222401 Shifting Gender Norms in Nepal to Improve Health and Development of Very Young Adolescents

Wednesday, November 10, 2010 : 12:30 PM - 12:50 PM

Brad Kerner, MPH , Department of Health and Nutrition, Save the Children, Westport, CT
Rebecka Lundgren, MPH , Institute for Reproductive Health, Georgetown University, Washington, DC
Bhawana Subeti , Save the Children, Evaluation Consultant, Kathmandu, Nepal
Pam McCarthy , Pam McCarthy Associates, Independant Consultant, St. Paul, MN
Traditional views of gender have a negative effect on children's health and development in Nepal. Girls' educational opportunities are limited, early marriage and childbearing are common place and women lack decision-making power. Shifting gender norms is challenging when traditional culture prescribes restrictive gender roles for girls. Challenging gendered attitudes and behaviors of boys can ultimately change the way girls are treated in Nepal, improving all children's health and wellbeing.

To address this inequity, Save the Children provides alternative views of masculinities while working with boy and girls, 10 to 14 years old, from a relational perspective. Working with young adolescents – a time when they have not yet fixed their social norms and identities– can help children redefine gender roles in constructive ways that will have a positive effect on their health and development. To achieve this, a behavior change curriculum called “Choices” was designed to empower children to make more gender-equitable choices in their lives which would ultimately improve the lives of girls and women. The emotion-based curriculum includes eight fun, age-appropriate and participatory activities designed to stimulate discussion between adolescents. They explore gender inequity and power, how small actions can lead to gender equity and earn you respect while discovering how social norms restrict boys from treating girls as equals and results in negative health outcomes.

A quasi-experimental evaluation using age appropriate qualitative and quantitative research techniques suggests children participating in the “Choices” curriculum resulted in more gender equitable attitudes and behaviors compared to a control group.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
(1) Describe age appropriate methods for exploring gender norms with very young adolescents. (2) Assess results from a quasi-experimental study which evaluates the use of a standard curriculum to challenge gender norms with boys and girls in Nepal.

Keywords: Adolescents, International, Gender

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee the Adolescnet Reproductive and Sexual Health portfolio for Save the Children in over 10 countires. I am a public health professional graduated form Columbia University.
Any relevant financial relationships? No

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.