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Mens Role in Safe Motherhood and Family Well-being World Health Organization.

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Presentation on theme: "Mens Role in Safe Motherhood and Family Well-being World Health Organization."— Presentation transcript:

1 Mens Role in Safe Motherhood and Family Well-being World Health Organization

2 Lack of Progress: Can Male Involvement Help? During first 10-year Safe Motherhood Initiative, no reduction in annual number of maternal deaths related to pregnancyDuring first 10-year Safe Motherhood Initiative, no reduction in annual number of maternal deaths related to pregnancy Interventions rarely tried to counsel male partners of pregnant womenInterventions rarely tried to counsel male partners of pregnant women A few studies have shown promise, but more research is neededA few studies have shown promise, but more research is needed

3 Causes of Maternal Deaths Source: Maternal Health around the World, WHO and World Bank, Severe bleeding (25%) Infection (15%) Eclampsia (12%) Indirect causes (20%) Other direct causes (8%) Unsafe abortion (12%) Obstructed labor (8%)

4 Consequences of Maternal Morbidity Effects of morbidity on women and families: Physical disabilityPhysical disability Psychological traumaPsychological trauma Social isolationSocial isolation InfertilityInfertility Increased caregiving responsibilitiesIncreased caregiving responsibilities Reduced economic productivityReduced economic productivity

5 Underlying Gender Inequity U.S. Agency for International Development

6 Safe Motherhood: Human Rights and Social Justice Women have limited: Exposure to information about danger signs during pregnancy/deliveryExposure to information about danger signs during pregnancy/delivery Power in decision-makingPower in decision-making Access to educationAccess to education Financial resources and mobilityFinancial resources and mobility Source: Safe Motherhood Interagency Group Fact Sheet, 1998.

7 Why Involve Men? Men are key decision-makers regarding pregnancy and childbirthMen are key decision-makers regarding pregnancy and childbirth Men have generally not been involved in trying to make pregnancy and childbirth saferMen have generally not been involved in trying to make pregnancy and childbirth safer

8 Safe Motherhood: Male Involvement Safeguarding womens health during pregnancy – ante-natal care and nutritionSafeguarding womens health during pregnancy – ante-natal care and nutrition Arranging for skilled care during deliveryArranging for skilled care during delivery Source: Drennan, Popul Rep 1998;J(46). L. Rigsby

9 Men Often Control Decisions Source: Drennan, Popul Rep 1998;J(46). US Agency for International Development Respond to complicationsRespond to complications Seek medical helpSeek medical help Pay for transportPay for transport Allocate family and community resourcesAllocate family and community resources

10 Male Involvement in the Reproductive Process United Nations Mexfam Participating in birthing process Helping after baby is born

11 How Do Men Learn To Be Fathers? B. Genier/World Health Organization

12 Father: Provider Salud y Genero/Coriac

13 Father: Entertainer, Emotionally Close Father: Entertainer, Emotionally Close Salud y Genero/Coriac

14 Father: Discipline, Authority, Violence Salud y Genero/Coriac Dont beat me, daddy.

15 Father: Absent or Dead Salud y Genero/Coriac Heaven for fathers

16 Father: Household Worker B. Thomas/WHO/UNICEF

17 Traditional Masculinity Limits the Role of Fathers Mostly, father is considered only a provider and authority figureMostly, father is considered only a provider and authority figure Lack of alternative models – This is what my father taught meLack of alternative models – This is what my father taught me Limited cultural acceptability of mens emotional expression and involvementLimited cultural acceptability of mens emotional expression and involvement Little opportunity to learn to care for othersLittle opportunity to learn to care for others

18 Research Needed on Benefits of Fathering Involving men in fathering may lead to: Better communication, stronger bonding between couples and among familyBetter communication, stronger bonding between couples and among family Better role modeling for childrenBetter role modeling for children Increased commitment to contraceptive use and practice of prevention behaviorsIncreased commitment to contraceptive use and practice of prevention behaviors Increased support during pregnancyIncreased support during pregnancy Reduced violence in the homeReduced violence in the home

19 Initial Lessons Learned Egypt Post-abortion Care StudyEgypt Post-abortion Care Study –Women whose husbands were counseled had better outcomes India Pre-natal Care StudyIndia Pre-natal Care Study –Involving men in pre-natal care increased their involvement in their wives and childrens health care Jamaica Teenage Father StudyJamaica Teenage Father Study –Reaching out to baby fathers helped young men stay involved with their child

20 Promising Research Efforts Midwives in Mexico are training men as community health workers to teach other men about reproductive health ( MacArthur Foundation)Midwives in Mexico are training men as community health workers to teach other men about reproductive health ( MacArthur Foundation) Projects in 7 countries are focusing on improving communication and joint decision-making between men and women about reproductive health (PAHO)Projects in 7 countries are focusing on improving communication and joint decision-making between men and women about reproductive health (PAHO)


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