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Marques lecture 5-30-2017
- 1. −− Sex Ed, Gender Equality, Public Health and Social Justice. Magaly Marques Los Angeles MAY 2017
- 2. Transformative Approaches Goal – To share and discuss some aspects of EBIs that seek to change youth behavior • Young men and boys, Masculinities, VAW prevention, TPP and SRH. • Manhood 2.0 May 2017
- 3. Effective Programs • Risk Reductions/Prevention • Violence Prevention Healthy Relationships • Gender and Rights • Rights, Respect, Responsibilities (3Rs) • Gender Transformative Approaches • SEL and Empathy STATS: 39 SRH programs (25 AIDS prevention, 14 TPP) TP decline in last 20 ys 27% 15-17 yos sexually active 86,000 TPs 2012
- 5. Sex Ed and Violence Prevention for boys and Young Men Adaptation of Program H: •Learner centered, group intervention, with critical review of what it means to be a man or a boy. •Used widely in more the 20 countries, tested in Brazil, India, and Ethiopia. •Uses the GEM Scale •Socio-ecological model •Gender Equality
- 6. Logical Frame Program Components Mediating Factors Interim Goals Long Term Goals Group sessions, Interactive activities Δ > < Curriculum: • Gender & Masculinities • Relationships, Empathy, Boundaries • SRH facts • Intentions, Behaviors, and Health Knowledge Agency/ Self-Efficacy Attitude Check < Communication Condom use Use of services Use of violence Δ gender attitudes Reduced Pregnancy Reduced STIs Decrease Dating Violence Logical Model Individual Choices Family/Community Norms/Media/Inst. Social/Policies May 2017 ,,Ind
- 7. Interim Goals: Behavioral Changes Increased use of condoms Increased use of other methods of contraception Increased use of dual protection Increased use of sexual and reproductive health services Increased and improved communication about partner contraceptive use Increased communication with partner about sexual consent Decrease in violent and abusive behaviors May 2017
- 8. Mediating Factors • Increased knowledge • Improved self-efficacy • Change in attitudes Long Term Goals: Shifts in Trends • Reduced incidence of unintended and unplanned pregnancy by young men in program • Reduced incidence of STIs among young men • Decrease in violent, abusive or disrespectful behaviors towards intimate or sexual partners May 2017
- 9. What color is your sex ed? May 2017 Current Debate: Gender in the Adoption and Implementation of Sex Education Policy Beechey and Moon, JSS, Published online in SciRes 2015 The Looming Threat to Sex Education: A Resurgence of Federal Funding for Abstinence-Only Programs? Megan K Donovan, Guttmacher Institute First published online: March 30, 2017 Discussion and Key Questions: • New models need new measures • End goal clashes with program focus • Funding and policies undermine social justice goals
- 10. Challenges in Measuring Impact and Change May 2017 Programs Innovations? Links? Policies??? $$$$ Group sessions Δ > < Curriculum: • Gender & Masculinities • Relationships, Empathy, Boundaries • SRH facts • Intentions, Behaviors, and Health Knowledge Agency/ Self- Efficacy Attitude Check < Communication Condom use Use of services Dating violence Δ Gender attitudes Reduced Pregnancy Reduced STIs Interactive activities Decreased Violence
- 11. What color is your sex ed? May 2017 Current Debate: Gender in the Adoption and Implementation of Sex Education Policy Beechey and Moon, JSS, Published online in SciRes 2015 The Looming Threat to Sex Education: A Resurgence of Federal Funding for Abstinence-Only Programs? Megan K Donovan, Guttmacher Institute First published online: March 30, 2017 Discussion and Key Questions: • New models need new measures • End goal clashes with program focus • Funding and policies undermine social justice goals
Editor's Notes
- What I want to do today is talk about EBIs that are trying to produce behavior change, and how they are going about it. I will focus on interventions directed at boys and young men Particularly those seeking to change sexual behavior, relationship behavior, and to prevent TPP and VAW I will talk about one program in particular because I was involved with it, but will refer to other interventions and their challenges I also want to raise some critical questions that intersect public health, public health and education policy, and social and gender norms.
- OAH/CDC invest in TPP CDC funds 3 RCTs focused on men/boys of color
- Shifts in approached to sex ed: Cognitive learner centered Empathy SEL Gender/Rights Justice/Intersection Socio-Ecological Feminist Allan Heisterkamp Director, Center for Violence Prevention UNI MVP facilitator Jackson Katz, MVP developer
- Manhood 2.0 -- is the adapted version of Program H, a gender transformative curriculum for young men and boys that looks at the consequences of rigid gender norms on young men's health and wellbeing. In collaboration with the CDC, we have further adapted the curriculum to address young men's understanding of fertility, SRH, contraception and fatherhood. This is a five year study that’s being implemented in Washington DC and in Pittsburgh, in a controlled study by Child Trends and by the University of Pittsburgh School of Medicine. While in Pittsburgh the study is measuring the program's ability to decrease the use of violence among urban youth, the D.C. study if focusing on its ability to increase young men's ability to be pro actively prevent pregnancy and STIs, and by initiating partner communication about contraception, and being aware of their role in pregnancy and prevention. Mentors in Violence Prevention (MVP) -- is the multiracial, mixed-gender program that uses the “bystander approach” to gender violence prevention. A peer-led sexual assault and relationship abuse prevention that uses a methodology that seeks to transform young people’s understanding of masculinity through a critical approach to rigid forms of male identity that are closely associated with the use of violence, power over a partner, and control of a partner’s behavior and choices. PROGRAM H – Developed by a coalition of partners from Latin America in the late 1990s (PAPAI, ECOS, Salud y Genero and Promundo)
- Gender roles and stereotypes Relationship rights and respect Clear and intentional communication about sexual behavior, consent, and contraception intentions.
- PROMPT: Before we learn about the specifics of a program I wanted to refresh your memory about the state of the current debate According to a 2015 article by Suzanne Beechey and Leah Moon, we should not take it lightly that what’s at the core of the sex ed debate is gender and not sex. http://file.scirp.org/pdf/JSS_2015071516143260.pdf My question to you as emerging leaders in public health is: How do we engage in this conversation? Hold that thought and do keep that question in the back of your minds for a while. SNAP SHOT: A more recent article about sex ed, from Megan Donovan of the Guttmacher Institute, came up at the end of March. The Looming Threat to Sex Education: A Resurgence of Federal Funding for Abstinence-Only Programs? Megan K. Donovan, Guttmacher Institute First published online: March 30, 2017
- PROMPT: Before we learn about the specifics of a program I wanted to refresh your memory about the state of the current debate According to a 2015 article by Suzanne Beechey and Leah Moon, we should not take it lightly that what’s at the core of the sex ed debate is gender and not sex. http://file.scirp.org/pdf/JSS_2015071516143260.pdf My question to you as emerging leaders in public health is: How do we engage in this conversation? SNAP SHOT: A more recent article about sex ed, from Megan Donovan of the Guttmacher Institute, came up at the end of March. The Looming Threat to Sex Education: A Resurgence of Federal Funding for Abstinence-Only Programs? Megan K. Donovan, Guttmacher Institute First published online: March 30, 2017