Making public policy work for women: Lessons from Sri Lanka’s COVID-19 response

By Sunimalee Madurawala

The COVID-19 pandemic revealed critical gaps in how policies are made and who they serve. Women face distinct challenges that are too often ignored in national responses. To build resilient and equitable public health systems, we must start by listening to women, valuing their experiences, and including them meaningfully in policymaking. True gender-responsive policymaking is not just about fairness, it’s about designing smarter, more inclusive policies that work for everyone.

One night during the pandemic, Nishanthi, a garment factory worker living in a boarding house in Katunayake, was suddenly told by military officers to pack her belongings and leave with the other women. There were 54 of them in the boarding house.

Earlier that day, two of her fellow boarders had tested positive for COVID-19. “We thought it was just an awareness meeting,” she recalled. “Then they told us to pack clothes for three days and warned us not to resist or leave, as military officers had surrounded the building. Two of our friends fainted from the shock.”

Nishanthi and the others were first taken to Veyangoda and later transferred to the Kalutara Teaching School for quarantine. She eventually tested positive and spent 24 days in isolation.

For women like Nishanthi, quarantine brought added burdens. In the early stages of the pandemic, many quarantine centres lacked privacy, separate spaces, or even basic facilities to manage menstruation. These gaps made an already stressful and frightening experience even harder for women.

Nishanthi’s experience serves as a reminder that public policy, particularly during a crisis, must reflect the diverse realities that women and men face. Public policy plays a crucial role in solving social problems and improving lives. However, to make a real difference, it must be timely, inclusive, and responsive to the specific needs of different groups, ensuring that no one is left behind.

This is particularly true during times of crisis. The COVID-19 pandemic didn’t just threaten health; it disrupted jobs, social relationships, and the daily lives of people. But the impact wasn’t the same for everyone.

Women, in particular, were hit hard, and they were disproportionately represented in industries most affected by COVID-19, such as food service, retail, and entertainment, while also taking on increased caregiving responsibilities at home.

These added pressures made life even harder and increased existing inequalities that women already faced. In Sri Lanka, women in the export-oriented apparel sector experienced many of these same pressures.

In response to the crisis, the Sri Lankan government acted quickly, introducing various public health and economic recovery measures. But were these policies truly inclusive? Did they consider women’s lived experiences? Were women meaningfully involved in shaping the response?

To explore these questions, the Institute of Policy Studies of Sri Lanka (IPS) conducted a study examining how gender was considered — or overlooked — in Sri Lanka’s pandemic response. Nishanthi’s story is just one of many that emerged through this research. Drawing from interviews with a range of stakeholders, the study identified key lessons for more inclusive and equitable policymaking in the future.

What We Found

Gaps in understanding gender needs – Many decision-makers acknowledged the importance of making policies that respond to the different needs of men and women. But not everyone saw it as essential.

Some felt that Sri Lanka had already achieved enough gender equality and didn’t see the need for special attention to women’s issues during the pandemic. This view overlooked the real struggles many women faced and showed a lack of awareness about how crises can deepen existing inequalities.

Women were involved — but not always heard – It was a positive step to see women included in policy discussions during the pandemic. However, our study found that their actual influence was limited. Because decisions were mostly made through a centralised and top-down process, especially at the start of the crisis, women’s voices didn’t always reach those at the top and often weren’t acted upon.

Women’s specific needs were overlooked in implementation – Even when policies were aimed at protecting everyone, the actual rollout often ignored women’s unique challenges. For example, early in the pandemic, quarantine centres often lacked facilities such as menstrual hygiene supplies and safety measures for women.

As one official shared, “Women facing menstruation had significant challenges… Personal space was lacking as everyone shared dormitories, and all facilities were communal.” These gaps made the experience even more stressful for women.

If a gender-responsive strategy had been incorporated into policy development from the outset, these situations could have been better anticipated and mitigated. Resource limitation was a substantial barrier to setting up such facilities, restricting the support available to women during the pandemic and further intensifying the challenges they encountered.

The Path Ahead for Gender-Responsive Policymaking

Awareness creation – Raising awareness about the importance of including gender perspectives at every stage of policymaking is a vital first step toward meaningful change. This means challenging long-standing gender biases and helping decision-makers see how inequality can lead to different outcomes for men and women, especially during times of crisis.

Awareness can be strengthened through targeted campaigns, engaging educational efforts, and hands-on training. But awareness alone is not enough. Real progress requires action: collecting and using gender-sensitive data, updating outdated policy frameworks, and committing resources to ensure policies truly respond to the needs of all genders.

Move beyond symbolic participation – Having women participate in policy discussion forums is a great step, but it is also important that they have the authority and independence to genuinely influence decisions.

When women are only part of symbolic gestures, it does not lead to real change. To create meaningful progress, we should adopt a well-rounded approach that includes addressing gender socialisation, supporting career growth, ensuring fair pay, promoting work-life balance, and providing mentoring opportunities. These efforts are key to empowering women and fostering genuine leadership in the workplace.

We must also work to recognise and overcome the barriers that prevent women from engaging fully in decision-making. These obstacles include deep-rooted male-dominated ideas, limited representation, structural and cultural challenges, a scarcity of role models, restrictive leadership styles, and the invisible glass ceiling that keeps women from reaching the highest leadership roles.

Invest in preparedness — with women in mind – During COVID-19, many gender-sensitive solutions — like separate facilities in quarantine centres — were overlooked, often due to budget constraints. But failing to plan for women’s needs can make a crisis even worse.

Future pandemic preparedness plans should include sustainable funding to support gender-responsive measures. These investments won’t just help women — they will improve the resilience and fairness of our entire public health system.

This article is based on the study on ‘A Participatory Study on Improving the Pandemic Policy Responses to Reduce Adverse Health Effects on Women Workers in the Export-Oriented Apparel Industry of Sri Lanka’ carried out by the Institute of Policy Studies of Sri Lanka with the National Planning Department of Sri Lanka, and the University of Ottawa, Canada. The study is funded under Women’s Health and Economic Empowerment for a COVID-19 Recovery that is Inclusive, Sustainable and Equitable (Women RISE), an initiative of the International Development Research Centre (IDRC), the Canadian Institutes of Health Research, and the Social Sciences and Humanities Research Council

Comments are closed, but trackbacks and pingbacks are open.

otc high blood pressure treatment blood pressure guidelines medications blood pressure pills that is safe for the liver high blood pressure medication levothyroxine blood pressure medication that reduces blood pressure is there any difference in blood pressure pills high blood pressure child medication blood pressure medication recommendation nose blue blood pressure medication blood pressure is 150 68 should i take my medication blood pressure medication while nursing taking a bunch of high blood pressure pills aerobic exercise and blood pressure medication good blood pressure medication acupuncture treatment for low blood pressure best over the counter pills for high blood pressure blood pressure pill amlodipine besylate high blood pressure signs and treatment moderna vaccine blood pressure medication which blood pressure drugs do not cause tinnitus blood pressure medication fights cancer blood pressure medication skin rash side effects of high blood pressure medication impotence medication to avoid on blood pressure medications high blood pressure rx medication peripheral neuropathy caused by blood pressure medication high blood pressure in pregnancy treatment nice runny nose do to blood pressure medication how to get off of blood pressure pills hiv medication and high blood pressure niacin treatment for high blood pressure two drugs for blood pressure that caused cancer high blood pressure causing medications high blood pressure medication names canada blood pressure medication side effects alcohol i take 3 blood pressure medication blood pressure pills that help with anxiety what iv drug raises blood pressure list of doctors who formulated blood pressure medications how to remember blood pressure medications sleeping pills blood pressure how fast does blood pressure medication take effect sweet n low high blood pressure medication home treatment for blood pressure high blood pressure medication matrocet high blood pressure medication doses blood pressure drug bystolic iberstaron blood pressure medication blood pressure medications st alphabetical celexa and high blood pressure medication does blood pressure pills irritation skin can i take combivent with high blood pressure medication blood pressure medications beta blockers list what to do if blood pressure medication does not work drugs to lower your blood pressure red beet pills for blood pressure taurine and blood pressure medications how ling for garlic pills to lower blood pressure blood pressure medication list and side effects can i take aspirin with high blood pressure medication blood pressure medication teaching about hot tubs water pills high blood pressure over counter what is an arb medication for blood pressure resveratrol high blood pressure medication high blood pressure medication and weight loss gum disease and blood pressure medication benzenesulfonic acid in blood pressure medication taking two blood pressure pills by mistake allergy pills for high blood pressure blood pressure prescription drugs safety blood pressure medication in pregnancy trazodone and blood pressure medication which blood pressure medication is linked to skin cancer list of blood pressure medications with the least side effects could blood pressure medication make blood thicker disadvantages of high blood pressure medication blood pressure medications ludipril typical drugs for high blood pressure otc water pills for high blood pressure blood pressure medications that do not doncause bowel blockage high blood pressure after corrosion treatment how soon does high blood pressure medication work blood pressure medication teaching amertyrine high blood pressure medication increased blood pressure and heart rate after drug overdose over the counter drugs high blood pressure blood pressure medication 25 is blood pressure medication a nitrate most effective blood pressure pills blood pressure medical does red yeast rice interfere with high blood pressure medication can apple cider vinegar pills lower blood pressure does blood pressure medication give you headaches high blood pressure medication and driving should you take blood pressure pills with food inn blood pressure drugs can you eat bananas if taking blood pressure medication popular high blood pressure medication blood pressure medication los blood pressure medication second drug low blood pressure and hypertension medication do water pills lower blood pressure high blood pressure pill aqunadine high blood pressure cholesterol medication how does medication lower blood pressure acetaminophen blood pressure medication blood pressure medication 30 mg that works around the heart what does grapefruit do to blood pressure medication can red yeast rice be taken with blood pressure medication pharmaceutical treatment for high blood pressure are blood pressure pills statins blood pressure pills that start with r blood pressure medication and male impotence taking baby aspirin with other high blood pressure medications what is the medical name for a blood pressure cuff leg cramps and blood pressure medication blood pressure pill name starts with p natural high blood pressure treatments blood pressure medication names losartan higher blood pressure with radiation treatment medical marijauna high blood pressure how to avoid medication for high blood pressure what time is best to take blood pressure medication medication for palpitations and high blood pressure latest news on blood pressure treatment what if i take two blood pressure pills does xanax interfere with blood pressure medication amlipan blood pressure medication vitamin e and blood pressure medication tell me the side effects of high blood pressure medication herbs pills to lower blood pressure blood pressure medication urge to urinate what medication will safely replace lisop as blood pressure medicine active ingredient in high blood pressure medication blood pressure medications cause adrenal tumors is biktarvy ok to take with high blood pressure medication alembic blood pressure medication sandoz blood pressure medication exercise high blood pressure medication grapefruit pills blood pressure treatment for high blood pressure at home blood pressure medication for patients with osa cycle on off blood pressure medication blood pressure drugs that do not cause heat sensitivity blood pressure medications that do not cause coughing what blood pressure medications do not cause rosacea pfizer blood pressure medication side effects do garlic pills really help lower blood pressure should i take medication for anxiety induced blood pressure treatment for uncontrolled blood pressure decongestant medication high blood pressure can stiff days be used with high blood pressure medication how long does it take medication to lower blood pressure what if i miss a blood pressure pill tribenzor high blood pressure pills law lawsuit 2023 treatment of sudden drop in blood pressure zoloft and blood pressure medication orange high blood pressure pill cancer blood pressure pill why cant people with high blood pressure take keto pills how long for blood pressure to go down mini pill should i get second opinion before taking blood pressure medication blood pressure erectile dysfunction medication high blood pressure medication m lot ben medical device lowers blood pressure puppy ate blood pressure pill are there medications for low blood pressure dod blood pressure medication is losartan a blood pressure pill combination drugs for blood pressure marijuana and blood pressure medication interaction blood pressure medication interactions with grapefruit can you eat bananas while taking high blood pressure medication steps before going on high blood pressure medication blood pressure medication when to cut down foods to avoid on blood pressure medication blood pressure medications depression blood pressure medication non beta blocker tattoos and high blood pressure medication what is the medications used to lower blood pressure quickly high blood pressure medication leg swelling blood pressure medication men in your 40s blood pressure medication wieight loss blood pressure medication hy can blood pressure medication lower blood sugar does blood pressure medication make you pee natural treatment high blood pressure during pregnancy can you take l arginine with high blood pressure medication what class of blood pressure medication can can blood pressure pills reduce appetite faa approved medication for high blood pressure high blood pressure medication during pregnancy best blood pressure medication for type 2 diabetes blood pressure and pain medication pain medication that does not affect blood pressure best high blood pressure drugs on the market if you take incorrect medications to lower blood pressure low blood pressure treatments does your body have to adjust to blood pressure medication why water pill for high blood pressure drugs for treatment of very high blood pressure during pregnancy can i drink grapefruit juice with high blood pressure medication can blood pressure pills make you feel cold high blood pressure medication that helps with weight loss amlodipine blood pressure drug blood pressure medication for infants varicose veins blood pressure medication life extension high blood pressure medication does tylenol interfere with blood pressure medication can i take diamox with other high blood pressure medications prestige medical blood pressure cuff calibration drugs used for high blood pressure chamomile tea and high blood pressure medication narcotics stored alongside blood pressure medications in does nutrigrove blood pressure pills work extremely low blood pressure treatment blood pressure medication for iga nephropathy blood pressure medication low side effects can i increase my blood pressure medication what is the best blood pressure medication to take drugs that cause increased blood pressure does biotin interfere with high blood pressure medication cani od on high blood pressure pills blood pressure medication that also helps with jerking blood pressure medication categories first line treatment of high blood pressure medication for low blood pressure in usa armour thyroid drug interactions blood pressure meds hepatitis c treatment high blood pressure high blood pressure arb drugs low blood pressure treatment with essential oils high blood pressure medication list for pregnancy blood pressure medication and snake venom blood pressure medication low dose liquid blood pressure medications ivf drugs and high blood pressure left my blood pressure medication does it matter when you take blood pressure medication can you take blood pressure pills twice a day privilin blood pressure medication how big are blood pressure pills once you start blood pressure medication can you stop diuretic in blood pressure medication what medication reduce blood pressure new blood pressure treatment prescribed home medications for high blood pressure blood pressure medication side effects forums taking blood pressure pills dizzy when bend over a lot blood pressure medication and nyquil cinnamon pills and high blood pressure temporary high blood pressure treatment single agent blood pressure medication blood pressure medication made in china fda approved medications to reduce blood pressure immediate treatment for high blood pressure at home best time to take blood pressure pills muscle loss on high blood pressure medication blood pressure medication when needed treat high blood pressure without medication blood pressure medication side effects for men cbd pills for high blood pressure blood pressure regulation without medication blood pressure medication and pre workout high blood pressure alzheimer disease and antihypertensive treatment miss blood pressure medication blood pressure pills suicide peaceful emergency drugs for low blood pressure common blood pressure medications in canada systolic blood pressure define medical viril and high blood pressure pills can statin drugs help lower blood pressure do you have to wean off blood pressure medication new drugs for blood pressure when is high blood pressure medication necessary drugs for hi blood pressure cold medications and blood pressure taking 2 blood pressure pills mistake why doctors stopped prescribing blood pressure medication common high blood pressure medication canada what side effects does blood pressure medication have ulcer medication high blood pressure can high blood pressure medication elevate alkaline phosphatase blood pressure medication warning getting blood pressure medication jamaica alkaline water and blood pressure medication blood pressure going up and down with medication drugs reduce systolic blood pressure treatment for rapid high blood pressure low blood pressure alternative treatment do all high blood pressure medications cause weight gain medication for increasing blood pressure blood pressure medication for african american males vitamins for high blood pressure treatment aleve with blood pressure medication how to lower blood pressure without pills blood pressure triple pill who blood pressure guidelines for hygiene treatment what drug reduces blood pressure blood pressure medications enalapril met blood pressure medication