Questioning gender norms with men to improve health outcomes: Evidence of impact

Questioning gender norms with men to improve health outcomes: Evidence of impact
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DOI:
10.1080/17441690902942464
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发表时间:
2010-01-01
影响因子:
3.3
通讯作者:
Santos, C.
Santos, C.
中科院分区:
医学3区
文献类型:
--
作者:
Barker, G.;Ricardo, C.;Santos, C.

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本文回顾了 58 项针对男性和男孩的性健康和生殖健康项目(包括艾滋病毒预防、治疗、护理和支持)的评估研究;父亲的参与;基于性别的暴力;孕产妇、新生儿和儿童健康;以及更广泛的性别社会化。虽然很少有项目能够超出试点阶段或相对较短的时间范围,但它们提供了令人信服的证据,表明针对男性和男孩精心设计的项目可以导致他们与性健康和生殖健康相关的行为和态度发生积极变化;孕产妇、新生儿和儿童健康;他们与孩子的互动;对妇女使用暴力;他们对与其他男人的暴力行为的质疑;以及他们寻求健康的行为。证据表明,纳入性别变革方法并促进男女之间性别平等关系的计划比狭隘的干预措施更能有效地产生行为改变,超越个人层面进入社会背景的计划也是如此。
This article describes a review of 58 evaluation studies of programmes with men and boys in sexual and reproductive health (including HIV prevention, treatment, care and support); father involvement; gender-based violence; maternal, newborn and child health; and gender socialisation more broadly. While few of the programmes go beyond the pilot stage, or a relatively short-term timeframe, they offer compelling evidence that well-designed programmes with men and boys can lead to positive changes in their behaviours and attitudes related to sexual and reproductive health; maternal, newborn and child health; their interaction with their children; their use of violence against women; their questioning of violence with other men; and their health-seeking behaviour. The evidence indicates that programmes that incorporate a gender-transformative approach and promote gender-equitable relationships between men and women are more effective in producing behaviour change than narrowly focused interventions, as are programmes which reach beyond the individual level to the social context.