Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi

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Study Justification:
– The study aims to explore the role and involvement of men in maternal, newborn, and child health (MNCH) services in Malawi.
– It seeks to understand the community systems barriers and enablers to male involvement in MNCH.
– The study addresses the challenges in achieving universal access to MNCH care in Malawi.
– It aims to contribute to the broader understanding of community factors affecting MNCH outcomes.
Study Highlights:
– Policy changes and community and healthcare provider initiatives have stimulated male involvement in MNCH in Malawi.
– Informal bylaws, healthcare provider strategies, and NGO initiatives have created an enabling environment for ANC and delivery service utilization.
– Traditional gender roles in the home and male-unfriendly health facility environments still present challenges to male involvement.
– Health care provider initiatives need to be sensitive and mindful of gender roles and relations to improve male involvement in MNCH programs.
Study Recommendations:
– Design gender-inclusive programs and spaces to reduce perceived barriers to male involvement in MNCH services.
– Create welcoming environments that encourage men to be full partners in improving maternal, neonatal, and child health outcomes.
– Address traditional notions of men as decision-makers and socio-cultural views on maternal health to promote male involvement in MNCH.
Key Role Players:
– Policy makers
– Community leaders
– Healthcare providers
– Non-governmental organizations (NGOs)
– Researchers and academics
Cost Items for Planning Recommendations:
– Training and capacity building for healthcare providers on gender-inclusive approaches
– Development and implementation of awareness campaigns targeting traditional gender roles and views on maternal health
– Creation of male-friendly spaces within health facilities
– Research and evaluation of the impact of gender-inclusive programs on MNCH outcomes
– Collaboration and coordination efforts among key role players

The strength of evidence for this abstract is 7 out of 10.
The evidence in the abstract is based on qualitative data collected in two districts in Malawi. The study used a mixed method convergent research design within a transformative paradigm, which provides a comprehensive approach to understanding the role and involvement of men in maternal, newborn, and child health (MNCH) services. The qualitative data collected through 85 in-depth interviews and 20 focus group discussions offer valuable insights into the community systems barriers and enablers to male involvement. However, the abstract does not provide specific details about the sampling strategy or the representativeness of the participants, which could affect the generalizability of the findings. To improve the strength of the evidence, future research could consider using a larger sample size and a more diverse population to ensure the findings are applicable to a wider context. Additionally, incorporating quantitative data alongside the qualitative data would provide a more comprehensive understanding of the topic.

Background: For years, Malawi remained at the bottom of league tables on maternal, neonatal and child health. Although maternal mortality ratios have reduced and significant progress has been made in reducing neonatal morality, many challenges in achieving universal access to maternal, newborn and child health care still exist in Malawi. In Malawi, there is still minimal, though increasing, male involvement in ANC/PMTCT/MNCH services, but little understanding of why this is the case. The aim of this paper is to explore the role and involvement of men in MNCH services, as part of the broader understanding of those community system factors. Methods: This paper draws on the qualitative data collected in two districts in Malawi to explore the role and involvement of men across the MNCH continuum of care, with a focus on understanding the community systems barriers and enablers to male involvement. A total of 85 IDIs and 20 FGDs were conducted from August 2014 to January 2015. Semi-structure interview guides were used to guide the discussion and a thematic analysis approach was used for data analysis. Results: Policy changes and community and health care provider initiatives stimulated men to get involved in the health of their female partners and children. The informal bylaws, the health care provider strategies and NGO initiatives created an enabling environment to support ANC and delivery service utilisation in Malawi. However, traditional gender roles in the home and the male ‘unfriendly’ health facility environments still present challenges to male involvement. Conclusion: Traditional notions of men as decision makers and socio-cultural views on maternal health present challenges to male involvement in MNCH programs. Health care provider initiatives need to be sensitive and mindful of gender roles and relations by, for example, creating gender inclusive programs and spaces that aim at reducing perceptions of barriers to male involvement in MNCH services so that programs and spaces that are aimed at involving men are designed to welcome men as full partners in the overall goals for improving maternal, neonatal and child health outcomes.

A mixed method convergent research design within a transformative paradigm (that is seeking sustainable changes in behavior and systems to improve social development) was adopted for the COSYST-MNCH project [40]. The aim was to collect data, quantitative and qualitative, that would enable the identification and a better understanding of what community systems exist and how they function. This paper draws on the qualitative data collected in two districts (Mchinji and Nkhotakota) in Malawi to explore the role and involvement of men across the MNCH continuum of care, with a focus on understanding the community systems barriers and enablers to male involvement in the promotion of MNCH.

The research paper “Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi” recommends creating gender-inclusive programs and spaces to reduce barriers to male involvement in maternal, newborn, and child health (MNCH) services. This recommendation is based on the finding that traditional gender roles and socio-cultural views on maternal health hinder male involvement in MNCH programs.

To improve access to maternal health in Malawi, the paper suggests that health care providers should design programs and spaces that welcome men as full partners in improving maternal, neonatal, and child health outcomes. This can be achieved through policy changes, community and health care provider initiatives, and NGO initiatives that create an enabling environment supporting male involvement.

The research paper used a mixed method convergent research design within a transformative paradigm to collect quantitative and qualitative data. Qualitative data was collected in two districts in Malawi (Mchinji and Nkhotakota) to explore the role and involvement of men in MNCH services and understand the community systems barriers and enablers to male involvement.

The research paper was published in BMC Pregnancy and Childbirth, Volume 17, No. 1, in 2017.
AI Innovations Description
The recommendation from the research paper “Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi” is to create gender-inclusive programs and spaces that aim to reduce barriers to male involvement in maternal, newborn, and child health (MNCH) services. This recommendation is based on the finding that traditional gender roles and socio-cultural views on maternal health present challenges to male involvement in MNCH programs.

To improve access to maternal health in Malawi, it is suggested that health care provider initiatives should be sensitive and mindful of gender roles and relations. This can be achieved by designing programs and spaces that welcome men as full partners in the overall goals for improving maternal, neonatal, and child health outcomes. By creating an enabling environment that supports male involvement, such as through policy changes, community and health care provider initiatives, and NGO initiatives, more men can be encouraged to participate in MNCH services.

The research paper used a mixed method convergent research design within a transformative paradigm to collect quantitative and qualitative data. The qualitative data collected in two districts in Malawi (Mchinji and Nkhotakota) was used to explore the role and involvement of men across the MNCH continuum of care and understand the community systems barriers and enablers to male involvement in promoting MNCH.

This research was published in BMC Pregnancy and Childbirth, Volume 17, No. 1, in the year 2017.
AI Innovations Methodology
To simulate the impact of the main recommendations from the research paper on improving access to maternal health in Malawi, a potential methodology could involve the following steps:

1. Designing gender-inclusive programs: Develop programs that aim to reduce barriers to male involvement in maternal, newborn, and child health (MNCH) services. This could include creating awareness campaigns, educational materials, and community outreach initiatives that specifically target men and promote their active participation in MNCH.

2. Policy changes: Advocate for policy changes that support and encourage male involvement in MNCH. This could involve working with government officials and policymakers to develop and implement policies that prioritize gender inclusivity in healthcare services and provide incentives for men to participate in MNCH programs.

3. Community and healthcare provider initiatives: Collaborate with local communities and healthcare providers to implement initiatives that create an enabling environment for male involvement. This could include training healthcare providers on gender sensitivity and promoting cultural competency, as well as engaging community leaders and influencers to support and encourage male participation in MNCH services.

4. NGO initiatives: Partner with non-governmental organizations (NGOs) to implement programs and interventions that specifically target male involvement in MNCH. NGOs can play a crucial role in providing resources, support, and expertise to facilitate the implementation of gender-inclusive programs and initiatives.

5. Monitoring and evaluation: Establish a monitoring and evaluation framework to assess the impact of these interventions on improving access to maternal health. This could involve collecting quantitative data on the number of men accessing MNCH services, as well as qualitative data to understand their experiences and perceptions. Regular monitoring and evaluation will help identify areas for improvement and guide future interventions.

By implementing these steps, it is expected that there will be an increase in male involvement in MNCH services in Malawi, leading to improved access to maternal health. This methodology aligns with the research paper’s recommendation to create gender-inclusive programs and spaces that aim to reduce barriers to male involvement in MNCH services.

Please note that this is a hypothetical methodology based on the information provided in the abstract. The actual implementation would require further planning, coordination, and adaptation to the specific context and resources available in Malawi.

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