in need of mental health services. In terms of policymaking, we still have a long road of advocacy ahead to improve existing mental health policies and ensure lawmakers to view mental health as a priority. Although the road may be rocky, there is always light at the end of the tunnel.

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Rawan Hamadeh joined Project HOPE in July 2020 as an associate mental health project coordinator. Originally from Lebanon, she was able to accumulate experience in humanitarian assistance and system reform while pursuing her master’s degree in health care and quality management. She has previously held roles in UN agencies, international NGOs, and within Lebanon’s ministry of public health.