Are We Getting Any Closer to Including Men and Boys in Sexual and Reproductive Health? A Multi-Country Policy Analysis on Guidance to Action in East and Southern Africa

Overview

Journal Int J Sex Health

Publisher Routledge

Date 2024 Nov 18

PMID 39552622

Authors

Carolien J Aantjes

Kaymarlin Govender

Affiliations

Soon will be listed here.

Abstract

There has been growing recognition of the need to address the sexual and reproductive health (SRH) needs of men and boys, including a need for more explicit guidance in domestic health policy and plans. This paper reports on a policy analysis, covering five East and Southern African countries, and discusses the extent and ways in which male clinical and non-clinical needs, and their roles in SRH are currently being reflected. It draws attention to the policy discourse, trends, and gaps in including men in the region as clients, partners and change agents to inform a way forward.

References

Heymann J, Levy J, Bose B, Rios-Salas V, Mekonen Y, Swaminathan H . Improving health with programmatic, legal, and policy approaches to reduce gender inequality and change restrictive gender norms. Lancet. 2019; 393(10190):2522-2534. DOI: 10.1016/S0140-6736(19)30656-7. View

Martin K, Olaru I, Buwu N, Bandason T, Marks M, Dauya E . Uptake of and factors associated with testing for sexually transmitted infections in community-based settings among youth in Zimbabwe: a mixed-methods study. Lancet Child Adolesc Health. 2021; 5(2):122-132. PMC: 7818532. DOI: 10.1016/S2352-4642(20)30335-7. View

McLean K . Men's experiences of pregnancy and childbirth in Sierra Leone: Reexamining definitions of "male partner involvement". Soc Sci Med. 2020; 265:113479. DOI: 10.1016/j.socscimed.2020.113479. View

Osaki H, Sao S, Kisigo G, Coleman J, Mwamba R, Renju J . Male engagement guidelines in antenatal care: unintended consequences for pregnant women in Tanzania. BMC Pregnancy Childbirth. 2021; 21(1):720. PMC: 8549379. DOI: 10.1186/s12884-021-04141-5. View

Mayhew S, Hopkins J, Warren C . Building integrated health systems: lessons from HIV, sexual and reproductive health integration. Health Policy Plan. 2017; 32(suppl_4):iv1-iv5. PMC: 5886152. DOI: 10.1093/heapol/czx142. View

Comrie-Thomson L, Tokhi M, Ampt F, Portela A, Chersich M, Khanna R . Challenging gender inequity through male involvement in maternal and newborn health: critical assessment of an emerging evidence base. Cult Health Sex. 2015; 17 Suppl 2:S177-89. PMC: 4706017. DOI: 10.1080/13691058.2015.1053412. View

Baker P, Dworkin S, Tong S, Banks I, Shand T, Yamey G . The men's health gap: men must be included in the global health equity agenda. Bull World Health Organ. 2014; 92(8):618-20. PMC: 4147416. DOI: 10.2471/BLT.13.132795. View

Govender K, Masebo W, Nyamaruze P, Cowden R, Schunter B, Bains A . HIV Prevention in Adolescents and Young People in the Eastern and Southern African Region: A Review of Key Challenges Impeding Actions for an Effective Response. Open AIDS J. 2018; 12:53-67. PMC: 6062910. DOI: 10.2174/1874613601812010053. View

Montgomery E, van der Straten A, Torjesen K . "Male involvement" in women and children's HIV prevention: challenges in definition and interpretation. J Acquir Immune Defic Syndr. 2011; 57(5):e114-6. DOI: 10.1097/QAI.0b013e31821d33d6. View

10.

Smit J, Church K, Milford C, Harrison A, Beksinska M . Key informant perspectives on policy- and service-level challenges and opportunities for delivering integrated sexual and reproductive health and HIV care in South Africa. BMC Health Serv Res. 2012; 12:48. PMC: 3311559. DOI: 10.1186/1472-6963-12-48. View

11.

Mkandawire E, Hendriks S . A qualitative analysis of men's involvement in maternal and child health as a policy intervention in rural Central Malawi. BMC Pregnancy Childbirth. 2018; 18(1):37. PMC: 5775573. DOI: 10.1186/s12884-018-1669-5. View

12.

Barr-DiChiara M, Tembo M, Harrison L, Quinn C, Ameyan W, Sabin K . Adolescents and age of consent to HIV testing: an updated review of national policies in sub-Saharan Africa. BMJ Open. 2021; 11(9):e049673. PMC: 8442095. DOI: 10.1136/bmjopen-2021-049673. View

13.

Ombelet W, Onofre J . IVF in Africa: what is it all about?. Facts Views Vis Obgyn. 2019; 11(1):65-76. PMC: 6822948. View

14.

Heise L, Greene M, Opper N, Stavropoulou M, Harper C, Nascimento M . Gender inequality and restrictive gender norms: framing the challenges to health. Lancet. 2019; 393(10189):2440-2454. DOI: 10.1016/S0140-6736(19)30652-X. View

15.

Ruane-McAteer E, Amin A, Hanratty J, Lynn F, Corbijn van Willenswaard K, Reid E . Interventions addressing men, masculinities and gender equality in sexual and reproductive health and rights: an evidence and gap map and systematic review of reviews. BMJ Glob Health. 2019; 4(5):e001634. PMC: 6747894. DOI: 10.1136/bmjgh-2019-001634. View

16.

Rovito M, Leonard B, Llamas R, Leone J, Talton W, Fadich A . A Call for Gender-Inclusive Global Health Strategies. Am J Mens Health. 2017; 11(6):1804-1808. PMC: 5675267. DOI: 10.1177/1557988317723424. View

17.

Gopal P, Fisher D, Seruwagi G, Taddese H . Male involvement in reproductive, maternal, newborn, and child health: evaluating gaps between policy and practice in Uganda. Reprod Health. 2020; 17(1):114. PMC: 7385888. DOI: 10.1186/s12978-020-00961-4. View

18.

Kagesten A, Gibbs S, Blum R, Moreau C, Chandra-Mouli V, Herbert A . Understanding Factors that Shape Gender Attitudes in Early Adolescence Globally: A Mixed-Methods Systematic Review. PLoS One. 2016; 11(6):e0157805. PMC: 4920358. DOI: 10.1371/journal.pone.0157805. View

19.

Jerving S . Uganda's "anti-homosexuality" bill already affecting care. Lancet. 2023; 401(10385):1327-1328. DOI: 10.1016/S0140-6736(23)00814-0. View

20.

Dworkin S, Fleming P, Colvin C . The promises and limitations of gender-transformative health programming with men: critical reflections from the field. Cult Health Sex. 2015; 17 Suppl 2:S128-43. PMC: 4637253. DOI: 10.1080/13691058.2015.1035751. View