“There is still something missing”: comparing a gender-sensitive and gender-transformative approach in Burundi

Hillenbrand, Emily; Mohanraj, Pranati; Njuki, Jemimah; Domitille, Ntakobakinvuna,; Sitotaw, Abinet Tasew

doi:10.1080/09614524.2022.2107613

Cited by 20 publications

(32 citation statements)

References 13 publications

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“…Gender transformative health programming focuses on transforming the power dynamics and structures that serve to reinforce gendered inequalities in access to health services – rather than singularly targeting individualized self-improvement services to women. 54–57 It involves gender-based analysis of communities to understand how health behaviors reflect cultural differences between men and women, especially regarding power and decision-making. Based on this understanding, it delivers appropriate gender sensitivity training to health providers and builds the capacity of health centers to encourage contraceptive users, partners, and communities to reflect critically on how gender norms and harmful gender stereotypes affect the well-being of women, children, partners, families, and communities.…”

Section: Discussionmentioning

confidence: 99%

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An Interpretative Study of LARCs Discontinuation in Ethiopia: The Experiences of Women Accessing Contraceptives in Selected Public Health Facilities

Mihretie¹,

Abebe²,

Abera³

et al. 2023

OAJC

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Background Discontinuation of contraception for reasons other than wanting to become pregnant is a public health concern as it affects women’s autonomy in sexual and reproductive health decision making as well as gender equality. Studies identified various factors, including community perception and users’ dissatisfaction that limited the reach and impact of contraceptives, primarily LARCs, on women’s wellbeing. In Ethiopia, however, the reasons for early discontinuation of LARCCs are not adequately explored. Against this backdrop, this study explores the main reasons for the early discontinuation of LARCs among Ethiopian women in selected public health facilities. Methods This study used an institution-based qualitative study design and covered selected university hospitals and health centers in Addis Ababa, Gondar, Mekelle, and Jimma. It involved in-depth interviews with 29 women aged 15–49 to gather data and explore the decision-making processes involved in the early discontinuation of LARCs. It used description, narration and thematic interpretation as data analysis procedures. Results Interviewees reported several reasons for early discontinuation of LARCs, including side effects (eg, weight gain/loss, heavy menses, tiredness, and reduced libido), desire to conceive, and husbands’ disapproval. This study found that women were sufficiently aware of alternative contraceptives, including LARCs. Many reported experimenting before deciding on an option. Conversely, others’ reports reveal the influences of gender roles and community misconceptions on women’s decisions to discontinue LARCs. Discussion and Implications The common threads in interviewees’ narratives highlight the significance of traditional values, gender roles, community perception, and experience with side effects to women’s early discontinuation of LARCs. This study concludes with remarks on how to improve the effectiveness of family planning programming by adopting the gender transformative approach (GTA) in their design and implementation.

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Section: Discussionmentioning

confidence: 99%

“…Program planning and implementation could face resistance as advocacy for gender-transformative change threaten existing power structures and dynamics from some corners. 54 …”

Section: Discussionmentioning

confidence: 99%

An Interpretative Study of LARCs Discontinuation in Ethiopia: The Experiences of Women Accessing Contraceptives in Selected Public Health Facilities

Mihretie¹,

Abebe²,

Abera³

et al. 2023

OAJC

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“…On the other hand, development organizations have tried to take notice of these critiques and increasingly rely on research evidence to justify planned interventions and shape their approaches accordingly (Badstue et al, 2020). An increasing number of development projects are informed by sometimes elaborate theories of change, which incorporate the role of structural factors (including wider institutions and social norms) and recognize spheres of influences at multiple layers and scales (Harper et al, 2014; Hillenbrand et al, 2015; Shakun et al, 2021). However, there are challenges and lessons from such processes, which are not well known in research circles.…”

Section: Introductionmentioning

confidence: 99%

Promoting Gender Equity in Livelihoods Projects: Practitioners’ Perspectives Through the Lens of a Socio-ecological Model

Serra

Kendall

Towns

et al. 2022

Progress in Development Studies

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This article points to the untapped potential for meaningful and mutually beneficial exchange between development research and practice, by presenting an example of an iterative process of knowledge formation, whereby project staff’s collective experiential insights and inductive learning are used to obtain an enriched Socio-ecological Model (SEM), which is attuned to the lived experiences in the field and is reinforced by the available research evidence. Using Catholic Relief Services, one of the largest humanitarian and development organizations worldwide, as case study, interviews were conducted with project staff from nine livelihood and food security projects and gathered staff’s perceptions and experiences with promoting gender-equitable outcomes through improved intra-household gender dynamics and men’s involvement. The qualitative analysis of the interviews shows that, while projects tried to integrate activities across the four levels of the SEM (individual, family, community and societal), staff perceived that the stickiness of social norms, women’s time poverty and limited buy-in from local organizations affected progress and presented new challenges that required constant adaptation. Our proposed method shows how an SEM can be enriched by incorporating these additional elements and by using existing research to confirm the significance of the exercise. An enriched SEM, by explicitly pointing to cross-cutting challenges that emerge from the field, is better reflective of the realities in which the staff works than a simple SEM. A process of SEM’s validation through incorporating insights from field staff and collaboratively involving researchers has the potential to deepen how projects or organizations think about the way they can foster gender transformative change; as well as to lead to more informed research and enhance researchers’ appreciations of the practical nature of development project challenges.

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“…This frequently involves instrumental approaches, whereby the focus is on “engaging women” to achieve other ends (e.g., such as engaging women to promote child health or economic development) (MacArthur et al, 2020). Alone these approaches are not viewed as adequate to address inequalities without addressing power issues, the burden of work, or similar (Cornwall, 2016; Hillenbrand et al, 2015). More recently, gender transformative development that addresses unequal power relations, structures and norms is being more widely taken up by actors in the WASH sector (MacArthur et al, 2020; Oxfam, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…We define GSE outcomes as inclusive and transformative. Inclusive WASH outcomes are those that relate to the specific WASH needs and barriers of different social groups (Hillenbrand et al, 2015). For instance, these interventions may involve female‐friendly school toilets (e.g., modifications to ensure adequate menstrual hygiene management facilities) to meet girls' menstrual hygiene needs (Schmitt et al, 2018; UNICEF WaterAid & WSUP, 2018), toilets adapted to people with disabilities or toilets that are adapted to religious or cultural practices.…”

Section: Introductionmentioning

confidence: 99%

PROTOCOL: What is the impact of complex WASH interventions on gender and social equality outcomes in low‐ and middle‐income countries? A mixed‐method systematic review protocol

Duca

Soto

Carrard

et al. 2021

Campbell Systematic Reviews

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BACKGROUND 1.1 | The problem: Limited evaluation of social and gender equality outcomes of water, sanitation and hygiene interventions Safely managed water, sanitation and hygiene (WASH) services are viewed as fundamental for human wellbeing, enabling a range of positive outcomes related to health, education, livelihoods, dignity, safety, and gender equality. Progress in providing WASH services and thus achieving these outcomes has not occurred equally, with a range of inequalities in who can access and benefit from WASH services across varying socio-cultural contexts, geographical areas and socioeconomic settings. For instance, among the 785 million people who lack a basic drinking-water service, and 2 billion who lack access to basic sanitation services, a greater proportion are poor and living in rural areas (WHO/UNICEF JMP, 2019). Further, unsafely managed water and sanitation disproportionately impacts a number of social groups, including women, girls, and sexual and gender minorities, people with disabilities, people marginalised due to ethnicity, caste, poverty or other factors, and those living in vulnerable situations such as displaced people or people who are experiencing homelessness. As the COVID-19 pandemic disproportionately affects particular groups of people, it has the potential to exacerbate many of these existing WASH inequalities (Howard et al., 2020).Gender inequalities related to WASH are particularly large, as women and girls have specific needs related to biological factors, and experience strongly gendered norms surrounding water and sanitation, such as expectations of carrying out water fetching, caregiving and hygiene roles within the household (Caruso et al., 2015). In many countries where women and girls are responsible for water fetching this contributes to a substantial burden of musculoskeletal disease (Geere & Cortobius, 2017). Additionally, women and girls are more negatively impacted by a lack of private and safe sanitation facilities,

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“There is still something missing”: comparing a gender-sensitive and gender-transformative approach in Burundi

Cited by 20 publications

References 13 publications

An Interpretative Study of LARCs Discontinuation in Ethiopia: The Experiences of Women Accessing Contraceptives in Selected Public Health Facilities

An Interpretative Study of LARCs Discontinuation in Ethiopia: The Experiences of Women Accessing Contraceptives in Selected Public Health Facilities

Promoting Gender Equity in Livelihoods Projects: Practitioners’ Perspectives Through the Lens of a Socio-ecological Model

PROTOCOL: What is the impact of complex WASH interventions on gender and social equality outcomes in low‐ and middle‐income countries? A mixed‐method systematic review protocol

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