Presentation on theme: "MALE INVOLVEMENT IN REPRODUCTIVE HEALTH"— Presentation transcript:
1 MALE INVOLVEMENT IN REPRODUCTIVE HEALTH Dr. Babar T. ShaikhHealth Systems DivisionDepartment of Community Health SciencesAga Khan UniversityKarachi-Pakistan
2 Learning Objectives:Comprehend the meanings of ‘Male Involvement in RH.Recognize the role of men in RH.Understand the strategies to ensure the men’s participation in RH matters.Discuss the implications of men’s involvement in RH.
3 REPRODUCTIVE HEALTH: MEN’S PARTICIPATION Men: Full partners and advocates for good reproductive healthreaching men is a winning strategyto encourage sexual responsibilityto foster men’s support of their partners’ contraceptive choicesto address the reproductive health care of couples
4 New Perspectives Recognize: Men play dominant roles in decisions Men are more interested in family planning than assumedNeed communication and services directed specifically to themUnderstanding-and influencing-the balance of powerCouples who talk to each other reach better, healthier decisions
5 GoalsProvides male support for female actions related to reproduction and respect for women’s reproductive and sexual rightsIncreases access to male contraceptive methodsImproves male and female reproductive healthPromotes responsible and healthy reproductive and sexual behavior in young menInvolves men with their spouses during counseling and other FP/RH information
6 The reasons for attention to men: spread of HIV/AIDS and STDsill effects of men’s risky sexual behaviour on the health of women and childrenmen approve of family planningmen make decisions that affect women and men’s healthawareness that gender affects sexual behaviour, reproductive decision-making, and reproductive healthdemands from women for more involvement
7 In Cairo…At the 1994 International Conference on Population and Development (ICPD), held in Cairo, representatives from more than 180 countries formally recognized the importance of men to women’s reproductive health and also recognized the importance of men’s own reproductive health.
8 The ICPD Programme of Action urges all countries to provide men, as well as women, with reproductive health care that is “accessible, affordable, acceptable and convenient”The ICPD Programme of Action encourages reproductive health care programmes to move away from considering men and women separately and to adopt a more holistic approach that includes men and focuses on couples
9 The ICPD also draws attention to the unfairness inherent in many men’s and women’s gender roles, calling for men to take more responsibility for household work and child-rearing
10 In Beijing…The 1995 United Nations Fourth World Conference on Women, held in Beijing, encourages men to take steps toward achieving gender equality and better reproductive health.
11 Terms used for Involvement of men in RH men’s participationmen’s responsibilitymale motivationmale involvementmen as partnersmen and reproductive healthA complex process of social and behavioural change
12 Policies and programmes encourage: Men to take more responsibility for their sexual behaviourmen’s access to reproductive health information and servicescommunication with their partnersreproductive health care needs of couples
13 A promising strategy to: slow the spread of HIV/AIDS and other STDsprevent unintended pregnanciesreduce unmet need for family planningfoster safe motherhoodpractice responsible fatherhoodstop abuse of women
14 Men and ContraceptionMen’s participation is crucial to avoid unintended pregnancies. Of the 175 million pregnancies each year, about 75 million are unintended, (UNFPA)An estimated 100 million married women have unmet need for family planningSurveys exist only for married women.
15 Safe motherhood: Men’s Role Men play many key rolesTheir decisions and actions make a difference during:pregnancydeliverythe postpartum period
16 During pregnancy- by ensuring: Good NutritionPlenty of restTimely referral
17 Helping pregnant women stay healthy ensure proper antenatal and early careprovide transportationprovide funds to pay for visitslearn about the symptoms of pregnancy complications
18 During the Non-Pregnant Interval Period Planning their familieslimit birthsspace at least two years apartsupport contraceptive useaccompany their partners for servicescommunicate with each other to meet needs
19 During delivery, arranging for skilled care A trained attendant present duringchildbirth can mean the differencebetween life and death.Men can help by arranging for a trained attendant to be available for the delivery and by paying for the services.They also can arrange ahead of time for transportation and can buy supplies, if necessary.
20 During the postpartum period men can help with household chorescan encourage breastfeedingcan begin using contraception
21 Men can be responsible fathers by: becoming more involved in their children’s healthy, physical and emotional developmentensuring that their children receive all of the needed immunizationshelping in children’s day to day care
22 Factors Limiting Male Involvement Primary health center (PHC) programs not geared to meet men’s needsLimited contraceptive options for menRumors and misconceptionsUnfavorable social and cultural climatePriorities to women and child care servicesProvider’s bias against male involvementLack of information and knowledgeLimited communication between spouses about FP needsPHC service providers are mostly female
23 Men need more info on: contraception reproductive physiology sexuality pregnancySTDsother reproductive health care
24 How to involve them?How can programmes communicate effectively with men?How can reproductive health care providers best increase men’s participation?How can programmes encourage more men to care about reproductive health?
25 Some solutionsDesign IEC materials, communication programmes and services, focus gender equality.RH information and services should focus the couple rather than the individual.Remove myths about condom and vasectomy.Service providers to be sensitized for men’s reproductive health needs.In RH health clinics, a constellation health services may increase the male clientele.
26 Some solutions contd…. Separate clinic for males. Improved services at existing clinics.Workplace services.Community-based services.Commercial and social marketing.Increase contraceptive choice for men.Train providers about male FP/RH needs.