222195 Addressing Harmful Gender Norms to Improve Health: Strengthening Local Capacity in Male Engagement & HIV Prevention

Tuesday, November 9, 2010 : 3:06 PM - 3:24 PM

Andrew Levack, MPH , Gender/Men As Partners Program, EngenderHealth, New York, NY
Theresa P. Castillo, MA CHES , EngenderHealth, New York, NY
Manisha Mehta, MIA , EngenderHealth, New York, NY
Fabio Verani, MPH , Instituto Promundo, Rio de Janeiro, Brazil
Julie Pulerwitz, ScD , PATH, Washington, DC
Gabrielle Hecker, MPH , EngenderHealth, New York, NY
Kent Klindera, MPH , EngenderHealth, New York, NY
Christine Ricardo , Instituto Promundo, Rio de Janeiro, Brazil
Berhanu Mamo , Ethiopia Office, Engender Health, Addis Ababa, Ethiopia
James Itana , LifeLine/ChildLine Namibia, Windhoek, Namibia
Flavian Rhode , LifeLine/ChildLine Namibia, Windhoek, Namibia
Nortin Brendell , LifeLine/ChildLine Namibia, Windhoek, Namibia
Celma Menezes , Mozambique Office, Engender Health, Maputo, Mozambique
Katherine Lieberman , Mozambique Office, Engender Health, Maputo, Mozambique
Sara Teri , Tanzania Office, Engender Health, Dar es Salaam, Tanzania
Purpose: To share lessons learned from the PEPFAR Male Gender Norms Initiative on strengthening the capacity of in-country partners to integrate male engagement in HIV and AIDS programming.

Design/Methods: EngenderHealth, using global expertise, explored three approaches for building the capacity of in-country partners to address masculinities in HIV programming. Technical assistance (TA) was provided to four priority countries (Ethiopia, Namibia, Tanzania and Mozambique) and included needs assessments, program design, strategic planning, tailored trainings, and facilitating the creation of advocacy networks. Process evaluations were conducted with key stakeholders at end of the project.

Results: Over 600 partner staff, representing government, military, religious groups and community groups, received training and 40 diverse organizations received ongoing TA for integrating male engagement (ME) strategies. Examples of integration include: Social Marketing Association Namibia incorporated gender activities into a HIV training curricula for the military and Forum Mulher initiated a Men as Partners program in Mozambique. Other outputs include the adaptation of ME resources; the development of ME-focused HIV prevention materials; and the establishment of formal national advocacy networks for engaging men, spearheaded by EngenderHealth and Promundo.

Recommendations: Rigid constructs of gender roles play a critical role in increasing a person's vulnerability to HIV and AIDS. Country missions and ministries must be engaged and supportive in creating sustainable gender transformative HIV programs. Evaluation results maintain the need for strong advocacy efforts at the government level. Tailored interventions are necessary in order to effectively address harmful gender norms and improve health outcomes in each country.

Learning Areas:
Advocacy for health and health education
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Learning Objectives: 1. Discuss the value of integrated transformative gender and HIV programming at various intervention levels; 2. Analyze different approaches for building local provider capacity using global expertise on the integration of male engagement strategies into HIV programming; and 3. Identify the key lessons learned that are applicable to male engagement programming approaches, locally and globally for HIV and AIDS.

Keywords: Gender, HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was directly involved in the design, implementation and evaluation of the project.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
EngenderHealth HIV Interventions Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4288.0: HIV/AIDS 2