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Involving Young Men in Promoting Gender Equality and Combatting HIV/AIDS Lessons Learned from Program H. Gary Barker, PhD Instituto Promundo www.promundo.org.br. Objectives. Discuss why these issues are important for the workplace
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Involving Young Men in Promoting Gender Equality and Combatting HIV/AIDSLessons Learned from Program H Gary Barker, PhD Instituto Promundo www.promundo.org.br
Objectives • Discuss why these issues are important for the workplace • Present lessons learned from a comprehensive and evaluated approach to engaging young men in promoting gender equality and preventing HIV/AIDS • Discuss ideas for taking this approach to the workplace in partnership with ILO
Why are these issues important for the workplace? • Men’s violence against women = lost productivity • HIV/AIDS = lost workers • Unmet sexual and reproductive health needs = higher health care costs • Resistance to women’s equality in the workplace by men = denial of women’s rights • Limited participation as fathers = unfair burden on women
Why focus on young men? • 15-24 phase when forming relationships, having their first children, learning to interact in intimate relationships • Potential for critical thinking and for questioning traditional gender norms • Tapping the potential for constructing alternative ways of being men ....
We know how to promote greater gender equality with young men • Offering alternative male peer groups who support greater gender equality. • Helping young men reflect about the costs of traditional views of manhood. • Putting young men in contact with positive role models who reinforce alternative views about gender.
What is Program H? • An integrated program to promote gender equality • Tested in six countries with 271 young men • Now used in most of Latin America and being adapted for Asia, SSA • Based on the best practices of 4 NGOs with extensive experience working with men • Partnerships with WHO, PAHO, UNFPA, USAID, IPPF, Durex Condoms
Program H: 4 Integrated Components 1.) Group Workshops to Promote AttitudeChange 2.) Lifestyle Social Marketing to Change Community Norms 3.) Engage Health Services and Other Community Allies to Reach Young Men 4.) Evaluate Attitude and Social Norm Change: The GEM Scale Partners: ECOS, PAPAI, Salud y Genero, IPPF, PAHO/WHO, UNFPA, Durex Condoms, Horizons/Population Council, JohnSnowBrasil
Five Manuals Workshops to Promote AttitudeChange • Sexuality and Reproductive Health • Fatherhood and Caregiving • From Violence to Peaceful Coexistence • Reasons and Emotions • Preventing/Living with HIV/AIDS Video: “Once Upon a Boy”
Key Lessons Learned in Group Educational Activities • Promote a reflection about “costs” of traditional/harmful aspects of masculinity • Discuss and “rehearse” positive male attitudes • Take them to where young men are ...community groups, schools, the workplace, the sports field
Identify “more gender-equitable” young men • Design communication strategies based on youth culture • Combine condom use with a more “gender-equitable” lifestyle • Partnerhship with private sector: Durex Condoms 2. Lifestyle Social Marketing to Promote Changes in Community Norms
3. Engaging health services and other community allies to reach young men • On the DEMAND SIDE: Promote health awareness among young men and their families • On the SUPPLY SIDE: Work with health practitioners to sensitize them to needs of young men ......engaging the health sector as an ally in promoting gender equality.
4.Evaluation of Attitude and Social Norm Change: The GEM Scale • Impact evaluation project (with support from Horizons/Population Council) • Intervention with young men (manuals combined with lifestyle social marketing) • Qualitative and quantitative components • Cost-effectiveness analysis • Assess process and impact indicators (changes in behaviors and attitudes) • Construction of GEM Scale(Gender Equitable Attitudes in Men Scale)
GEM Scale Rating by % Violence Among Youth* Percent of Partner Violence *p < 0.001 - Chi-square test
GEM Scale Rating by % Non-condom Use Among Adults* Percent of Non-condom Use Last sex w Secondary Partner *p = .08 - Chi-square test
Results and Final Lessons Learned • Initial results show positive change in 16 of 24 attitude questions after participation in activities, and increased condom use • Need to intervene at individual and community level • Importance of building local partnerships to reinforce messages (with pharmacies, workplace, schools, NGOs, neighborhood association, health sector) • Engaging young men in all aspects of program development
Next Steps ..... • Take it to the workplace.... • Test the process in collaboration with ILO and employer groups • Engage employers as active partners in promoting gender equality with young men