Resources to engage men in improved MCH outcomes: Overcoming barriers in women's health

Background: Evidence shows that health campaigns targeting fathers improve maternal and birth outcomes, yet few existing resources involve men in addressing key topics that affect MCH outcomes: sexual health, family planning, unsafe abortion, safe motherhood, STIs, and gender-based violence.

Methods:  Hesperian drafted material based on activities, stories, and tools derived from the experiences of our grassroots global partners to address social barriers, attitudes, and practices which lead to negative pregnancy and MCH outcomes. The material was reviewed by professional health care providers and was field-tested by community-based groups in 23 countries, with a focus on including men in field testing groups. Pre-publication field-testing found that 17 organizations in 14 countries reported increased comfort addressing controversial topics after field-testing. Over 80% of respondents, male and female, reported feeling significantly more comfortable when presenting on topics including “How gender roles affect health,” “Sexuality,” and “Violence against women,” then they had prior to the field-testing process.

Results: Field testing concluded in 2013; in 2014 Hesperian released a health education and community organizing resource titled Health Action for Women. The inclusion of men in discussions and activities that improve pregnancy and MCH outcomes is a central theme. Examples include: “Practice talking about sex with a partner,” “Using role-plays to practice talking with men about family planning,” and “Helping boys question gender violence.”

Conclusions: Accessible, field-tested material that effectively includes men in conversations and activities about issues related to pregnancy and MCH outcomes is crucial for improved outcomes for women, children, and families.