Are men well served by family planning programs?
Are men well served by family planning programs?
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男人对计划生育计划的服务很好吗？
DOI：
10.1186/s12978-017-0278-5
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发表时间：
2017-01-23
影响因子：
3.4
通讯作者：
Gay J
中科院分区：
文献类型：
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作者：
Hardee K;Croce-Galis M;Gay J
虽然避孕药具的范围包括男性使用的方法，即避孕套、男性直接使用的输精管结扎和切除，以及需要男性参与的标准日方法，但计划生育方案主要侧重于妇女。在接触男性避孕药具使用者方面了解多少？本文回顾了针对男性的47项干预措施，并提出了加强针对男性避孕药具使用者的规划的10项关键考虑。一项对节目的回顾显示，男性和男孩并没有得到特别好的节目服务。大多数方案都是从妇女是避孕药具使用者和男性应该支持其伴侣的角度出发的，没有充分注意到男性本身就是避孕药具使用者。计划生育只是女性的事，这种观念已经过时了。有充分的证据表明男子对信息和服务的渴望，以及男子对现有方案编制的积极反应，因此有必要进一步为男子计划生育用户编制方案。关键的考虑重点是在男人和男孩需要的地方获得信息和服务；处理影响男子态度和使用的性别规范，同时尊重妇女的自主权；接触青春期男孩；将男性作为使用者纳入政策和指导方针；扩大成功的规划；通过实施研究和监测评估填补空白；为男性提供更多避孕选择。
Although the range of contraceptives includes methods for men, namely condoms, vasectomy and withdrawal that men use directly, and the Standard Days Method (SDM) that requires their participation, family planning programming has primarily focused on women. What is known about reaching men as contraceptive users? This paper draws from a review of 47 interventions that reached men and proposes 10 key considerations for strengthening programming for men as contraceptive users. A review of programming shows that men and boys are not particularly well served by programs. Most programs operate from the perspective that women are contraceptive users and that men should support their partners, with insufficient attention to reaching men as contraceptive users in their own right. The notion that family planning is women’s business only is outdated. There is sufficient evidence demonstrating men’s desire for information and services, as well as men’s positive response to existing programming to warrant further programming for men as FP users. The key considerations focus on getting information and services where men and boys need it; addressing gender norms that affect men’s attitudes and use while respecting women’s autonomy; reaching adolescent boys; including men as users in policies and guidelines; scaling up successful programming; filling gaps with implementation research and monitoring & evaluation; and creating more contraceptive options for men.