Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling

Abstract Background Women comprise more than two-thirds of the academic medicine faculty and half of the general population in Pakistan, yet their representation in healthcare leadership roles remains disproportionately low. Aim The study aims to explore the experiences of Pakistani women in healthc...

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Main Authors: Kiran Imtiaz Khan, Brekhna Jamil, Muhammad Muhammad, Shamaila Mohsin, Arsalan Hamid Khan, Muhammad Qasim Javed
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-12347-y
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author Kiran Imtiaz Khan
Brekhna Jamil
Muhammad Muhammad
Shamaila Mohsin
Arsalan Hamid Khan
Muhammad Qasim Javed
author_facet Kiran Imtiaz Khan
Brekhna Jamil
Muhammad Muhammad
Shamaila Mohsin
Arsalan Hamid Khan
Muhammad Qasim Javed
author_sort Kiran Imtiaz Khan
collection DOAJ
description Abstract Background Women comprise more than two-thirds of the academic medicine faculty and half of the general population in Pakistan, yet their representation in healthcare leadership roles remains disproportionately low. Aim The study aims to explore the experiences of Pakistani women in healthcare leadership positions to unravel the challenges they face in acquiring and sustaining leadership positions and to identify the factors that help them overcome these challenges. Methods An exploratory qualitative study based on semi-structured interviews was conducted. Purposive sampling was utilized. Telephonic interviews of ten women in healthcare leadership positions were conducted, recorded, and transcribed. Thematic analysis was performed by manual coding. Results A total of 14 subthemes were generated that finally emerged as 5 themes. The challenges of women in healthcare leadership positions included unsupportive work environment, lack of confidence and leadership skills, and struggle to balance family and work. Personal strategies, family support, and women-centric organizational policies were identified as aids to professional advancement. Conclusion Most of the challenges faced by women in acquiring and sustaining leadership positions in Pakistan are rooted in a patriarchal culture that assigns conventional roles and expectations to women. Professional competence and strategic acumen along with inclusive work environment and policies can help promote gender equality.
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institution Kabale University
issn 1472-6963
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publishDate 2025-01-01
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series BMC Health Services Research
spelling doaj-art-81c7da847fa04bdb83fd1a0b2ee8c0fa2025-02-02T12:14:12ZengBMCBMC Health Services Research1472-69632025-01-012511810.1186/s12913-025-12347-yGender inequality in healthcare leadership: the challenges women face in breaking through the glass ceilingKiran Imtiaz Khan0Brekhna Jamil1Muhammad Muhammad2Shamaila Mohsin3Arsalan Hamid Khan4Muhammad Qasim Javed5Army Medical College, National University of Medical SciencesInstitute of Health Professions Education and Research, Khyber Medical UniversityIslamic International Dental College, Riphah International UniversityArmy Medical College, National University of Medical SciencesSardar Begum Dental College, Gandhara UniversityDepartment of Conservative Dental Sciences, College of Dentistry, Qassim UniversityAbstract Background Women comprise more than two-thirds of the academic medicine faculty and half of the general population in Pakistan, yet their representation in healthcare leadership roles remains disproportionately low. Aim The study aims to explore the experiences of Pakistani women in healthcare leadership positions to unravel the challenges they face in acquiring and sustaining leadership positions and to identify the factors that help them overcome these challenges. Methods An exploratory qualitative study based on semi-structured interviews was conducted. Purposive sampling was utilized. Telephonic interviews of ten women in healthcare leadership positions were conducted, recorded, and transcribed. Thematic analysis was performed by manual coding. Results A total of 14 subthemes were generated that finally emerged as 5 themes. The challenges of women in healthcare leadership positions included unsupportive work environment, lack of confidence and leadership skills, and struggle to balance family and work. Personal strategies, family support, and women-centric organizational policies were identified as aids to professional advancement. Conclusion Most of the challenges faced by women in acquiring and sustaining leadership positions in Pakistan are rooted in a patriarchal culture that assigns conventional roles and expectations to women. Professional competence and strategic acumen along with inclusive work environment and policies can help promote gender equality.https://doi.org/10.1186/s12913-025-12347-yGender inequalityDental educationHealth care organizationHealth care personnelExploratory study
spellingShingle Kiran Imtiaz Khan
Brekhna Jamil
Muhammad Muhammad
Shamaila Mohsin
Arsalan Hamid Khan
Muhammad Qasim Javed
Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling
BMC Health Services Research
Gender inequality
Dental education
Health care organization
Health care personnel
Exploratory study
title Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling
title_full Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling
title_fullStr Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling
title_full_unstemmed Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling
title_short Gender inequality in healthcare leadership: the challenges women face in breaking through the glass ceiling
title_sort gender inequality in healthcare leadership the challenges women face in breaking through the glass ceiling
topic Gender inequality
Dental education
Health care organization
Health care personnel
Exploratory study
url https://doi.org/10.1186/s12913-025-12347-y
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