अक्टूबर में 21, 2021, निर्णायक कार्रवाई ने लिंग और सामाजिक मानदंडों के विषय पर एक गोलमेज चर्चा की मेजबानी की. This event provided an opportunity for those working in family planning and reproductive health to learn about Breakthrough ACTION’s work addressing gender and social norms across diverse country programs and to share their own experiences. इस सत्र को याद किया? You can view the recording on the Breakthrough ACTION YouTube page.
This virtual session began with opening remarks from Joanna Skinner, Population and Reproductive Health technical lead with Breakthrough ACTION. She started by defining some key terms:
एमएस. Skinner stressed that social and gender norms are learned, sometimes explicitly but often implicitly, and evolve over time. She then shared some key lessons from Breakthrough ACTION related to gender and social norms:
Critical Elements for Successful Gender Integration
Participants then joined one of four roundtable sessions. They explored how Breakthrough ACTION programs have addressed social and gender norms through SBC programming and what the project has learned. Below are key takeaways from each of these sessions. Click each section to expand.
Chizoba Onyechi described the multi-channel SBC strategy used by Breakthrough ACTION in Nigeria. It addresses a range of health areas, from family planning to tuberculosis to nutrition. In Northern Nigeria, the gender work focuses on engaging male and female religious leaders as advocates for gender equality to help shift social and gender norms and leverage positive religious belief systems. She introduced the term adalci, a Nigerian Hausa word meaning “to provide a level playing field” or “ensure fairness and justice.” A commonly accepted principle, this concept provides a culturally appropriate framework for Breakthrough ACTION’s work in northern Nigeria to achieve gender equality and sustain healthy behaviors.
The roundtable discussion focused on the importance of using a multi-channel SBC approach—including community meetings, radio, and others—and ensuring alignment across projects. The group also discussed the importance of engaging community leaders and influencers—specifically religious leaders—so they are better prepared to address health issues in their community. Religious perspectives can aid in the uptake of certain behaviors, and this can be leveraged by SBC programs.
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Esete Getachew provided an overview of Breakthrough ACTION’s integrated project in Ethiopia, which focuses on reproductive, मम मेरे, नवजात, and child health (RMNCH) and malaria. It uses innovative SBC approaches to influence positive social norms around gender and health. The project builds the capacity of health workers around interpersonal communication and conducts gender dialogues with health workers.
The discussion in this group centered around ways to sustain positive shifts in provider norms—recognizing that health providers are influenced by community gender norms, too. Communities should drive the change process, and there should be mechanisms to hold them accountable. It is important to keep in mind that changing social and gender norms takes time. In addition to identifying gender norms, we would like to change, it is also important to identify positive gender norms.
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Lisa Cobb presented an overview of the “Getting Practical” tool, which helps integrate social norms into SBC programs. Developed by Breakthrough ACTION and the Social Norms Learning Collaborative, this tool is intended to be used by program designers and planners in a workshop setting to integrate social norms into program plans.
This roundtable discussed the need to understand pathways and to avoid making assumptions about how norms impact behavior. Participants also talked about the importance of a consultation process and the need to engage diverse community members before implementing an SBC project. They discussed how not all social and gender norms are negative. While projects often talk about shifting norms, there are also norms that can be amplified and fortified to promote healthy behaviors. These norms can serve as an important launching pad for individual and collective reflection.
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Carole Ilunga presented an overview of how Breakthrough ACTION is using SBC to address social and gender norms and improve outcomes in its family planning and maternal, नवजात, बच्चा, and adolescent health efforts in the Democratic Republic of the Congo (डीआरसी).
Carole started with a brief overview of social and gender norms that affect family planning uptake and utilization in the DRC, including pro-natalism and women’s low purchasing and decision-making power in households and how they disproportionately and negatively impact women. Carole then broke down the different critical levels of behavior change on the socio-ecological model for both men and women (individual, families/peers/households, समुदाय, health service delivery, social and structural). She noted that various forms of SBC communication approaches (जैसे, संचार मीडिया, social/community mobilization, and interpersonal communication) can be used to address norms that operate at different levels. Building on these examples, Carole discussed various strategies, समेत:
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This roundtable session ended with closing remarks from Afeefa Abdur-Rahman, senior gender advisor with USAID’s Office of Population and Reproductive Health. Afeefa emphasized a few key takeaways from the roundtable that align with key USAID gender priority areas for family planning and reproductive health. She noted that examining gender and other social norms is a way to support individuals and communities in addressing imbalances in power and how they negatively affect different groups of people. She pointed to how exploring social and gender norms provides stakeholders opportunities to discuss and challenge the benefits and disadvantages that these norms present for different individuals and groups and enables communities to make shifts. Afeefa also highlighted that using multiple theories and tools to address social and gender norms can help SBC implementers drive change. Afeefa ended her remarks by offering several ways forward in enhancing work on social and gender norms building on the themes of the roundtable:
क्या आपने इस सत्र को याद किया? You can watch the recording on Breakthrough ACTION’s YouTube channel. You can also follow Breakthrough ACTION on फेसबुक, ट्विटर, और लिंक्डइन. Sign up for Breakthrough ACTION Moments to receive more information and news.