Manhood 2.0: Program Overview and Final Results

Manhood 2.0 is a gender-transformative curriculum adapted from Promundo’s flagship program, Program H (for “hombres” or “homens” in Spanish and Portuguese, respectively), by Promundo and the University of Pittsburgh.

Manhood 2.0 aims to engage young men in questioning, challenging, and transforming harmful gender norms, with the goal of reducing intimate partner and sexual violence and unintended pregnancy. It is a male-only group-level intervention delivered in several sessions based on social cognitive theory, social norms theory, the theory of gender and power, and the theory of reasoned action.

The intervention promotes critical reflection and awareness on gender norms and stereotypes and on power dynamics that drive health, relationships, violence, and sexual health behavior. Sessions include group discussion, role-playing, knowledge-sharing, and skill-building. The purpose of these interactive activities is to challenge young men to think critically about social expectations and restrictive norms, engage in dialogue about these gender norms, and then assess the way these norms impact sexual and intimate relationships, violence perpetration, substance abuse, unhealthy sexual risk-taking, and contraceptive use.

Previous evaluations of Program H have been shown to have the most impact when implemented in groups of 10 to 12 young men, for a longer duration (three months or longer), and including multiple components such as youth-led behavior change campaigns and/or advocacy initiatives.7

Ths report provides a description of the Manhood 2.0 program, challenges and lessons learned, and key evaluation findings. It is intended to be a summary of experiences piloting and evaluating an adolescent pregnancy prevention program for young men.

Source: Promundo

Date of Publication: June 24, 2019

Transformer les initiatives : Utiliser le continuum de genre pour comprendre le public cible / Transforming initiatives: Using the Gender Continuum to Understand the Target Audience

À Abidjan, en Côte d’Ivoire, le projet Transform/PHARE utilise l’approche centrée sur l’humain (HCD) pour cibler les jeunes hommes de 15 à 24 ans travaillant dans le secteur informel. HCD a été utilisé pour mieux comprendre le contexte dans lequel vivent et travaillent ces jeunes hommes, ainsi que pour apprendre à les aborder de manière pertinente. Le projet visait à les engager dans des discussions avec leurs partenaires sexuels sur la contraception et la planification familiale.

Transform/PHARE s’est également engagé à travailler à la conception d’interventions visant à transformer, ou au moins, à intégrer le genre. La feuille de route fournie par l’USAID, l’Outil d’intégration du genre, mis au point par le Groupe de travail sur le genre, a été intégrée à la stratégie du projet sur le genre et a été adaptée pour identifier les étapes au cours desquelles différents segments du public cible se sont retrouvés dans le spectre comme exploitant, accommodant ou transformant le genre.

Il est devenu évident que le public cible n’était pas immédiatement prêt à engager des discussions sur la contraception, le nombre ou le calendrier pour faire des enfants. Le projet a révélé qu’il était au contraire nécessaire de faciliter un changement progressif en prenant comme référence le modèle des étapes du changement (Protchaska & DiClementi), afin d’aider les jeunes hommes à passer du stade des inhibiteurs au stade des adeptes à long terme avec comme objectif de les aider à jouer le rôle de facilitateurs (de comportements de santé de la reproduction équitables en matière de genre). Selon le modèle, le changement se produit progressivement, étape par étape, et un individu modifie rarement de façon spectaculaire son comportement ou ses croyances avant de passer par une série d’étapes.

Le document ci-joint comprend les versions française et anglaise.

In Abidjan, Cote d’Ivoire the Transform/PHARE project activity used Human Centered Design (HCD) to target young men, 15 – 24, working in the informal sector. HCD was used to better understand the context in which these young men live and work, and to learn relevant ways to approach them. The project aimed to engage them in conversations with their sexual partners about contraception and family planning.

Transform/PHARE also made a commitment to work towards designing gender transformative, or at a minimum, gender accommodating interventions. The road-map provided by USAID, the Gender Integration Continuum Tool, developed by Inter-agency Gender Working Group was incorporated into the project’s gender strategy, and through brainstorming the tool was adapted to identify the stages in which different target audience segments fell on the spectrum as either gender exploitative, accommodating or transformative.

It became evident that the target audience was not ready to engage in discussions about contraception and number or timing of children right away. The project found that instead it was necessary to facilitate a progressive change, using the stages of change model (Protchaska & DiClementi) as a reference, to help young men move from the stage of inhibitors, into the stage of supporters with the long-term goal of helping them move into the role of enablers (of gender equitable reproductive health behaviors). According to the model, change happens gradually, step-by-step and an individual rarely changes behavior or beliefs dramatically before going through a series of stages.

The attached document includes French and English versions.

Source: Transform/PHARE

Date of Publication: June 13, 2019

SIMILIAR RESOURCES

Tools

Examples

Voices from the Community

Suaahara was a five year (2011-2016) project funded by USAID aimed to improve the nutritional status of women and children in 41 districts of Nepal. The project focused on improving health and nutrition behaviors at the household level through promotion of Essential Nutrition and Hygiene Actions (EN/HA), particularly Maternal, Infant and Young Child Nutrition (MIYCN), and addressing other determinants of under-nutrition, such as availability of and access to food, hygiene, quality of health care, child spacing and socio-cultural factors including gender and marginalization.

Voices from the Community is a collection of stories of individuals and families whose lives have been affected by Suaahara.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: March 25, 2019

Kuwa Mjanja Project for Adolescent Girls, Tanzania

Kuwa Mjanja is a girl-powered call to action that seeks to reframe the narrative about girls, and contraception, in Tanzania.

In Tanzania, A360’s Kuwa Mjanja delivers entrepreneurial skills and contraceptive counseling sessions— tailored to and branded for the unique needs of the girls we serve. Across disciplines and in partnership with girls, Kuwa Mjanja supports girls aged 15-19 to explore the role contraception plays in helping them achieve their life dreams, today.

Kuwa Mjanja taps into girls’ priorities: finding ways to make money, managing growing responsibility and navigating the transition to adulthood. This framing helps girls figure explore how they might achieve these goals, of which includes contraception.

A360 flips traditional family planning messaging on its head— building from what girls say they want to deliver reproductive health services when and how they need.

Source: PSI

Date of Publication: March 25, 2019

3 Ways to Engage the Private Sector against TB

TB is second only to HIV as a killer infectious disease, with more than 10 million new infections in 2015 and an estimated 1.8 million deaths mostly in low- and middle-income countries.In many countries, the private sector represents a major and growing source of services for suspected and active cases of TB. This often presents a challenge for national health systems that are ill-equipped to ensure that private providers provide safe and effective care.

In India, which is home to more people ill with tuberculosis and multi-drug resistant TB (MDR-TB) than any other country, PSI’s Project Axshya is improving case detection and management of drug susceptible TB through the private sector, where studies show most people first seek care. The project works with private providers in three important ways.

  • Engaging with mid-level providers
  • Building capacity of qualified private healthcare providers
  • Leveraging information technology to bridge the gap

Source: Population Services International

Date of Publication: March 25, 2019

HIV Self-Test Kits in Barber Shops: Cote d’Ivoire

This case study describes a pilot project in Cote d’Ivoire which promotes HIV self-testing via barbershops. Preliminary human-centered-based research resulted in a finding that barbershops were a key gathering point for men in Côte D’Ivoire. The HIV self testing promotions were also communicated via religious leaders and social media.

The aim was to convince men to undertake an online self-assessment tool that helps to determine their level of risk for contracting HIV. Those who are assessed as high risk were offered a self-testing kit. The kit can be accessed in a variety of ways, through a local pharmacy or health center or delivered by a peer navigator who can answer any questions and walk them though the process.

Deployed by local NGOs, peer navigators were trained to provide psychological and social support before, during and after HIV testing and the initiation of treatment. There were also tools to support men through the process of taking the test, including written instructions, online videos, and access to an HIV hotline, where workers were trained in how to take a self-test, interpret the results and support men who receive a positive result into beginning treatment.

Source: ThinkPlace

Date of Publication: March 25, 2019

Tunakuthamini (We value you) HIV Care and Treatment Campaign Overview

This 4-page overview provides information on the strategic design, implementation, monitoring, and evaluation of Tanzania’s Tunuakuthamini (We value you) national HIV care and treatment campaign.

Developed by the Tanzania Capacity and Communication Project (TCCP) under the leadership of the National AIDS Control Program (NACP) and the Tanzania Commission for AIDS (TACAIDS), Tunakuthamini targeted supporters of people living with HIV (PLHIV) as the primary audience, with PLHIV as the secondary audience.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: March 25, 2019

Tanzania School Net Program

This brief describes the Tanzania School Net Program which involved distribution of treated nets to both children ages 6-14 years and heads of household as primary audiences, empowering these audiences to take action while clearly conveying the benefits of getting everyone covered – including neighbors – by drawing on popular “sharing” beliefs that exist in Tanzania. The school net program (SNP) also targeted primary school teachers, TCCP Community Change Agents, Ward Educational Coordinators, and other stakeholders, including local government authority (LGA) officials, heads of schools, ward and village officials.

The effort included community outreach, radio spots, district-wide events, and school activities.

Through the Patapata radio program, children were inspired to talk to their parents, friends, and communities about malaria prevention behaviors such as sleeping under a net every night, proper net use, net care and repair, and net sharing. Anecdotal feedback from Community Change Agents indicated that children enjoyed the program, and that parents reported increased interpersonal communication with their children about the importance of sleeping under the nets they were given at school.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: March 25, 2019

Success Stories of Satisfied Family Planning Users , Nepal

The Family Planning Services Strengthening Program ( FPSSP) is a project under USAID’s cooperative agreement with the Inernational Planned Parenthood Federation ( IPPF) for implementationof the Support for International Family Plannning Organizations ( SIFPO-2) : Sustainable Networks Project. The Family Planning Association of Nepal ( FPAN), an IPPF Member Association ( MA), serves as the Sustainable Network’s local implementing partner.

The overall objective of FPSSP is to strengthen the family planning service delivery system of the Family Health Division ( FHD)/Department of Health Services ( DoHS)/Ministry of Health ( MoH). It aims to increase voluntary use of family planning services by increasing accessibility and availability of quality comprehensive family planning services to the hard to reach, disadvantaged,migrants, and adolescent population to acheive universal coverage in the districts and increase access to voluntary family planning information, education and services.

These three success stories tell of real people who took advantage of the FP services and the happy results of their experience.

Source: Family Planning Association of Nepal

Date of Publication: March 25, 2019

Suaahara SBCC Materials Case Studies

These are case studies from the Suaahara Nepal activities promoting hygiene, family planning, and nutrition. The studies are divided by geographical areas in Nepal.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: March 25, 2019