# The presence and absence of gender and intersectionality in the 2023 NDIS review: a content analysis

**Authors:** Diana K. Piantedosi, Raelene Wilding, Maya G. Panisset, Léna I. Molnar, Chloe Bryant, El Gibbs, Anne-Maree Sawyer

PMC · DOI: 10.1186/s12939-025-02441-2 · International Journal for Equity in Health · 2025-05-19

## TL;DR

This paper analyzes how the 2023 NDIS Review addressed gender inequality and found that it largely overlooked gender issues by inconsistently using the term 'intersectionality'.

## Contribution

The study reveals how the term 'intersectionality' was inconsistently defined and used in the NDIS Review, diluting its original meaning and ignoring systemic gender inequalities.

## Key findings

- The NDIS Review documents had limited references to gender-specific terms and often replaced them with 'intersectionality'.
- The term 'intersectionality' was inconsistently defined and operationalized, diluting its conceptual origins.
- Gender inequalities were largely ignored in the findings and recommendations of the NDIS Review.

## Abstract

While a world-leading initiative, Australia’s National Disability Insurance Scheme (NDIS) has received criticism for its design and implementation. In particular, gender inequality in access to supports and services remains a significant issue. Was the 2023 NDIS Review successful in addressing the persistent problem of gender inequality? To answer this question, this paper presents a content analysis of key documents produced through the 2023 NDIS Review, to investigate whether and how gender inequality was acknowledged and integrated into the Review’s recommendations. The analysis assessed the frequency and conceptualisation of gender-related terms and of the Review’s preferred term, ‘intersectionality.’ The analysis found that the Review documents have limited references to gender-specific terms, often replacing them with ‘intersectionality’. However, this preferred term lacked an explicit definition and was operationalised inconsistently. Implied meanings were often diluted from the conceptual origins of intersectionality. This means that gender inequalities have been largely ignored in both the findings and recommendations. We conclude that the gendered foundation of issues is obscured by diluting interpretations of ‘intersectionality’ to the level of individuals or groups, which sideline systemic critique. Importantly, our article highlights the need for policy makers and researchers to operationalise the term ‘intersectionality’ deliberately and consistently.

## Full-text entities

- **Genes:** APC (APC regulator of Wnt signaling pathway) [NCBI Gene 324] {aka BTPS2, DESMD, DP2, DP2.5, DP3, GS}
- **Diseases:** autoimmune conditions (MESH:D001327), Autism Spectrum Disorder (MESH:D000067877), trauma (MESH:D014947), autism (MESH:D001321), Lymphedema (MESH:D008209), Disabilities (MESH:D009069), functional impairment (MESH:D003072), chronic illness (MESH:D002908), Multiple Sclerosis (MESH:D009103), CHC (MESH:D000071069), developmental delay (MESH:D002658), Intellectual Disability (MESH:D008607), discrimination (MESH:D010468), Epilepsy (MESH:D004827), Rheumatoid Arthritis (MESH:D001172), health (OMIM:603663)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

26 references — full list in the complete paper: https://tomesphere.com/paper/PMC12087050/full.md

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Source: https://tomesphere.com/paper/PMC12087050