Factors that Influence Male Involvement in Sexual and Reproductive Health in Western Kenya: A Qualitative Study
Abstract
This study explored factors that influence male involvement in reproductive health in western Kenya. Qualitative study design was used. From December 2008 to February 2009, data were collected via in-depth interviews and focus group discussions (FGDs) at three provinces of western Kenya. Twelve in-depth interviews and eight FGDs were conducted. Five participants in in-depth interviews were female, seven were male. Four of the FGDs had all-male participants, four all-female. The factors that influence male involvement in reproductive health emerged in two themes, namely gender norms and the traditional approaches used to implement reproductive health and family planning programs. Any strategy taken to involve men in reproductive health must therefore consider addressing these two factors. A review of the traditional approaches of implementing reproductive health is necessary to make them more male-friendly (Afr J Reprod Health 2010; 14[4]: 33-43).
Résumé
Facteurs qui influent sur le rôle du mâle dans la santé de reproduction et sexuelle à l’ouest de Kenya : une étude qualitative. Cette étude a exploré les facteurs qui influent sur le rôle du mâle dans la santé de reproduction é l’ouest du Kenya. On a employé l’organisation d’une étude qualitative. A partir du mois du décembre 2008 jusqu’au février 2009, nous avons recueilli des données à travers des interviews en profondeur et les discussions à groupe cible (DGC) dans trois provinces du Kenya de l’ouest. Nous avons recueilli douze interviews en profondeur avons organisé8 DGCs. Parmi les participants aux interviews en profondeur, cinq étaient des femelles, sept étaient des mâles. Quatre parmi les DGCs étaient composés entièrement de mâles et quatre étaient composés entièrement de femelles. Les facteurs qui influent sur la participation des mâles à la santé de reproduction ont émergé en deux thèmes : 1) les normes du genre et 2) les approches traditionnelles dont on se sert pour mettre en œuvre les programme de santé de reproduction et de planification familiale. Toute stratégie adoptée pour assurer la participation des hommes à la santé de reproduction doit donc penser à s’occuper de ces deux facteurs. Une révision des approches traditionnelles de la mise en application de santé de la reproduction est nécessaire pour les rendre plus favorables aux hommes (Afr J Reprod Health 2010; 14[4]: 33-43).
Keywords: Gender, male involvement, reproductive health, Kenya
Full Text:
PDFReferences
Maharaj P. Promoting Male Involvement in Reproductive Health. Agenda No 44, AIDS Concerns for Women 2000, 37-47. Retrieved from http://www.jstor.org/ stable/4066433 on September 2, 2010
Family Health International [FHI]. Male Participation in Reproductive Health Network, 1998; 18 (3). Retrieved from http://www.fhi.org/en/rh/pubs/network/v18_3/ nw183ch3.htm accessed on 7/31/08
Sternberg P and Hubley J. Evaluating men’s involvement as a strategy in sexual and reproductive health promotion. Hlth Prom Intl 2004; 19 (3): 389-396.
Economic and Social Development Department. Male involvement in reproductive health: Incorporating gender throughout life cycle. Retrieved from http://www.fao.org/DOCREP/x0257e/x0257e.htm#Top
OfPage on September 2nd, 2010
Walston N. Challenges and Opportunities for Male involvement in Reproductive Health in Cambodia. United States Agency for International Development (USAID) Policy Project. Retrieved from
http://www.policyproject.com/pubs/countryreports/MaleI nvolv_Cam.pdf on August 16th, 2010
White V, Greene M, Murphy E. The Synergy Project. Men and reproductive health programs: Influencing gender norms, 2003. Available at: http://www.synergyaids. com/SynergyPublications/Gender_Norms.pdf. Accessed May 2, 2009
Greene ME, Mehta M, Pulerwitz J, Wulf D, Bankole A and Singh S. Involving men in reproductive health: Contributions to development. Millennium Project, n.d. Retrieved from http://www.unmillenniumproject.org/ documents/Greene_et_al-final.pdf on September 4th, 2010
United Nations. Program of action: Adopted at the international conference on population and development, Cairo, 5-13 September 1994 No. E/3000/1998)UNFPA. Downloaded from http://www. unfpa.org/icpd/icpd-programme.cfm
Chege J. Interventions linking gender relations and violence with reproductive health and HIV: Rationale, effectiveness and gaps. Agenda Special Focus 2005; 114-123
Ndong I, Becker RM, Haws JM and Wegner MM. Men’s reproductive health: Defining, designing, and delivering services. Fam Plann Persp 1999; 25(Supp).
Population Council. Mixed success involving men in maternal care worldwide. Population Briefs, 2005.
Retrieved from
http://www.popcouncil.org/pdfs/factsheets/RH_MenInM aternalCare_letter.pdf
Becker S. Couples and reproductive health: A review of couples studies. Stud Fam Plann 1996; 27(6): 291306.
Foreit JR. Improving reproductive health by involving men in community-based distribution. Program Briefs, 2. Washington DC: Population Council/Frontiers.
Gilbert L and Walker L. Treading the path of least resistance: HIV/AIDS and social inequalities: A South African case study. Social Science and Medicine 2002; 54(7): 1093-1110
World Health Organization. Programming for male involvement for reproductive health: Report of the meeting of WHO regional advisers in reproductive health. WHO/PAHO, Washington, DC, USA. WHO/FCH/RHR/0.23, 2002
Bawa AA, Akwengo P, Simmon R and Phillips, JF. Women’s fears and men’s anxieties: The impact of family planning on gender relations in northern Ghana. Stud Fam Plann 1999; 30(1): 54-66.
Fapohunda, Bolaji M and Naomi Rutenberg. Expanding men’s participation in reproductive health in Kenya, Nairobi, Kenya, African Population Policy Research Center, 1999. Retrieved from http://www.popcouncil. org/pdfs/frontiers/OR_TA/Africa/KenRH.pdf. Accessed on April 8, 2009.
Kim YM., Kols A, Mwarogo P and Awasum D. Differences in counseling men and women: family planning in Kenya. Pat Edu Coun 2000; 39: 37-47.
Muia E, Olenja J, Kimani V, Leornard A. Integrating men into reproductive health equation: Acceptability and feasibility in Kenya. Population Council Inc, 2000.
QSR International. Nvivo8, 2008. Retrieved May 2009 from http://www.qsrinternational.com
Refbacks
- There are currently no refbacks.






