Revisiting Trials of Improved Practices Methodology_McEwan_5.10.11

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This document summarizes the use of a modified TIPS methodology to change men's supportive roles during a woman's pregnancy, delivery, and post-partum care. It involves 5 steps: 1) gathering information on existing knowledge and barriers, 2) analyzing the information and developing counseling strategies, 3) negotiating trial practices with men, 4) following up to gather results and reactions, 5) making recommendations for the program. The results showed that men were willing to participate more in tasks like collecting firewood, accompanying their wives to appointments, and caring for the newborn, though some barriers around embarrassment and not knowing what to do remained. The program appears to have successfully engaged men and overcome initial resistance.

Health & Medicine

Gender responsive programming Changing men’s support to women during pregnancy, delivery, and post-partum. Use of a modified TIPS methodology Elena McEwan, MD Senior Technical Adviser Catholic Relief Services Core Spring meeting, May 2011

Step 1 Step 1: Gather information on: ,[object Object]

Motivation and perceived benefits of recommended practices

Possible barriers to recommended practices,[object Object]

Motivation for recommended practices Child will grow up to have more love for the father than is typical. Newborn will be healthy and the family will save money not treating sickness. Infant will grow easily and be happy. After work, I find time to share quality time with my family

Potential barriers to male supportive care practices Potential barriers: Don’t know how to do it Lack of communication with wife regarding pregnancy Lack of motivation due to feeling left out by the health staff during care They feel embarrassed to be seen by other women when taking care of the newborns

Developing community counseling strategies During childbirth and delivery: Find someone to take care of the house while he goes with wife to HU for delivery. Assist wife to go to maternity house 2 weeks before delivery. Go with wife to HU and stay in room during labor and delivery. Agree with wife to stay at the maternity waiting home seven days post partum. During pregnancy: Collect firewood and water. Support wife with household work Go with wife during at least 3 ANC visits and Ask questions during care. During post-partum period: Alternating take care of newborn during the day and the night. After work, feed other children (one snack and dinner).

Step 3 Step 3: Negotiate “trial” practices (3 men per each practice) Note: Negotiation done at group level

Step 4: Results, response, reactions Step 4: Follow up home visits to gather information on experience with trial practice: results, response, reactions

Step 4: Gather results During pregnancy: Collect firewood and water. ,[object Object],Support wife with household work. ,[object Object],Go with wife during ANC visits and ask questions. ,[object Object],[object Object],[object Object],[object Object]

Revisiting Trials of Improved Practices Methodology_McEwan_5.10.11

The document summarizes the results of a study using a modified TIPS (Trials of Improved Practices) methodology to engage men in supporting their wives during pregnancy, childbirth, and the postpartum period in a community in an effort to promote gender responsive programming. Focus groups and home interviews were conducted to understand existing knowledge, motivations, and barriers. Strategies were then developed and certain male supportive practices were trialed. Follow-up visits found that many men participated in the recommended practices during pregnancy, childbirth, and postpartum care of their newborns. The study recommends involving local health ministry personnel to support scaling up the recommended practices.

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Revisiting Trials of Improved Practices Methodology_McEwan_5.10.11

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