RATIONALE FOR INVOLVING MEN IN FAMILY PLANNING Irina Savelieva, MD, PhD Research Centre of Obstetrics, Gynecology and Perinatology, Russian Society of Contraception, Moscow, Russia.
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RATIONALE FOR INVOLVING MEN IN FAMILY PLANNING
Irina Savelieva, MD, PhD Research Centre of Obstetrics, Gynecology and Perinatology, Russian Society of Contraception, Moscow, Russia
WHY INVOLVE MEN IN FAMILY PLANNING
Men have already involved
Women have traditionally been focus on family planning programs
Women have suffered as result of men’s absence from reproductive health care
Men and women want men to participate
MEN’S ROLE IN CONTRACEPTION
Financial support (e.g., by helping her pay for the method)
Emotional support (e.g., by accompanying her to the clinic, discussing the reasons for choosing one method over another, and/or supporting her choice of method)
Help with the method if she desires (e.g., by helping to insert the spermicide, if needed, or reminding her when to use it)
Support by using an alternative method (such as withdrawal or condoms) in case she forgets to use or has an unexpected problem with her chosen method
PARTNERS AND CONTRACEPTION
60 50 40 30 20 10 0 9,9 Withdrawal 52,3 Condoms 12,2 8,0 Natural Spermicide 40,7% women used pregnancy prevention methods when they got pregnant
PARTNER’ «PARTICIPATING» IN THE ABORTION’ PROCEDURE
100 82,6 80 64,4 60 26 40 16 20 6 1.
2.
3.
4.
5.
0 1 2 3 4 5 Have discussed pregnancy prevention with husband/ partner Wish partner to participate in counseling Partner come with woman Partner participated in the talk about how to prevent pregnancy Partner have been invited to follow-up visit
PROVIDERS ABOUT MALE INVOLVMENT
Only 10% of all providers and 18% of providers who do contraceptive counseling have ever discussed family planning with client’s partner
More than 90% thought that provision of reproductive health services to men would improve women’s health
NEVERTHELESS, a little more than 60% providers support the idea of providing reproductive health services to men at their own facility
CHALLENGES TO INVOLVING MEN
Men often lack access to services
Men lack information about FP/RH
Staff resistance or ambivalence toward men or providing men’s reproductive health services
Lack of support for the men’s reproductive health program by facility administrators or health officials
Lack of information, education, communication (IEC) materials focused on men and
WAYS THAT HEALTH CARE WORKERS CAN HELP INCREASE MALE PARTICIPATION IN CONTRACEPTION
Making condoms readily available at the facility
Providing education to men on FP in various community settings
Providing contraception counseling to men during STI testing, diagnosis, and treatment
Offering couples counseling to men and female partners during female client’s family planning visits
Discussing FP with couples using prenatal care services
Providing an atmosphere in the FP clinic that is welcoming to men
WAYS TO ADDRESS CHALLENGES
Providing comfortable training working sexuality training to make with staff male more clients, including attitudinal, management, clinical, and
Including men’s reproductive health services in the facility’s mission statement
Collecting and distributing IEC materials or implementing an IEC campaign
MAIN DIRECTIONS FOR SUCCESS IN INVOLVING MEN IN FAMILY PLANNING
To increase men’s awareness of and support for the FP/RH choices of their partners To increase men’s awareness of the need to safeguard the RH of their partners and themselves, especially through the prevention of STI/HIV/AIDS To improve access to men’s contraceptive methods for couples who are interested in using them To improve men’s access to comprehensive reproductive health services
BENEFITS FOR COMMUNITY IN INVOLVING MEN IN RH
Greater access to high-quality reproductive services by women and men health
Higher rates of diagnosis and treatment for STIs, which, in turn, reduce the number of reinfections
Early detection and successful treatment of prostate and testicular cancer
Fewer adolescent pregnancies
Greater male involvement contributions to parenting with children
Better understanding of infertility problems and
BENEFITS FOR COMMUNITY IN INVOLVING MEN IN RH
Better understanding of maternity issues, maternity care, and ways to recognize an obstetrical emergency
Better understanding of domestic violence and ways to enhance men's ability to communicate in nonviolent ways
Better understanding of gender roles, traditional inequities between men and women, and how changing gender roles might benefit everyone
Improved health overall for women, men and children
THANK YOU VERY MUCH FOR YOUR ATTENTION,
12 september 2003, Budapest