Hands up, who thinks of women when someone mentions gender? Be honest now. You do? Well, guess what, you’re not alone. According to a couple of researchers writing in the Lancet today, many of the leading global health institutions do too. Worse, some don’t have much of a clue about gender at all. Here’s how Hawkes and Buse summarise their findings: “Gender is missing from, misunderstood in, and only sometimes mainstreamed into global health policies and programmes”. Ouch!