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Engaging Boys and Men in RH: A Gender Transformative Approach . Theresa Castillo Gabi Hecker Kent Klindera Manisha Mehta The ACQUIRE Project New York, New York . Session Agenda. Overview of Men As Partners ® Model/Frameworks – Manisha Interactive Session from Group Education Manual –

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Engaging boys and men in rh a gender transformative approach

Engaging Boys and Men in RH: A Gender Transformative Approach

Theresa Castillo

Gabi Hecker

Kent Klindera

Manisha Mehta

The ACQUIRE Project New York, New York


Session agenda
Session Agenda Approach

  • Overview of Men As Partners ® Model/Frameworks –

    Manisha

  • Interactive Session from Group Education Manual –

    Gabi and Theresa

  • Applications/Results – Kent

  • Lessons Learned – Manisha

  • Questions and Answers


Transformative programs challenging male gender norms
Transformative Programs: Approach Challenging Male Gender Norms

  • Approaches that reinforce negative messages about gender

  • Gender-neutral programming

  • Gender-adaptive programming

  • Transformative programs

    Adapted from Gupta, SIECUS Report, Vol.26, No.5, 2001


Men as partners working with men in a gender framework
Men as Partners: Working with Men in a Gender Framework Approach

Men as Clients

Men as Agents of Change

Men as

Supportive Partners


The spectrum of change implementing an ecological model

Strengthening Individual Knowledge & Skills Approach

Facilitating Peer & Family Support

Mobilizing Communities

Supporting Health Care Providers

Changing and Supporting Organizational Practices

Fostering Coalitions and Networks

Influencing Policy and Legislation

The Spectrum of Change:Implementing an Ecological Model


Group education sample session

Group Education Approach Sample Session

Engaging Boys and Men in RH: A Gender Transformative Approach

The ACQUIRE Project New York, New York


Applications results

Applications/Results Approach

Engaging Boys and Men in RH: A Gender Transformative Approach

The ACQUIRE Project New York, New York


Nigeria iud revitalization
Nigeria – IUD Revitalization Approach

Project Overview (2006-2007):

  • MAQ/IUD Project in partnership with COMPASS/Nigeria

  • Participatory needs assessment recognized need for more male support of IUD/contraceptives in general

  • Conducted workshops with leaders from Community Coalitions on male involvement in the promotion and acceptance of IUD as a family planning method

  • Conducted workshops with staff from FP clinics on male-friendly services, men as clients/supportive partners


Nigeria iud revitalization1
Nigeria – IUD Revitalization Approach

Results

  • Service statistics from pilot sites in Lagos and Kano showed IUD uptake has increased, especially compared with other sites in Nigeria where MAP activities were not conducted

  • Motivated community-based partners to infuse MAP into SRH life skills education

  • Sustained involvement of men in COMPASS community coalitions

  • Created demand for male involvement in fistula care and prevention programs

IUD uptake 2005-7


Nepal young marrieds
Nepal – Young Marrieds Approach

Project Overview (2005-2007):

  • Trained married adolescents as peer educators to provide RH information by organizing individual and group educational events

  • Created an enabling environment for married adolescents by working with influential family and community members to raise awareness of adolescent health needs and rights

  • Supported local health facilities to provide youth-friendly services


Nepal young marrieds1
Nepal – Young Marrieds Approach

Results

  • Overall, the mean number of ANC visits increased from 2.7 to 3.7 visits

  • Median age at marriage increased significantly from 14 to 16 years; Median age at gauna rose from 15 to 16 years. Results indicate an increasing trend to postpone marriage & gauna in the project districts, and to arrange marriage & gauna ceremonies at the same time

  • Peer educators established child marriage eradication committees (CMECs) in 33 districts with support from local leaders and organizations. To institutionalize efforts, the project, in collaboration with 22 organizations, organized a child marriage and dowry system eradication conference in 2007 where they developed an advocacy agenda



South africa hiv gender based violence
South Africa – HIV/Gender-based Violence Approach

Project Overview (October 2005-present):

  • Focusing on HIV and gender-based violence via Ecological Model

  • Building capacity national and community-based NGOs and government to develop gender transformative programming

  • Working with various populations (South African Police Services, university students, performing/visual artists; secondary school students, community leaders, faith-community members, home-based care organizations; advocacy groups, among others)

  • PEPFAR Programme areas including:

    - AB/OP prevention

    - Male-friendly VCT

    - HIV Palliative Care

  • Engaging Media Practitioners/Celebrities


South africa hiv gender based violence1
South Africa – HIV/Gender-Based Violence Approach

Results – PEPFAR Indicators:

  • 387,079 reached with AB/OP prevention messages

  • 5623 tested (since March 2008 - majority male)

  • 2797 provided HIV palliative care

  • 6030 trained in Prevention, Male-friendly HIV Services

  • Over 10 million reached via mass media


South africa hiv gender based violence2
South Africa – HIV/Gender-Based Violence Approach

Results:

  • 32 community-based and national NGOs, and government partners; concept of “Transformation Agents”

  • 16 Days of Activism Against Gender-based Violence –SA Million Men’s March(2007), MAP Pledge adopted by Postal Services – linked to Orange Wristbands disseminated

  • “Sisonke” Campaign – Launch in August (Women’s Month) with celebrity men showing commitment to women by getting tested

  • Evaluation Study (secondary school students)


South africa hiv gender based violence3
South Africa – HIV/Gender-Based Violence Approach

N=139 ; Project and Evaluation Research Services, 2003


South africa hiv gender based violence4
South Africa – HIV/Gender-Based Violence Approach

“I used to use the Bible to defend patriarchy. I now use it to challenge gender stereotypes.”

Male MAP Participant and Church Leader, Umtata, South Africa

“It was the first time I felt respected by men in my life, the first time I’ve felt like men really listened to what I had to say. I now believe that there are good men out there.”

Female MAP workshop Participant

Thokoza, South Africa


South africa hiv gender based violence5
South Africa – HIV/Gender-Based Violence Approach

Strength & I am a Partner Campaigns


Gender norms initiative
Gender Norms Initiative Approach

Program Overview (June 2007 – present)

HIV and AIDS focus:

  • Field Support for male gender norms initiative Ethiopia, Namibia, Mozambique and Tanzania

  • To integrate evidence-based program models and practices into HIV/AIDS prevention, care, and treatment programs to achieve large-scale, positive change in male norms, roles, and behaviors


Gender norms initiative1
Gender Norms Initiative Approach

Programme Objectives:

  • Technical assistance and training: To ensure integration and application of evidence-based approaches and to support program innovation with PEPFAR partners

  • Strategic planning assistance: For development of a “national response”- to achieve a more comprehensive and coordinated approach to changing male norms and behaviors

  • Evaluation: Of program scale-up and changes in norms and individual behavior


Gender norms initiative2
Gender Norms Initiative Approach

Results - PEPFAR Indicators:

  • Provide training (3-5 days) and ongoing capacity- building assistance to 58 NGO PEPFAR partners in the four countries

  • 1656 Individuals Trained in ME group education

  • 150 individuals trained in ME community mobilization

  • 161 individuals trained in male-friendly services


Gender norms initiative3
Gender Norms Initiative Approach

Types of technical and capacity-building assistance:

  • Program Design

  • Implementation

  • Strategic Planning

  • Needs Assessment

  • Curriculum Development and Review

  • IEC Development

  • Monitoring and Evaluation

  • Training in Group Education, Community Mobilization and Service Delivery

  • Policy Review and Assessment

  • Advocacy

  • Networking


Gender norms initiative4
Gender Norms Initiative Approach

Results:

  • Impact evaluations being conducted in Ethiopia and Namibia

  • Development of Community Action Teams (CATs) at local level

  • Response from faith-based groups to develop manuals

  • Collaborations with U.S. Peace Corps

  • Engagement of Men in “PPTCT”

  • Development of MenEngage Networks (e.g. National Response)

  • High level support for the initiative (Namibia Men’s Conference; Tanzania Policy Review)


Lessons learned

Lessons Learned Approach

Engaging Boys and Men in RH: A Gender Transformative Approach

The ACQUIRE Project New York, New York


Lessons learned1
Lessons Learned Approach

  • Transformative programming & capacity building requires significant time, effort, and support

  • Quality oversight needs to be built in when scaling-up

  • Linkages between partners critical but sometimes difficult

  • Need to work with men addressing broader socio-economic conditions.


Lessons learned2
Lessons Learned Approach

  • Present men as potential partners capable of playing a positive role in the health and well being of their partners, families and communities

  • Build organizational cultures that are committed to working with men and gender equity

  • Activities have to focus on more than individual change


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