Medical PPE unfit for women on COVID-19 frontlines
(SciDev.Net) - Less than one in five female frontline health workers say protective clothing fits them properly, according to a survey from the Women in Global Health network.
Just 14 per cent of women surveyed globally reported that personal protective equipment (PPE) did what the name suggests – provided them protection from infection.
The report published last week (19 November) documents gendered challenges around PPE in the health sector. Surveying 892 women from more than 50 countries, it reveals pervasive inequities in PPE access, fit and design.
PPE is primarily designed for men and often fails to protect women, research has shown. While 70 per cent of the world’s health and care workers are women, they fill just 25 per cent of senior leadership roles.
“Women are 90 per cent of nurses and have been the vast majority of healthcare workers in patient facing roles in the pandemic,” the Women in Global Health (WGH) report says. “Therefore, if medical PPE is not fit for women, it is not fit for the majority of the health workforce.”
According to the report, PPE of all types is too big for women, including respirators, gloves and gowns. Poorly fitting masks were highlighted as particularly problematic.
“Ill-fitting masks not only fail to protect women but also cause suffering,” said the report, noting that commonly
cited efforts to modify masks for a better fit caused sores and bruising.
Healthcare workers from nonCaucasian populations faced additional challenges with mask fit due to diverse face shapes. One female health worker told researchers: “Most South and South-East Asian female staff have failed mask fit tests due to our smaller than average faces.”
Menstruation was another challenge for women wearing PPE. Compounded by the fact that PPE coveralls cannot be removed when using the toilet without being discarded, menstruating women reported
stress, anxiety and health impacts such as rashes and infections from wearing sanitary pads for too long.
For women in low- and middleincome countries, where global shortages and the affordability of PPE restricted supply, women reported having to make tough decisions about whether they could use the toilet.
“With the risks of contamination and the shortage of PPE supply, you really have to think twice about taking it off,” said one nurse from Zambia. “I knew there was a chance that I would not get more PPE again if I decided to go to the bathroom during my shift.”