Women are only half of the equation when it comes to family planning in Togo. To enact real change and truly give women the ability to limit the number of children they have, involving their husbands is crucial. Culturally it is the husband who is the head of the household, and it is the husband who decides important family decisions, such as the number of children.
Holding a health that targets men is important for increasing the use of family planning methods in a village.
Introduction
If what you want to do in village is improve the usage of family planning in your village, then this project can help you specifically with getting the male population on board.
Steps
There are certain things that need to be planned and considered in order to hold a MAP health talk on family planning. Use the below mentioned steps to make sure that your event is a success.
- Who should you contact in village to help you initiate this project? Having a counterpart in village who feels strongly about your causerie, and is willing to partner with you to help implement it is important. (Because this activity is MAP having a male homologue partnership could prove to be more useful than, a female)
- Possible Partner Suggestions:
- Primary Homologue
- Hospital Staff
- Affaire Social Staff (equivalent to a social worker)
- Teacher
- Choose the location of your event, picking a place that suites the specific needs of your health talk are important. If the talk is for a small group pick a smaller more intimate location, if it is a massive sensibilization, pick a place that a lot people can and will gather.
- Get the support of important members in the community for your health talk. Depending on the village, family planning can be a controversial topic, so make sure to find time to speak with your chief, Imam, priest, or hospital staff so that they can “bless” your health talk, and possibly help spread the word around for maximum attendance.
- Pick a date and time for the health talk, consider whether it’s wet or dry season, when people in village are the most active. Making sure that your possible audience is actually available to attend your health talk. Be careful of the chosen date during rainy season, men work in the fields then all day. The same goes for whatever major religion or practices that may occur in your village, don’t schedule events during religious services.
Once you have tackled the above steps you are ready to put on a health talk.
Content
Brise-Glace: Agree or Disagree
Always start a health talk with an engaging activity or mini game. For a MAP health talk on family planning, the Brsie-Glace: Agree or Disagree is a great way to introduce the topic.
Rules: Have two sheets of paper with the words agree (d‘accord) or disagree (pas d’accord) written on them. Hang the two sheets on opposite sides of the room.
Have the assembled group stand in the center of the room while you read out a statement, then tell them to stand under either the agree sign or disagree sign, based on what they believe is the correct response. After everyone has chosen a side, ask for a volunteer for each side to explain their reasoning. (Technically there are no right or wrong answers, this should not be the point where you explain your own reasoning, be impartial.)
When the discussion is over and both sides have made their arguments move on to the next question.
List of Statements:
- Women should be in control of their own bodies (Les femmes devraient être en contrôle de leur propre corps)
- Having a lot of children is important for family success (Beaucoup d’enfants est important pour la réussite familiale)
- Contraceptives can be dangerous to women (Contraceptifs peut être dangereuse pour les femmes)
- God decides how many children we will have (Dieu décide combien d’enfants nous aurons)
- Men make all the decisions for their households (Hommes prennent toutes les décisions pour leurs ménages)
- One child is not enough (Un enfant n’est pas suffisant)
- Ten children are too many (Dix enfants sont trop nombreux)
- Men who ask their wives opinion when making decisions are weak (Les hommes qui demandent à leurs épouses avis lorsque des décisions sont faibles)
- Condoms are for promiscuous people (Préservatifs sont pour les gens de promiscuité)
- It is the right of men to have more than one wife. (C’est le droit de l’homme d’avoir plus d’une femme)
After the Brise-Glace begin discussing the benefits of family planning with the men. (Because this is MAP, the benefits need to be male focused and not focused on any perceived rights of women.) Such as:
- Less children means more money for the family
- More likely to be able to send children to school
- Less children that may need hospital attention
- Extra money can be used in AGR or saved for emergencies
- Fewer mouths to feed
- Fewer children reduces the risk of death or complications in the wife
- Smaller families take up less space
- Large families can lead to neglected children
- Using contraceptives allows for consequence free (child free) sex
- There are many temporary type of contraceptives for creating a break in between children that will not keep the family from having children in the future
After discussing the benefits of family planning, spend the rest of the health talk discussing the actual types of contraceptives available.
- IUDs
- Injectables like Depo
- Pills
- Condoms
- Implants
*If possible this portion of the session can be handled by a knowledgeable health worker such as a nurse, birth attendant, or mid-wife. If not available consult your CHAMP toolkit for birth control method descriptions.
Don’t forget to mention costs, if you can find them, the length of time different birth control methods offer, and that condoms also protect against HIV/AIDS. Finally challenge the men to visit their local clinic and hospital to get more information.
Monitoring and Evaluation
This is a critical step in a project and something that should be considered a part of every project large or small.
For a family planning health talk, make sure to send around a sign in sheet that takes down the name and ages of all the participants, this info is crucial for volunteer reporting.
A simple survey that asks how well informed the participants are about family planning and how positively they view the concept before and after your health talk is a great way to gauge the effect of your discussion.
Other Resources
http://health.allrefer.com/health/vagina-female-reproductive-anatomy-1.html – images of vagina
http://www.life123.com/health/womens-health/contraception/understanding-the-contraception-methods-available-.shtml – Description of contraceptive methods