From couvade to “men's involvement”

Abstract Background Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuation of the method which eventually leads to failure of the program. Family planning uptake is low but there is no enough study conducted on the parameters of husband involvement in Ethiopia. Hence, this study focused to assess men’s involvement in family planning service utilization in Kondala district, western Ethiopia. Methods Community based comparative cross-sectional study design was employed in urban and rural kebeles of kondala district using quantitative and qualitative data collection tools. The multi-stage sampling method was employed to select 370 participants from each of the four urban and eight rural kebeles. Logistic regression analysis was used to identify variables that affect husbands’ involvement in FP service utilization. Statistical significance was declared at p-value of < 0.05 with 95% confidence interval (CI) and strength of association was reported by odds ratio (OR). Results The study showed that 203(55.6%) men from urban and 178(48.8%) from rural were involved in FP service utilization. The median age of the respondents was 36+ 8.5 years (IQR: 27.5–44.5) in urban and 35 years (IQR: 25–45) in rural parts. Respondents who had four and above current children (AOR = 3.25, 95%CI = 1.51–7.02) in urban and (AOR = 4.20, 95%CI = 1.80–9.79) in rural were positively associated with men’s involvement in FP service utilization. In the urban setting, being government employee (AOR = 2.58, 95%CI = 1.25–5.33), wishing less than two children (AOR = 3.08, 95%CI = 1.80–5.24) and having a better attitude towards FP methods (AOR = 1.86, 95%CI = 1.16–2.99) were positively associated with FP service utilization. While good educational background (AOR = 2.13, 95%CI = 1.02–4.44), short distance from home to health facility (AOR = 2.29, 95%CI = 1.24–4.19) and having better knowledge (AOR = 4.49, 95%CI = 2.72–7.38) were positively associated with men involvement in FP service utilization in the rural area. Conclusion Low involvement of men in family planning service utilization was reported in both settings. Factors associated with husbands’ involvement were varied between the two setups, except for the current number of children. Future FP program should incorporate infrastructure associated with the health facility, knowledge, and attitudinal factors.

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The relationship between inequitable gender norms and provider attitudes and quality of care in maternal health services in Rwanda: a mixed methods study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03592-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kate Doyle ◽

Shamsi Kazimbaya ◽

Ruti Levtov ◽

Joya Banerjee ◽

Myra Betron ◽

...

Keyword(s):

Quality Of Care ◽

Care Provider ◽

Quality Care ◽

Gender Norms ◽

Mixed Methods Study ◽

Gender Attitudes ◽

Power Dynamics ◽

Health Providers ◽

Men’S Involvement

Abstract Background Rwanda has made great progress in improving reproductive, maternal, and newborn health (RMNH) care; however, barriers to ensuring timely and full RMNH service utilization persist, including women’s limited decision-making power and poor-quality care. This study sought to better understand whether and how gender and power dynamics between providers and clients affect their perceptions and experiences of quality care during antenatal care, labor and childbirth. Methods This mixed methods study included a self-administered survey with 151 RMNH providers with questions on attitudes about gender roles, RMNH care, provider-client relations, labor and childbirth, which took place between January to February 2018. Two separate factor analyses were conducted on provider responses to create a Gender Attitudes Scale and an RMNH Quality of Care Scale. Three focus group discussions (FGDs) conducted in February 2019 with RMNH providers, female and male clients, explored attitudes about gender norms, provision and quality of RMNH care, provider-client interactions and power dynamics, and men’s involvement. Data were analyzed thematically. Results Inequitable gender norms and attitudes – among both RMNH care providers and clients – impact the quality of RMNH care. The qualitative results illustrate how gender norms and attitudes influence the provision of care and provider-client interactions, in addition to the impact of men’s involvement on the quality of care. Complementing this finding, the survey found a relationship between health providers’ gender attitudes and their attitudes towards quality RMNH care: gender equitable attitudes were associated with greater support for respectful, quality RMNH care. Conclusions Our findings suggest that gender attitudes and power dynamics between providers and their clients, and between female clients and their partners, can negatively impact the utilization and provision of quality RMNH care. There is a need for capacity building efforts to challenge health providers’ inequitable gender attitudes and practices and equip them to be aware of gender and power dynamics between themselves and their clients. These efforts can be made alongside community interventions to transform harmful gender norms, including those that increase women’s agency and autonomy over their bodies and their health care, promote uptake of health services, and improve couple power dynamics.

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Couples Living with HIV

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325957415612127 ◽

2016 ◽

Vol 16 (2) ◽

pp. 133-139 ◽

Cited By ~ 6

Author(s):

Violeta J. Rodriguez ◽

Andrew Spence ◽

Mallory Monda ◽

JoNell Potter ◽

Deborah Jones

Keyword(s):

Perceived Risk ◽

Hiv Transmission ◽

Horizontal Transmission ◽

Hiv Status ◽

Safer Conception ◽

Reproductive Intentions ◽

Hiv Prevention Strategies ◽

Exposure Prophylaxis ◽

Living With Hiv ◽

Men’S Involvement

Background: Desires to have children are not lessened by a woman’s HIV status. Couples may lack information to conceive safely, and men may be especially uninformed. This study examined reproductive intentions, practices, and attitudes among men in HIV-infected couples, including attitudes regarding the perceived risk of vertical and horizontal transmission, safer conception, and preconception planning. Methods: Men ( n = 12) in HIV-infected couples were interviewed regarding reproductive intentions, attitudes, and knowledge and qualitative assessments were coded for dominant themes. Results: Themes primarily addressed concerns about the health of the baby, men’s involvement in pregnancy, safer conception, concerns about HIV transmission and antiretroviral therapy, and HIV infection. Men lacked information on safer conception and newer HIV prevention strategies, such as pre-exposure prophylaxis (PrEP). Discussion: Gaps in knowledge regarding preconception practices among men in HIV-infected couples were identified. Results highlight men’s desire for involvement in preconception planning, and opportunities for providers to facilitate this practice and to increase patient education and the use of PrEP are discussed.

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Intersectionality and the Struggle for Sexual and Reproductive Health and Rights: An Analysis of UN Discursive Patterns

10.26686/wgtn.16999225 ◽

2021 ◽

Author(s):

◽

Amie Ritchie

Keyword(s):

Reproductive Health ◽

Women's Movement ◽

Sexual And Reproductive Health ◽

Global Scale ◽

Population Movement ◽

Development Discourse ◽

Race And Racism ◽

Policy And Practice ◽

Normative Argument ◽

Men’S Involvement

<p>This thesis makes the normative argument that intersectionality should be taken seriously by the United Nations in their efforts to address Sexual and Reproductive Health and Rights (SRHR). This work suggests that, in spite of widespread recognition of the value of intersectionality for approaching issues of SRHR, the UN has insufficiently adopted the theory into its policy and practice. At the international policy level, intersectionality is nearly absent as a paradigm, yet its central components are dominant within mainstream development discourse. These components include discourses of women's empowerment, human rights, and men's involvement. Drawing on critical feminist and race theory, I argue that a narrow gender vision of SRHR is not sufficient and that intersectionality should be recognized both in discourse and practice by UN agencies. This argument is examined along the parallel tracks of the population movement within the UN system and the evolution of the global women's movement (GWM). This study shows that the UN system has traditionally adopted the approaches and discourses of the global women's movement, as analysed over four decades of UN population movement discourse. However, a shift occurring at the new millennium, as well as significant political barriers barring a discussion of race and racism, have led to a break in this relationship, damaging the take-up of GWM discourse. The conclusion drawn from this argument is that SRHR is an intersectional issue and the new and emerging intersectional paradigm must be adopted by the UN in order to effectively address SRHR on a local and global scale.</p>

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A qualitative analysis of men’s involvement in maternal and child health as a policy intervention in rural Central Malawi

BMC Pregnancy and Childbirth ◽

10.1186/s12884-018-1669-5 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 18

Author(s):

Elizabeth Mkandawire ◽

Sheryl L. Hendriks

Keyword(s):

Child Health ◽

Qualitative Analysis ◽

Maternal And Child Health ◽

Policy Intervention ◽

And Child Health ◽

Men’S Involvement

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Telling stories of rape, revenge and redemption in the age of the TED talk

Crime Media Culture An International Journal ◽

10.1177/1741659018771117 ◽

2018 ◽

Vol 15 (2) ◽

pp. 259-278 ◽

Cited By ~ 2

Author(s):

Karen Crawley ◽

Olivera Simic

Keyword(s):

Sexual Violence ◽

Violence Against Women ◽

Public Institutions ◽

Entertainment Media ◽

Mainstream Media ◽

Informal Justice ◽

The Third ◽

History Of ◽

The Spectator ◽

Men’S Involvement

The last few years have witnessed increasing discussion of sexual violence in the mainstream media and public debate in North America and elsewhere, especially with the most recent wave of sexual assault and harassment allegations in entertainment, media and public institutions, called the #MeToo campaign. Despite the view that men must be engaged in this conversation in order to be effective at preventing violence and changing deep-seated patriarchal attitudes, the place of male voices in this ongoing conversation is hotly in question. This article analyzes an unusual and controversial project by Thordis Elva and Tom Stranger, who, 20 years after Stranger raped Elva, produced a TED talk (2016) watched by over 3 million people, and a jointly written book, South of Forgiveness (Elva and Stranger, 2017), detailing their story of forgiveness and redemption. The first part of this article situates this unprecedented victim-rapist enterprise within the history of feminist anti-rape politics and men’s involvement in that politics, arguing that this project both instantiates, and critiques, an appeal to the ‘good man’. The second part analyzes the book South of Forgiveness as a survivor story that is more complex than the highly reductive format of a TED talk allows, and shows how its uneasy fit within the putative frameworks of ‘restorative’ or informal justice (as Elva and others claim it to be) is a function of the unacknowledged dimension to the performance in the form of revenge. The third part of the article turns to Elva’s and Stranger’s public performances that began with the TED talk and book tour, which we attended, to show how this function of revenge played out theatrically and implicates the spectator as bystander and witness. We conclude by reflecting upon the implications of listening to male perpetrators speak against sexual violence against women and our responsibility towards these questions as feminist legal academics.

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