Fig. 1: The GRAS and application to WASH interventions.

The GRAS was developed by the WHO24 to assess health programmes, policies and interventions, depicting those approaches that should be avoided (gender unequal and gender blind) to those that are more desirable (gender sensitive, gender specific and gender transformative). In 2014, Pederson et al. modified the GRAS by adding the labels at the bottom to show that approaches aligned with the noted categories can exploit, accommodate or transform gender inequities, depending on how they are designed and delivered. The figure depicted here leverages the WHO GRAS and its modification by Pederson et al. (2014), changes one label from ‘gender blind’ to ‘gender unaware’ based on a recent critique (MacArthur26), builds upon the definition of gender unequal and provides hypothetical WASH examples along the scale. 1This portion of the ‘gender unequal’ definition was expanded upon by the co-authors.