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Gender responsive programming<br />Changing men’s support to women during pregnancy,  delivery, and post-partum.<br />Use ...
What is a key problem in seeking care?<br />
Step 1 <br />Step 1: Gather information on: <br /><ul><li>existing knowledge and decision-making,
Motivation and perceived benefits of recommended practices
Possible barriers to recommended practices</li></li></ul><li>Step 2<br />We can take care of our newborn during the day an...
Motivation for recommended practices<br />Child will grow up to have more love for the father than is typical.<br />Newbor...
Potential barriers to male supportive care practices<br />Potential barriers:  <br />Don’t know how to do it<br />Lack of ...
Developing community counseling strategies<br />During childbirth and delivery:<br />Find someone to take care of the hous...
Step 3<br />Step 3:<br />Negotiate <br />“trial” practices <br />(3 men per each practice)<br />Note: Negotiation done at ...
Step 4: Results, response, reactions<br />Step 4:<br />Follow up home visits to gather information on experience with tria...
Step 4: Gather results<br />During pregnancy: <br />Collect firewood and water.	<br /><ul><li>76%  (practiced at least 4 t...
Thank you!<br />
Revisiting trails of improved practices methodology 5.10.11 mc_ewan
Revisiting trails of improved practices methodology 5.10.11 mc_ewan
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Revisiting trails of improved practices methodology 5.10.11 mc_ewan

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Revisiting trails of improved practices methodology 5.10.11 mc_ewan

  1. 1. Gender responsive programming<br />Changing men’s support to women during pregnancy, delivery, and post-partum.<br />Use of a modified TIPS methodology<br />Elena McEwan, MD<br />Senior Technical Adviser<br />Catholic Relief Services<br />Core Spring meeting, May 2011<br />
  2. 2. What is a key problem in seeking care?<br />
  3. 3. Step 1 <br />Step 1: Gather information on: <br /><ul><li>existing knowledge and decision-making,
  4. 4. Motivation and perceived benefits of recommended practices
  5. 5. Possible barriers to recommended practices</li></li></ul><li>Step 2<br />We can take care of our newborn during the day and the night<br />Step 2:<br />a) Debrief and analyze information <br />b) Develop community “counseling” strategies<br />
  6. 6. Motivation for recommended practices<br />Child will grow up to have more love for the father than is typical.<br />Newborn will be healthy and the family will save money not treating sickness.<br />Infant will grow easily and be happy. <br />After work, I find time to share quality time with my family<br />
  7. 7. Potential barriers to male supportive care practices<br />Potential barriers: <br />Don’t know how to do it<br />Lack of communication with wife regarding pregnancy<br />Lack of motivation due to feeling left out by the health staff during care<br />They feel embarrassed to be seen by other women when taking care of the newborns<br />
  8. 8. Developing community counseling strategies<br />During childbirth and delivery:<br />Find someone to take care of the house while he goes with wife to HU for delivery.<br />Assist wife to go to maternity house 2 weeks before delivery.<br />Go with wife to HU and stay in room during labor and delivery.<br />Agree with wife to stay at the maternity waiting home seven days post partum.<br />During pregnancy:<br />Collect firewood and water.<br />Support wife with household work<br />Go with wife during at least 3 ANC visits and <br />Ask questions during care.<br />During post-partum period:<br />Alternating take care of newborn during the day and the night.<br />After work, feed other children (one snack and dinner).<br />
  9. 9. Step 3<br />Step 3:<br />Negotiate <br />“trial” practices <br />(3 men per each practice)<br />Note: Negotiation done at group level<br />
  10. 10. Step 4: Results, response, reactions<br />Step 4:<br />Follow up home visits to gather information on experience with trial practice: results, response, reactions<br />
  11. 11. Step 4: Gather results<br />During pregnancy: <br />Collect firewood and water. <br /><ul><li>76% (practiced at least 4 times)</li></ul>Support wife with household work. <br /><ul><li>100% (practiced at least 4 times)</li></ul>Go with wife during ANC visits and ask questions.<br /><ul><li>66% (practiced at least during 3 ANC visits)</li></li></ul><li>Step 4: Gather results (continued)<br />During childbirth and delivery:<br />Find someone to take care of the house while he goes with wife to HU for delivery.<br /><ul><li>80% practiced</li></ul>Assist wife to go to maternity house 2 weeks before delivery.<br /><ul><li>50% practiced</li></ul>Go with wife to HU and stay in room during labor and delivery.<br /><ul><li>40% practiced</li></ul>Agree with wife to stay at the maternity waiting home seven days post partum.<br /><ul><li>75% practiced</li></li></ul><li>Step 4: Gather results (continued)<br />During post-partum period:<br />Alternating with wife taking care of the newborn during the day and the night.<br /><ul><li>71% practiced at least 4 times</li></ul>After work, feed other children (one snack and dinner).<br /><ul><li>98% practiced at least 4 times</li></li></ul><li>Step 5<br />Step 5: Recommendations for the program<br />Changes in recommended practices are feasible.<br />It will be possible to overcome resistance encountered.<br />It is critical to involve the Ministry of Health personnel in support of recommended practices that involve Health Units / Hospitals.<br />
  12. 12. Thank you!<br />

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