Toward a common lexicon in gender analysis for global health programs and policies.

Gender and gender analysis are frequently misunderstood or conflated with sex and gender identity, resulting in inconsistent terminology across cultural, social, and organizational contexts in global public health. This ambiguity has proliferated diverse frameworks and scales to assess gender-responsiveness, hindering comparison and implementation. Terms like gender mainstreaming, integration, and analysis are often used interchangeably despite distinct functions. As a methodological musing, this paper proposes normative definitions for commonly used terms-gender-responsiveness, gender mainstreaming, gender integration, gender analysis, gender situational analysis, gender assessment, and gender needs assessment-highlighting what each is/is not and providing usage guidance. This paper is intended as a methodological intervention in global public health and health policy/systems research, where terminological ambiguity can challenge credibility, limit comparability across studies and organizations, and obscure claims about how gendered power relations shape health and health systems. By offering clear definitions and guidance on the appropriate use of these terms, we aim to support a more coherent and rigorous approach to gender-responsive approaches and strategies.