effective implementation of such approaches requires better sexdisaggregated data and analysis on the impacts of policy on women and men crucially it also requires strengthening womens agency voice and participation in macroeconomic decisionmaking to increase the responsiveness and accountability of national and global institutions in charge of economic policy design and implementation but the macroeconomic framework within which other policies are implemented either enlarges or constrains their scope to advance substantive equality for women this chapter begins by highlighting ways in which current approaches to macroeconomic policy reduce the possibilities for realizing womens economic and social rights it discusses how lack of attention to social goals failure to integrate unpaid care and domestic work and an insufficient focus on employment creation and resource mobilization severely limit the potential of these approaches to advance substantive equality