Saison 3 du podcast Inside the FP Story explore comment aborder l'intégration du genre dans les programmes de planification familiale. Il couvre les sujets de l'autonomisation reproductive, prévention et réponse à la violence basée sur le genre, et engagement masculin. Ici, we summarize key insights shared by the season’s guests.
Le podcast Inside the FP Story explore les principes fondamentaux de la conception et de la mise en œuvre des programmes de planification familiale. Saison 3 was produced by Knowledge SUCCESS in partnership with Breakthrough ACTION et le USAID Interagency Gender Working Group. It covered gender integration in family planning programs. We explored key concepts, like gender transformative programming, and discussed strategies for implementing family planning programs in a way that addresses gender inequality.
Our first episode introduced key terms and concepts and then further explored the concept of reproductive empowerment. The second episode delved into the intersection of family planning and la violence sexiste (VBG), with examples and recommendations for integrated programming. Our last episode explored male engagement as an important strategy in family planning programs and services. Over the three episodes, our guests offered practical examples and specific guidance on strengthening gender integration and supporting gender equality within their family planning programs, comprenant:
Au dessous de (in no particular order), we summarize key considerations that emerged from discussions with this season’s guests—along with recommended tools and resources. These considerations can help us develop more gender-aware family planning policies and programming.
Nearly every guest mentioned the importance of conducting a thorough exploration of gender and social norms. These shape attitudes, croyances, and values regarding family planning use and access. Not only do these norms affect women and girls et hommes et garçons, but they affect them in different ways. Understanding gendered differences in power, accès, and control is critical. It challenges and transforms gender-inequitable norms, institutions, and structures. Ce, à son tour, improves gender égalité and health equity within family planning programs. Several guests recommended conducting a gender analysis. This would provide a systematic way to identify and understand gendered differences in power, accès, and control regarding family planning access and use. The gender analysis lessons can then be used to inform the design and implementation of more gender-transformative family planning programs that respond to challenges and opportunities in a given setting.
“At the heart of what I think is a part of [une] gender transformative program is to alter traditional gender norms that reinforce gender inequalities that would compromise women and girls’ control over their own body or opportunities to achieve their life choices or their goals.”
The real-life examples of gender-transformative family planning programs all included some form of cross-sectoral partnership. Several guests stressed the importance of working with the community beyond the health system (from governing bodies to faith-based institutions to agriculture and commerce). This ensures that gender issues are being identified and addressed through a more comprehensive lens. As several of our guests explained, we cannot rely on the health system alone to increase reproductive empowerment for women, filles, and others in a given setting. Multi-level, multi-component strategies and approaches are needed to foster and sustain an enabling environment for reproductive empowerment. This is particularly true for youth engagement in family planning.
“Empowerment comes from so many different areas. It’s not just within the reproductive health realm … building that reproductive empowerment does require us to go into different sectors and work with different partners … I’m thinking of building men’s reproductive empowerment. One of the aspects we’re looking at is that often men feel that health facilities and family planning, or like a woman’s perspective, it’s a woman’s place … So working in the agricultural sector or working with the employment sector to build that agency into their own programming is an area that you can think about to build in some of that multi-sectoral programming aspects and reaching men to build that empowerment in different areas that you might not already think about.”
Our guests shared a common denominator among successful gender-transformative programs. Whether it comes to integrating GBV prevention and response into family planning services, or engaging hommes et garçons in family planning, they meet people where they are in terms of experiences, Besoins, priorités, et préférences. Service integration is one way in which we can meet people where they are by reducing logistical and other barriers to accessing critical information and services. In the second episode, guests discussed how integrating services for family planning and GBV acknowledges the existing intersection of these two health issues. It allows individuals and families to receive timely information and support in a single location.
"… If you integrate family planning and GBV, you are actually leveraging the resources and you are able to reach a good number of women—the very same women who are family planning users, but the same women who are also facing challenges of gender-based violence.”
“One of the things we do is reach men outside their traditional spaces. So for example, in South Africa, places like the, we call them a taxi park, where you are going to be either waiting for a taxi or the ones who are sitting around calling, you engage them in those spaces.”
Several guests mentioned the life course approach as being important for addressing gender and social norms across genders and also engaging men and boys in particular. This approach entails:
When programs actively engage all genders in family planning from an early age and across life stages, they contribute to an enabling environment. This promotes gender-equitable norms and behaviors, including shared responsibility for family planning and its outcomes.
“If you are able to shift norms around male engagement in family planning amongst 15-year-olds, those same 15-year-olds, when they’re 35, are more likely, hopefully, to be more engaged and to have led lives that were more in keeping with what they wanted to do.”
The promotion and strengthening of gender-equitable couple communication is critical, with men and boys increasingly recognized and engaged as important actors in family planning. This is central to gender transformative family planning programs. To counteract the effects of inequitable gender and social norms evidence shows that more couple communication can contribute to improved family planning outcomes. Couple communication is something that can and should continue throughout a relationship. It must evolve with different life stages and events, such as the birth of a child. If supported broadly in our family planning programs, this process can also contribute to systemic changes on a broader scale.
"[We discuss] communication de couple, decision-making practices, consentant, and then if, especially with, in married or first-time parents, we talk about positive parenting practices, caring and in engagement in, during pregnancies and before pregnancy and after.”
A final consideration from our guests was the importance of monitoring and evaluating gender integration in family planning programming. They mentioned the need for stronger monitoring systems at all levels—from the individual level to the district and national level. Guests in episode 1 mentioned ways to measure reproductive empowerment. Those in episode 2 discussed ways in which they measured quality of care around GBV and family planning services.
In episode 3, our guests discussed ways that men are often included in monitoring and evaluation efforts, noting their inclusion is usually focused on their role as family planning clients. The strong lack of indicators around men as family planning users, les partenaires, and agents of change may be preventing us from having more nuanced information. These are needed to engage with men and boys around these other roles. Guests also made suggestions for specific indicators that can be useful for measuring how men engage as partners, such as the percentage of men who share in reproductive decision-making with their intimate partner. To measure men’s engagement as agents of change, programs could look at attitudes toward specific gender and social norms or national advocacy campaigns that address gender equity.
"[Il y a] a number of different indicators out there that have been already identified for male engagement. But incorporating areas such as joint decision-making, but not just like how many people are actually doing joint decision-making, but how many programs are actually working with clinicians to support joint counseling …”
“We need to be stronger with data … We don’t have enough studies that associate academically—especially by reputable academic institutions—the strong relation between reproductive health and GBV, between adolescents and GBV, between early marriage, adolescents, GBV … it’s all there in data and figures, in storytelling, it’s all in the centers, but there [aren’t] enough studies that were done to make the link stronger.”
Inside the FP Story is available on the Knowledge SUCCESS website, Podcasts Apple, Spotify, et Agrafeuse. Vous pouvez également trouver des outils et des ressources pertinents, along with French transcripts of each episode on the series’ webpage.
See our Collecte d'informations sur la PF for all the resources featured in this blog post—plus others mentioned in season 3 de À l'intérieur de l'histoire de FP.