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Public Policies in promoting mens involvement in sexual and reproductive health in Mali

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Global Symposium Engaging Men and Boys in achieving gender equality ... 20% of women in cohabitation declare they do not desire more children ... – PowerPoint PPT presentation

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Title: Public Policies in promoting mens involvement in sexual and reproductive health in Mali


1
Public Policies in promoting mens involvement
in sexual and reproductive health in Mali
  • Rio de Janeiro, March 31 2009
  • Global Symposium Engaging Men and Boys in
    achieving gender equality

2
  • Landlocked country located in West Africa, with a
    vast area of 1,241,238 km2
  • Approximately 12 million inhabitants of whom
  • more than 95 are Muslim
  • HIV prevalence 1,3
  • Modern Contraceptive Prevalence Rate of
  • 7 according to EDS IV 2006
  • Important desire for birth spacing according to
    EDS IV 2006
  • 20 of women in cohabitation declare they do not
    desire more children
  • 34 wish to wait more than 2 years before having
    another child

3
Why do we need policies for Mens invovement
in sexual and reproductive health ?
  • In many African countries including Mali, Men
    play a key role of decisionmaker in the life of
    the couple.
  • At the level of the household, the decision for
    the family as a whole on
  • How ?
  • When?
  • Where ? Having health care is generally made by
    the men.

4
Elaboration and implementation of CME-RH policies
  • Objective
  • Improving the political environment in
    favour of Constructive Men Engagement in
    Reproductive Health.
  • Targets the Parliamentarians, the key
    decisionmakers (other institutions of the
    Republic and Ministries), health authorities,
    the civil society, the decentralized
    collectivities, youth leaders, community leaders,
    and the financial and technical partners.
  • Challenges
  • The allowance of sufficient resources to CME-RH
  • Visibility of CME-RH in the existing policies and
    strategies.

5
Mali approaches in constructive mens engagement
in RH
  • The policy process on CME-RH has been carried
    out according to a multi-sector and participatory
    approach
  • Technical meeting on the Situation Analysis
    based on the technical with Mary Kincaid and Ken
    Morrisons technical assistance
  • Setting up of a piloting committee under the
    guidance of the Head of the Reproductive Health
    Division
  • Elaboration of the Draft on the Guideline CME-RH,
    with the support from the Piloting commmittee
  • Completion and validation of the Guideline with
    the multi sector RH/FP committee.

6
Objectives
  • Increase the capacities of stakeholders to set up
    the strategies for Constructive Men Engagement
    in matter of Reproductive Health
  • Improve the health of the family, of women and
    children 
  • Improve the health of the men themselves
  • Create sustainable behavioral changes in matter
    of Reproductive Health within the community.

7
General Principles
  • Being respectful of men and womens dignity and
    being attentive to the equity between them
  • The engagement of men does not consist solely in
    being additional customers it must also
    contribute in a very responsible way in improving
    the health of the women and of the family
  • The needs of young men must be taken into account
    quite early and be clearly implemented in the
    policies and programmes
  • The awareness received from the successful
    experiences the existing capacities must be
    taken into account .

8
  • Men Engagement is considered according to three
    axes 
  • Men as customers of RH services
  • Men as support partners of women Reproductive
    Health 
  • Men as change agents within the community.

Religious leaders From Silence to Action
9
How to improve reproductive health services for
men
  • Advocacy on the importance of setting up
    strategies to increase the use of RH services by
    men to the political , administrative,
    religious, community leaders and to the
    technical and financial partners
  • Hiring and training peer educators, community
    relays and other actors to provide RH services
    adapted to the needs of men with every age and
    social group and ultimately in every place
  • The organisation and the orientation of the
    reference to men for a better coverage of their
    sexual and reproductive health

10
How to improve reproductive health services for
men
  • The availability at the level of Health service
    centers Friends of the Men,  where the working
    time table,and the information education and
    communication tools will be adapted to the needs
    of men within a more welcoming space
  • The availability of the information and sexual
    reproductive health services for men in places
    where they usually go for their health problems
  • The reinforcement of the logistic system to
    ensure a regular supplying in RH products and
    conveniencies which the men need

11
Response to teenagers and youths needs
  • The expansion of the services offer to the
    teenagers and the youth down to the community
    level
  • The sensitizing and training of boys, teenager
    and youth associations about the various aspects
    of RH and about mens and womens rights in RH
  • Boys must be trained pretty early into respecting
    womens rights and dignity
  • The reinforcement of the trust and
    confidentiality atmosphere among teenagers and
    the youth in the time of their RH services
    requests
  • The participation of the teenagers and the youth
    to the designing and implementation of policies
    and user friendly policies for the teenagers and
    the youth

12
How to involve the youth?
  • The reinforcement of the trust and
    confidentiality atmosphere with teenagers and
    youth in the time of their requests for RH
    services
  • The participation of teenagers and youth to the
    designing and implementation of the policies that
    are relevant to them
  • Improving/creating user friendly services for
    teenagers and youth
  • The developement of innovative initiatives for
    the promotion of the RH at the level of the
    formal and informal educative system
  • Encouraging the dialogue on sexual education
    withing the family .

13
How to promote the dialogue within the couple for
a shared decision making
  • Communication for a behavior change at every
    level and by every modern and traditional
    communication canal on the rights in RH
  • Advocacy to the religious and community networks
    for their engagement in to encourage the
    dialogue, the shared decision making within the
    couple
  • The involvement of the community relays and the
    socio-sanitary staff for the promotion of the
    dialogue within the couple
  • Improving the participation of the couple to
    Family Planning through the feed-back of the
    customers/ happy couples the RH services.

14
How to promote the dialogue within the couple for
a shared decision making
  • Objective
  • Increase the number of couples that speak openly
    about the RH within the family and the community.
  • Targets men, women, girls and boys, family,
    community and religious leaders.
  • challenges
  • Promoting communication on RH issues among men
    and women in general
  • Getting men to know that RH is both womens and
    mens concern.

15
Capacity building of the actors in carrying out
CME-RH activities
  • Elaboration of one CME strategy for USAID Mali so
    as it can integrate it to all the projects in
    Mali
  • Introducing RH and gender issues in the
    curricula of the schools at every level of the
    educative system
  • The training of the Ministry of Health Staff in
    sexual and Reproductive Health, gender and the
    strategies to reach the men and boys
  • Expansion of health information and the
    availability on the workplaces of the men
  • The training and the involvement of the private
    sector in order to provide user friendly services
    for men.
  • The expansion of the training to the other
    Ministries.

16
Mali policies on CME-RH at community level?
  • Under the leadership of the Ministry of Health
  • Production and testing of a specific guideline on
    the dialogue within the couple (with Ken
    Morrisons support)
  • Training of community health workers (CHWs)
    based on the specific guideline in the pilot
    areas in collaboration with NGOs
  • Conduct of activities by the CHWs in
    collaboration with NGOs
  • Activity monitoring
  • Review of the guideline if necessary.

17
CONCLUSION
  • The implemention of the strategies on the
    CME-RH Guide needs
  • The mobilzation , the participation of every
    structure both public and private it requires
    also the participation of the Civil Society , the
    Technical and Financial Partners at every level .
  • A strong commitment and an unfailing political
    guidance from the highest authorities is
    necessary for the implementation and the
    dissemination of the policies on CME-RH
  • The Ministry of Health and the civil society and
    the key actors taking ownership of the policy
    from the very beginning.

18
  • THANKS FOR YOUR ATTENTION
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