From ‘women’s business’ to ‘men’s business’: Exploring connections between vasectomy acceptance and equitable gender relations in South Tarawa, Kiribati

<p>Engaging men in sexual and reproductive health and rights (SRHR) has implications for gender equality and sustainable development. Promoting vasectomy can foster more equitable gender relations between partners, but research on this topic is extremely limited. My research shows that, in Kiribati, vasectomy uptake is both a cause and a consequence of gender equitable relationships, but connections are complex. Vasectomy uptake can also result from, and lead to, inequitable behaviours. Links between vasectomy uptake and gender relations among couples in South Tarawa, Kiribati were explored using a qualitative case study informed by feminist theory and principles from indigenous methodologies. Semi-structured informal interviews were held with five vasectomised I-Kiribati men and their wives, interviewed as a couple and individually. Comparative analysis was undertaken with two same-sex focus group discussions, one with non-vasectomised men and the other with their wives; and with six key informant interviews. Information generated was analysed thematically and further triangulated with international and Kiribati studies. Among the participant-couples, vasectomy decision-making seemed equitable, consistent with other household decision-making. Notably, the wives were actively involved in their husbands’ decision to be vasectomised. Husbands were often prompted by egalitarian concerns. However, vasectomised men are in the minority and challenge gender normative behaviour. Family planning was widely viewed as women’s responsibility. Most participants felt vasectomy created new opportunities that empowered women. Yet, some participants knew of men who used their vasectomies to control their wives’ sexual and reproductive agency, and to enable extramarital relationships. Although vasectomy freed women from contraceptive responsibility, significant shifts in the gender division of labour did not follow, but exceptions existed. This research shows that gender equity is likely to be a pre-condition of vasectomy, and that vasectomy can lead to equitable outcomes. Moreover, gender relations within and among couples were multifaceted and contradictions existed. My research makes a strong case for why heterosexual men should be central to gender and development.</p>

From ‘women’s business’ to ‘men’s business’: Exploring connections between vasectomy acceptance and equitable gender relations in South Tarawa, Kiribati

<p>Engaging men in sexual and reproductive health and rights (SRHR) has implications for gender equality and sustainable development. Promoting vasectomy can foster more equitable gender relations between partners, but research on this topic is extremely limited. My research shows that, in Kiribati, vasectomy uptake is both a cause and a consequence of gender equitable relationships, but connections are complex. Vasectomy uptake can also result from, and lead to, inequitable behaviours. Links between vasectomy uptake and gender relations among couples in South Tarawa, Kiribati were explored using a qualitative case study informed by feminist theory and principles from indigenous methodologies. Semi-structured informal interviews were held with five vasectomised I-Kiribati men and their wives, interviewed as a couple and individually. Comparative analysis was undertaken with two same-sex focus group discussions, one with non-vasectomised men and the other with their wives; and with six key informant interviews. Information generated was analysed thematically and further triangulated with international and Kiribati studies. Among the participant-couples, vasectomy decision-making seemed equitable, consistent with other household decision-making. Notably, the wives were actively involved in their husbands’ decision to be vasectomised. Husbands were often prompted by egalitarian concerns. However, vasectomised men are in the minority and challenge gender normative behaviour. Family planning was widely viewed as women’s responsibility. Most participants felt vasectomy created new opportunities that empowered women. Yet, some participants knew of men who used their vasectomies to control their wives’ sexual and reproductive agency, and to enable extramarital relationships. Although vasectomy freed women from contraceptive responsibility, significant shifts in the gender division of labour did not follow, but exceptions existed. This research shows that gender equity is likely to be a pre-condition of vasectomy, and that vasectomy can lead to equitable outcomes. Moreover, gender relations within and among couples were multifaceted and contradictions existed. My research makes a strong case for why heterosexual men should be central to gender and development.</p>

Venues and methods to improve professional men’s access to HIV self-testing and linkage to HIV prevention or treatment: a qualitative study

Background HIV testing among men in sub-Saharan Africa is sub-optimal. Despite several strategies to improve access to underserved populations, evidence regarding engaging men in professional and formal occupations in HIV testing is limited. This study explored employed professional men’s preferences for uptake of HIV self-testing, and linkage to HIV care, or prevention services. Methods This was an explorative-descriptive qualitative study where a sample of 33 men from six Ugandan urban centres. Participants were purposively selected guided by the International Standard Classification of Occupations to participate in in-depth interviews. The data were collected using an interview guide and the sample size was determined by data saturation. Eligibility criteria included fulltime formal employment for over a year at that organization. The data were analyzed manually using thematic content analysis. Results Three categories emerged: uptake of HIV self-tests, process of HIV self-testing and linkage to post-test services. The different modes of distribution of HIV self-test kits included secondary distribution, self-tests at typically male dominated spaces, delivery to workplaces and technology-based delivery. The process of HIV self-testing may be optimized by providing collection bins, and mHealth or mobile phone applications. Linkage to further care or prevention services may be enhanced using medical insurance providers, giving incentives and tele counselling. Conclusion We recommend utilization of several channels for the uptake of HIV self-tests. These include distribution of test kits both to offices and men’s leisure and recreation ‘hot spots’, Additionally, female partners, peers and established men’s group including social media groups can play a role in improving the uptake of HIV self-testing. Mobile phones and digital technology can be applied in innovative ways for the return of test results and to strengthen linkage to care or prevention services. Partnership with medical insurers may be critical in engaging men in professional employment in HIV services.

Engaging Men Across the Violence Prevention Continuum

Men have a role to play in the prevention of violence against women; however, there is increasing awareness that the social service sector has failed to adequately engage men in violence prevention programming and advocacy. This study used semi-structured interviews to explore the challenges that a sample of Canadian violence prevention practitioners and organizations face in engaging men in preventing violence and generating practice recommendations for what is needed to better equip practitioners. At an organizational level, findings indicate that more capacity-building around emerging research, strategies, and tools in working with and engaging men in the prevention of violence is required. Challenges around recruiting male staff, in what is primarily considered a female-dominated profession, were also noted. Practitioners also discussed the role of masculine gender norms as barriers to men’s help-seeking and engagement in violence prevention advocacy. Recommendations include expanding social work curriculum and training to include information and resources on working with men, as well as increased research on best and promising practices to support organizations and practitioners in their engagement efforts.

A global review of violence prevention plans: Where are the men and boys?

Given the wealth of research calling for meaningful engagement of men and boys in preventing violence against women, this study examined whether current government-endorsed violence prevention plans in countries of the Global North included men and boys as a target for primary prevention. One hundred and fourteen plans from 14 countries were analysed, and findings revealed that engaging men and boys as primary prevention advocates is still in its infancy and mostly focused on individual change. The article concludes that governments should invest in comprehensive prevention strategies and whole-of-population approaches that target social structures and norms that reinforce violence.