(#1: sorry this is so late.)

After reading Maureen Larkin's article on health and healthy policies of third world countries, I had a question regarding policy development.  I figure (perhaps wrongly), that since the 70s -- as feminism resurfaced and eventually pushed itself onto the global forum -- issues of women's health/health disparities and discrimination faced by women have taken on a much more important role as well as occupied a much larger space (in the realm of gender discourse).  Yet Larkin stated that women's movements have had to instill "a gender awareness into the policies and practices of agencies in the fields of development and health at both international and local levels" (126).  Is there a reason why the international healthcare sector still needs to be advised on gender awareness?  Is the sector ignoring gender awareness based on class/race/location?  Why hasn't considering gender issues become inherent to making policies?