What Women Want: A Future for Women’s and Family Health

BY Lisa Jaffe | May 08, 2023

Gender balance has been an issue in the workforce, well, forever. But more and more companies are pushing harder to move the dial. One way of ensuring that women apply for, are hired by, and remain with an organization is to focus your benefits package more on their needs – especially when it comes to health.

“Because of Covid and other factors, women are exiting the workforce in greater numbers than men,” said Christine Geissler, head of HR for the global nutrition business at Reckitt, the makers of Enfamil infant formula, among other products. “To stop that loss we need to figure out how to better support women and families in the workplace.” 

That’s about more than just keeping the women you have happy in their jobs, said Mamta Elias, the vice president of strategy at Ovia Health, a women’s health and parenting benefit company. “The business case for a diverse workforce is clear, and we know benefits are an important piece of that equation,” said Mamta during a From Day One webinar on women's and family health benefits.

What Are Family-friendly Benefits?

Ovia recently surveyed working parents and employees of childbearing age about their existing benefits and where they could improve. Among the results:

• Nearly 80% of respondents said they would gladly leave their current role for a lateral move to a company with better benefits. 
• More than 96% of respondents consider family-friendly benefits to be important. 
• 55% of respondents didn't consider their employer to be family-friendly.  
• Most employers offer at least around three months of parental leave, which is at least partially paid.  
• 44% of respondents said their leave was paid at 100%. 
• Only 22% of respondents said their benefits were easy to understand. 
• 63% didn't even know if they had family-friendly benefits like parental leave, adoption support, surrogacy benefits, or maternity support. 
• Respondents wanted digital tools for maternity support, perinatal mental health support, and pumping-friendly work environments.  
• They also wanted financial support for childcare, as well as for caring for elderly or sick relatives. 
• They wanted support for all paths to parenthood, including surrogacy, adoption, and fertility assistance.

Elias says the survey also asked which benefits matter the most. Flexibility was at the top of the list. Respondents also wanted fully paid parental leave of at least four months so that they wouldn’t have to drain their PTO and sick leave before tapping into parental leave. They wanted flexible scheduling, remote options, and gradual return-to-work options. And the desire for flexibility goes beyond postpartum: “People need flexibility, no matter what phase of their life or family building or family supporting they’re in,” Elias said.

The full panel of speakers from top left, Christine Geissler of Reckitt, Hannah Wilkowski of BuzzFeed, Mamta Elias of Ovia Health, moderator Anna Maltby, and Dr. Jaime Knopman of CCRM (photo by From Day One)

“There is a large spectrum of generations currently in or entering the workforce,” said Hannah Wilkowski, global director of benefits for BuzzFeed. Some younger people aren’t ready to start a family. But they may want to know more about contraception. Maybe they're new to a city and want to find a new OB/GYN. Being able to offer fertility benefits like IVF or egg freezing for those who are just starting their parenting journey can be as important as providing resources for those who are pregnant or have a young baby. There also needs to be attention to people entering menopause. “We want our employees to feel seen and heard,” she said. “Different people need different things. Providing the resources necessary makes their lives easier, and makes BuzzFeed a much better place to work for everyone.”

Finding Solutions that Works

Jamie Knopman, MD, a reproductive endocrinologist with CCRM, said there has been a huge shift in what employers cover. “Embryo and egg freezing used to be available only to couples and women when they were older, and only if they had the financial resources to do it,” she said. “I didn’t have $10,000 to freeze my eggs when I was 28, but I probably did when I was 40. But my eggs weren’t good by then. I could freeze all I want and they probably won’t make a baby.”

Now, more companies help women take advantage of technology when they are younger. Then, when they are ready, those eggs are available if needed. The pandemic also exacerbated the push towards freezing eggs and embryos, in part because, as people sat at home alone or with their partner, they started to think more about what they wanted from life. “Women came in droves to freeze their eggs or to make embryos with donor sperm,” Knopman said. Sperm banks were tapped out for a while owing to the demand.

Offering egg and embryo freezing provides options for families, Knopman said. While they may not be sure at 28 if they want to be a parent or carry a pregnancy, they won’t have to face fertility decline in their late 30s. They just need to open the freezer, pull out their 28-year-old eggs, and make a baby.

Solutions can cost a lot of money, but Wilkowski said you can make a difference by looking at redundancies in the benefits you offer. Is something offered in two different places or with two different vendors? Are you paying for benefits that no one is using? Know what they use, what they like, and what they wish they had. What are the problems they are experiencing that keep them from being their best, most productive and engaged self at work? “When we understand the problems and perceived gaps, we can go find a solution,” she said. 

Geissler suggested that companies regularly evaluate what they spend and ensure that it aligns with the company’s vision and goals. Who do you want to attract and keep? Are you fixing a gender imbalance? Are you a company whose ethos and products have an obvious alignment with specific kinds of benefits? Since Reckitt is in the formula business, women’s, mothers’, and infants’ health had better be included in their offerings. “We over-index in supporting women and families. We support environments where healthy babies and families can thrive.” Reckitt offers 26 weeks paid parental leave, something that is vanishingly rare in the United States. “But we should over-index in that area because the importance of babies and families is our message.”

Elias says that having an organization where women’s and family benefits are respected and utilized, and where everyone sees the value and importance of those benefits, requires having an open and supportive work culture. “Everyone understands the ways in which women's and family health can impact people's personal and professional lives. We need to highlight why this should matter to all of us in an organization.”

Lisa Jaffe is a freelance writer who lives in Seattle with her son and a very needy rescue dog named Ellie Bee. She enjoys reading, long walks on the beach, and trying to get better at ceramics.


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Mental Health in the Workplace: Creating an Environment of Care

Untreated mental health issues cost U.S. businesses over $300 billion annually, but investing in mental health initiatives like EAPs, peer support, and mindfulness programs can significantly reduce costs, boost productivity, and improve employee well-being.In fact, the Harvard Business Review found that peer support programs improve employee mental health outcomes by 35% and of course, they increase feelings of belonging by 40% and companies with mental health incentives experience, says Lydia Dishman, senior editor of growth and engagement at Fast Company, who moderated a session on mental health in the workplace during a From Day One’s webinar.Clearly, there is a lot companies can do to help improve the mental health of its employees. Here’s how the five panelists suggested organizations create environments of care.Trends in Employee CareMore and more, employees are asking employers for needs like financial help, housing issues, food insecurity, as well as mental health, according to panelist Nicole Roger, director of clinical partnerships at Spring Health. “Creating a culture of care really makes sure that we help people and meet them where they’re at,” she said. Unfortunately, many times people have too many hoops to jump through the more help they need. It’s important to pay attention and not let employees fall through the cracks.When employees need mental health care and help paying their electric bill, or help with their next meal, that’s going to affect them as a person and as an employee. Employees are asking for more support, and employers should be ready to answer. “I’m really proud that Spring Health has been able to embed that into our platform. So not only can you see a therapist, but we’ll ask you, hey, are you having trouble paying your electric bill?” Then they can help connect them with services to make that happen, Roger said.Those in HR need to understand that they aren’t the therapists—they just need to know where the therapists are and how to connect employees with what they need. “It’s okay for us as human beings to say, I actually don’t know,” she said. “But you know what? I’m going to help. I’m going to help get you this answer. It just creates that element of authenticity.”Panelists spoke about mental health care in the workplace (photo by From Day One) The first time anyone asks for help can feel extra scary, so Roger suggested removing words like “mental health” so it feels more like a conversation. Instead ask, “How are you feeling physically? Are you stressed out? How’s your sleep?”One thing companies should consider is using vendors who use measurement-based care, so you can track if employees are getting the help they need.Checking In: Are You Okay?The first step can be as simple as asking the question, “Are you okay?” according to panelist Melinda Morimoto, senior benefits director at Genentech. “At the end of the day, our people need to know that we care about them as individuals. So what that looks like for me with my team, we start our staff meetings with a poll. How are you doing mentally? What’s your workload?” The answers will drive the meeting and help them course correct. Because the biggest challenge is leaders looking the other way. But doing nothing doesn’t help the employee that’s struggling.Genentech created a network of 400 mental health champions across the U.S. with the idea of spreading mental health awareness across the organization and reducing stigma. For the entire month of May, they wore “Are You OK?” t-shirts, but people kept wearing them after that. It offered a signal that they were in a safe space—that you can be connected to resources.“I had an employee who lost her mom and her sister and then was struggling with her dependent,” Morimoto said. “I said, ‘well, have you reached out for help and scheduled therapy? It’s free.’” The person responded that things weren’t that bad. “‘Well, how bad does it have to be before you reach out for help?’”Unmet needs can quickly escalate, so it’s vital to keep up-to-date on what employees need. At Genentech, they surveyed their people and found the number one gap was caring for aging parents. They responded to that need by including a caregiver benefit with coaches who did the homework to find options for the aging parent and offer help for the employee. “It gives them back time. It gives them back peace of mind that they're doing the best that they can,” she added.Another thing they’ve done is to embed resource groups within the business. Sometimes, Morimoto says, it’s easier to relate to someone more like you within the employee community. Not only that but making getting mental health access as easy as possible was a priority.“One of the things that we did that was really powerful is we actually put a mental health clinician right by the manufacturing floor with accessibility for drop in.” That way, there was no waiting for help, no searching for help. It was literally a step away. “I am in the moment struggling, and I want help. It’s right in that door.”Meeting Employees Where They AreJudgment-free care is key to good mental health in the workplace, said panelist Melanie Baxter, director of global wellbeing at Alorica.“We have over 140,000 incredible employees internationally, and my job is to make sure they’re cared for,” Baxter said. “I’m their landing pad.” She added that the only way to move forward is to not attach judgment or labels to people. The important part is opening up that dialogue.“I’m seeing this so much more in workplaces where the dialogue is ‘You don’t have to be the solution granter. You don't have to be all things to all people. You just have to be the landing pad or even the starting place.’”Word choice is important so people feel comfortable. In her position, Baxter likes to say, “I noticed” to open up the conversation. “I think if you can say, first I noticed this again, it removes that judgment, it removes that attachment.” It allows true feelings to emerge, she says.She also utilizes the Wellness Wheel approach, which addresses all aspects of well-being, including mental, physical, financial, social, familial, and environmental. It uses data and tools like EAP (employee assistance programs) to address the needs of employees.“When I joined Alorica, I was really gifted with focus groups, and there’s such a culture of transparency,” Baxter said. “I asked in my focus groups, what’s in the way?” Laying the groundwork and building the culture is key to being able to have open conversations. What can be in the way, however, is not having people who look like you or understand you that you can talk to.“What I have found, and what I want to encourage anyone on this call right now, is to be rigorous with your vendors,” she said. “I have found incredible mental health practitioner partners that offer gender affirming mental health care, which was something I never even knew was that hard to track down, and it’s not any more expensive. You just have to ask.” she said. “You’ve got to be willing to ask questions, willing to hear the answers, and then you’ve got to act on the answers.”Addressing Barriers and BiasPanelist DeShawna Manley, national benefits director at PriceWaterHouseCoopers, tries to understand what motivates people. “Understanding not only what someone is good at, but what they want to learn, it helps them to enable their work life to be more fulfilling,” she said.One of her jobs is helping to bridge gaps by involving representatives who employees can relate to, whether based on race, gender, or other factors. “I’ve had HR managers who could not connect, and I’ve asked, ‘Do you mind if I reach out?’ Because sometimes seeing someone on the other side of that screen that looks like you will create that connection,” Manely said. “It’s human for us to have certain comfort levels with certain people.”There’s another type of bias she sees, and that’s unconscious generational bias. It could be older leaders who don’t understand younger workers who think differently. As Manely says, it all starts with awareness. “I’ve had conversations with the more Gen X leaders, and they don’t understand the behavior of the Gen Zer,” As someone on the cusp of Gen X and Millenial, she understood. “Being able to say, I can relate to your perspective. I understand where you’re coming from. I understand that this new generation, this younger generation, they operate differently, their perspective, their needs, are a little different.With that conversation, the light bulb will go off and there is an awareness of unconscious bias that helps everyone move forward.Diversity of care is important, and finding vendors that offer access to what employees need is key. The less barriers to care, the better, she says.Engagement and AuthenticityBenefits means more now than ever, said panelist Christopher Smith, vice president of benefits at Universal Music Group. You have to engage and be authentic in order to help them. You have to leave your desk and talk to people and truly listen.“Get up and talk to some folks. The folks are your stakeholders. They are your clients. If you want to know what somebody wants, sometimes you have to ask. And that, I think, has been the secret to my success as a benefits leader,” Smith said.A big part of listening is then acting on what employees need. Even if that changes over time. “I think there is a lot of stigma behind thinking, I have a job. I'm making X amount of dollars a year, so I shouldn’t have a financial problem. It’s embarrassing to go and talk to somebody about these things, right?” Smith said. But that shouldn’t be the case. Especially when being unable to have these real discussions causes stress. “So I think being able to have real conversations and share a little bit of our humanity can go a long way,” he said.By fostering open conversations, reducing stigma, and meeting employees where they are, companies can create cultures of care that not only improve well-being but also drive engagement, productivity, and retention. The key is listening to employees, acting on their needs, and ensuring access to diverse, judgment-free resources that support every aspect of their lives.Carrie Snider is a Phoenix-based journalist and marketing copywriter.

Carrie Snider | January 03, 2025

Creating an Optimal Workplace for Hourly Employees: Essential Tips for Leaders

In an industry where employee turnover is famously high, what might keep a grocery store employee with the same company for decades?Mayerland Harris, group VP of talent at Texas retailer H-E-B, started at the company right out of college, taking her first job in store operations before moving into HR. She spent some time in the pharmacy department then held a few corporate roles where she oversaw all the centers of excellence for compensation, talent development, recruiting, and people analytics. Recently, she’s taken over HR for all store operations. Harris estimates she’s had a new role roughly every three years, and more than three decades later, she says the experience still feels fresh. Though Harris isn’t an hourly employee, the majority of H-E-B’s 160,000 employees are.“But the fundamental reason I’ve stayed all this time is the company has never really given me a strong reason to look outside,” Harris said during a From Day One webinar on creating an optimal workplace for hourly employees. “To take another job, you have to take that call from the headhunter, and you have to go on the interview, and you have to have some level of curiosity or dissatisfaction.” Harris just hasn’t felt that. “By the time I started thinking, ‘Hey, this doesn’t seem right,’ the situation would change, or my role would change, or that person would leave.”Lots of hourly workers start at H-E-B with a temporary summer job—then they end up staying, and it’s not uncommon for careers to last decades like Harris’s has. Some have been at the same store for 55 years. “I believe it is 100% the family orientation,” she said. “People will tell us they feel like when they work here, they’re a part of a family. Your [direct supervisor] is a big part of that, but so many people have best friends that are co-workers that they feel like they’re coming to, if not a reunion, at least a place that’s very, very comfortable.” Those who come from other organizations tell her they feel a genuine sense of respect from all levels of the team that they haven’t felt elsewhere.When Harris goes into the stores, she doesn’t put her title on her name tag, just her years of service. “The line employee or sweeping the floors or bringing the carts in is just as important as a manager or a leader, because it’s all about serving the customer.”Mayerland Harris of H-E-B spoke with journalist Emily McCrary-Ruiz-Esparza during the webinar (photo by From Day One)A good employee experience depends on having a good team. “We try to find people who are able to start and hold a conversation easily. There is an expectation that we’re talking to our customers as they’re going through the line or while we’re bagging groceries without being too intrusive about what you’re purchasing. We’re looking for people who genuinely like talking, who like interacting, especially for those roles that are customer-facing. Everything else, you learn on the job.”Growing the Careers of Hourly EmployeesAt H-E-B, even hourly roles can expand. There are career development tracks for those who want to be a specialist in their department. Hourly employees who want a chance at being a department manager can apply for a multi-week program called the School of Retail Management, where they gain both technical and leadership skills they still need for the job. Those who want to can keep going, progressing through the organization to become a top store leader or move into corporate. “We love when partners who start in hourly, non-management positions rise all the way to the top.”It helps that the company doesn’t contract with external companies for any of its store employees. That means they employ their own doctors and nurses for on-site health clinics. They also have pilots, engineers, and food scientists on the payroll. “We joke that we have every single career path in the world except for astronauts,” she said. “People see that and they feel like, ‘OK, I don’t have to be stuck here in this one role.’ There’s so much flexibility to do different things.”The operational implications for such a large organization are huge. Those who regard grocery retail as boring soon learn this isn’t the case. Front-end managers might be responsible for 500 or 600 people in a store that’s open 17 hours a day. Inventory and store experience has to flex with consumer preferences. “We’re always having to reinvent who we are, having to reinvent what we are providing. Do we do self-checkout or not? Do we provide meal solutions and all the different things people are looking for? You have to stay on top of that.” One TikTok video or news story can spike demand for a single item, and stores need to meet that need quickly. “That speed of change keeps everything pretty exciting.”Rewarding Excellent Work and Long TenureTo reward those with outstanding contributions, H-E-B has a company-wide recognition program where employees can nominate a colleague or a manager can nominate their direct report. The rewards are prestigious, she said. “You can win at your store level, your facility level, your regional level, or your division level, and then you can make it all the way up to the top person in the organization.”To get a sense of what it’s like to be an hourly worker, Harris uses the annual engagement survey to find a company baseline and identify aberrations, then address them at the store level with on-the-ground research and focus groups. “We have a whole department called customer insights, and these people are amazing at talking to customers and doing focus groups,” she said. “Well, now we’ve been using them to help us internally, because they are so good at asking questions and coming in with recaps. We use them also to spot-check and get feedback from our employees. And then we figure out what we can do to make the environment better.”One thing that makes the store environment so great is that the hourly workforce is so diverse, and that’s something employees really love, Harris said proudly. Hourly workers range from teenagers to octogenarians. “You’re not just working with people who have your same life experiences or your same background; the thing that you have in common is that store or that facility that you work in; the thing that you have in common is H-E-B.”Editor’s note: From Day One thanks our partner, Deputy, for sponsoring this webinar.Emily McCrary-Ruiz-Esparza is a freelance journalist and From Day One contributing editor who writes about work, the job market, and women’s experiences in the workplace. Her work has appeared in the Economist, the BBC, The Washington Post, Quartz, Business Insider, Fast Company, and Digiday’s Worklife.

Emily McCrary-Ruiz-Esparza | November 21, 2024

Support the Change: Why Menopause Should Be Part of Your Women’s Health Strategy

Did you know that signs of perimenopause can start appearing in women of childbearing age? Many of us are lacking crucial knowledge that can help us or our women colleagues navigate this time in their lives.Offering solutions to improve and support needs specific to women can also be an important factor to retention. But a new survey reports that only 1% of US women have menopause support as part of their employee sponsored benefits. What’s more, according to a new survey, 85% of women said they don’t know enough about menopause, and 83% experiencing menopause report that their symptoms impact their ability to work.During a From Day One webinar, panelists shared how employers can better support women experiencing the change, and the impact it can have on productivity, medical spend and retention.Often, the concept of “women’s healthcare” ends with postpartum. But Dr. Leslie Saltzman, chief medical officer at Ovia Health, says health care support for women of all ages is vital. “It’s so important to support women who are experiencing perimenopause and menopause because the symptoms aren’t just a nuisance. Evolving evidence is showing that severe menopausal symptoms, which impact a great portion of our population, also have long term health effects and accelerate cardiovascular disease and impact brain health. They’re having lots of negative impact in terms of quality of life and performance at work. We see women dropping out of the workforce just because of the symptoms that they're having,” Dr. Saltzman said.Juliet Vestal, corporate vice president, total rewards at B. Braun, says 50% of their workforce is women. “As our workforce continues to age, these are issues that we know are not being supported within the community by providers. And so we need to find solutions to help,” she said.Even younger employees are starting to ask about these topics, despite perceived taboos, says Melanie Baxter, director of global well-being at Alorica. “As a collective we stop women’s health awareness at motherhood. Opening a space of easy dialogue about any health issues when we're in the workspace can create a much happier workforce, can create longevity and can increase retention. It’s also just the right thing to do,” Baxter said. “It’s a way to communicate with our employees that, ‘Hey, you matter to us.’”Lisa Hammond, CHRO at Veradigm, says that she is answering the relatively recent call from employees to address this issue by providing webinars on the topic. “For me right now, it’s thinking about, how do we articulate menopause to our leadership, which is largely male, and help them get context for this in a way that’s not overly clinical or overly emotional, so that they can gain an understanding and become allies with us as we move through this next phase of our benefits programs and our culture internally,” Hammond said.Breaking Barriers to Healthcare AccessThere are a few issues that make it hard for women to get accurate and helpful information about menopause, says Dr. Saltzman. She cites a study from the Women's Health Initiative that “has been widely criticized [and] created a lot of fear” around the standard of care for menopause.The panelists spoke about the importance of menopause support in the workplace (photo by From Day One)This includes hormone replacement therapy (HRT), which is again now generally considered to be effective, though the stigma remains. Doctors also primarily experience “hospital-based training” tied to birth, and are less prepared for the one-on-one intimate office conversations necessary to discuss menopause. And lastly, the current shortage of primary care physicians means “we don’t have enough providers who are trained to be able to support the needs of women who are experiencing these symptoms,” Saltzman said. And when they do find a provider who can help, Vestal added, “there’s a six to eight month waiting period to get in.”Another part of the problem is the stigma and discomfort associated with simply talking about menopause. “For so many years, menopause and the symptoms were seen as, “a part of life and you just need to get over it and deal with it,’” said moderator Alice Park, senior health correspondent at TIME. “Are we getting close to really treating it as a medical condition in the same way that we treat conditions that affect men?”The unfortunate answer: yes and no. “Anyone who has experienced these symptoms themselves knows that this is not a psychological thing, and this isn’t something to be solved by dressing in layers or using a fan at night. But I still think that there’s a huge gap and lack of appropriate research,” Saltzman said. “As long as this market continues to grow, [with] more and more data supporting how important it is to treat women, there will be more and more solutions.”That means employers can help move the cause forward simply by being willing to address it. “The less we talk about something, the less people are likely to research it. My simple advice is to talk about it,” Baxter said. Since employees may be ashamed to bring it up themselves, leaders need to be proactive in making the service available to employees first, so they feel comfortable coming forward.Providing the Appropriate SupportProviding inclusive healthcare support that addresses menopause can make a workforce happier and more productive. “By not addressing these issues, people are suffering in silence and people are missing work,” Vestal said. The more employees and leaders are educated about the topic, the more they will be empathetic in their responses and in providing adequate support and planning. Additionally, Hammond says, the information will even be helpful to male employees whose partners or family members may be experiencing symptoms.A single point solution may not work for most organizations. “The experience of menopause varies dramatically from individual to individual, even when it starts,” Dr. Saltzman said. For some, it starts in their 50s, but others in their 40s, even those trying to conceive may experience symptoms. Therefore, raising awareness in general is most helpful, as is making sure there is access to healthcare providers with the appropriate training, including telehealth for easy access.Bringing in speakers is also beneficial. But be wary, as there’s a lot of misinformation. “If you’re looking for those resources, if you’re looking on Instagram, TikTok, YouTube, make sure this is a licensed physician,” Baxter said.Especially given recent political developments in the U.S., panelists agree women’s healthcare education is more crucial than ever. “It’s a perilous time,” Hammond said. “We want to do everything we can within our organization to support women in making sure that, no matter what political party we are, we’re all humans. We all have bodies. We all should be able to maintain and enjoy power over our own beings.”Editor's note: From Day One thanks our partner, Ovia Health, for sponsoring this webinar. Katie Chambers is a freelance writer and award-winning communications executive with a lifelong commitment to supporting artists and advocating for inclusion. Her work has been seen in HuffPost and several printed essay collections, among others, and she has appeared on Cheddar News, iWomanTV, On New Jersey, and CBS New York.

Katie Chambers | October 14, 2024