From Insight into Action: Understanding How Employer Perspectives Shape Endometriosis-Inclusive Workplace Policies

Endometriosis costs Australia $9.7 billion AUD annually, with most of the cost burden due to absenteeism and lost productivity. Previous research has shown how the absence of workplace support(s) for endometriosis symptom management exacerbates these negative effects. Despite this knowledge, little is known about the role of employers and workplace policies in supporting employees with endometriosis, and what institutional barriers prevent the operationalisation of workplace supports. Background/Objectives: As part of the Endo@Work project (co-designed Endometriosis workplace guidelines), this study examines the perceptions and experiences of employers (managers, HR, and senior leaders) to understand how the Endo@Work guidelines can be implemented. Methods: Seven focus groups with 24 Australian employers were undertaken. Using reflexive thematic analysis, data was interpreted through a post-structural feminist lens with focus group discussions revealing how employers recognise the importance of workplace guidance/policies. Results/Conclusion: Problematically, existing policies and practices were often tokenistic and inconsistent. This study identifies practices contributing to equitable workplaces including leadership buy-in, flexible work arrangements and the thoughtful integration of workplace education initiatives. The findings emphasise the need for consistent policy enactment alongside ongoing education/training to foster inclusive workplaces and gender equity outcomes.