Indian Journal of Health Social Work
(UGC CARE List Journal)
ABSTRACT
The paper investigates the gendered patterns in accessing healthcare in university spaces.
Institutions of higher education which are associated with inclusivity and multicultural values
often reproduce barriers that disproportionately affect women students. The study draws on a
structured narrative of secondary literature with thematic synthesis and analyzes empirical case
studies from India and elsewhere through the lenses of structural violence and gender-based
violence. It identifies three interrelated mechanisms through which gendered barriers to healthcare
are produced and sustained i.e. infrastructural invisibility, procedural opacity and normative
normalization. These mechanisms manifest in inadequate menstrual hygiene facilities, limited
transparency in health services and the routinization of gendered norms that render women’s
health needs inconspicuous. The paper argues that barriers or inaccessibility to healthcare in
university spaces may be understood as a form of institutionalized structural violence which is
rooted in gendered relations of power. The notion of gender discrimination and violence reflects
a structural character that is manifested through various norms and institutional practices in
higher education institutions. Various policies in India explicitly recognize the prevalence of such
issues and propose institutional measures which, if effectively implemented, hold significant
potential for addressing and mitigating these challenges.
Keywords: Women and Health, Health & Gender, Sociology of Organizations, Institutions &
Structures, Accessibility, University.