Sexual and reproductive health and rights post 2015—challenges and opportunities

Allotey, Pascale; Reidpath, Daniel D.

doi:10.1111/1471-0528.13177

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…This attitude is not unique to HCWs. Vulnerability within global health is often used to describe women and children exclusively, regardless of the specific context [ 18 , 44 ]. For instance, in a recent review of 201 prominent global health organizations, only 42% had gender-responsive strategies to meet the needs of both women and men.…”

Section: Discussionmentioning

confidence: 99%

Health care workers’ perceptions and bias toward men as HIV clients in Malawi and Mozambique: A qualitative study

Dovel,

Paneno,

Balakasi

et al. 2023

PLOS Glob Public Health

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Men are underrepresented in HIV services throughout sub-Saharan Africa. Little is known about health care worker (HCW) perceptions of men as clients, which may directly affect the quality of care provided, and HCWs’ buy-in for male-specific interventions. Focus group discussions (FGDs) were conducted in 2016 with HCWs from 15 facilities across Malawi and Mozambique and were originally conducted to evaluate barriers to universal treatment (not HCW bias). FGDs were conducted in local languages, recorded, translated to English, and transcribed. For this study, we focused on HCW perceptions of men as HIV clients and any explicit bias against men, using inductive and deductive coding in Atlas.ti v.8, and analyzed using constant comparison methods. 20 FGDs with 154 HCWs working in HIV treatment clinics were included. Median age was 30 years, 59% were female, and 43% were providers versus support staff. HCWs held strong explicit bias against men as clients. Most HCWs believed men could easily navigate HIV services due to their elevated position within society, regardless of facility-level barriers faced. Men were described in pejorative terms as ill-informed and difficult clients who were absent from health systems. Men were largely seen as “bad clients” due to assumptions about men’s ‘selfish’ and ‘prideful’ nature, resulting in little HCW sympathy for men’s poor use of care. Our study highlights a strong explicit bias against men as HIV clients, even when gender and bias were not the focus of data collection. As a result, HCWs may have little motivation to implement male-specific interventions or improve provider-patient interactions with men. Framing men as problematic places undue responsibility on individual men while minimizing institutional barriers that uniquely affect them. Bias in local, national, and global discourses about men must be immediately addressed.

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Section: Discussionmentioning

confidence: 99%

Health care workers’ perceptions and bias toward men as HIV clients in Malawi and Mozambique: A qualitative study

Dovel,

Paneno,

Balakasi

et al. 2023

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…Vulnerability within global health is often used to describe women and children exclusively, regardless of the specific context. 10,32 For instance, in a recent review of 201 prominent global health organizations, only 42% had gender-responsive strategies to meet the needs of both women and men. Not one primarily targeted the health of men, even though men had worse outcomes than women in all the top ten contributors to global morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Health care workers’ internal bias toward men as HIV clients in Malawi and Mozambique: A qualitative study

Dovel

Paneno

Balakasi³

et al. 2022

Preprint

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Background: Men are underrepresented in HIV services throughout sub-Saharan Africa. Little is known about health care worker (HCW) perceptions of men as clients, which may directly affect the quality of care provided, and HCWs’ buy-in for male-specific interventions. Methods: Focus group discussions (FGDs) were conducted in 2016 with HCWs from 15 facilities across Malawi and Mozambique, and were originally conducted to evaluate barriers to universal treatment (not gender or internal bias). FGDs were conducted in local languages, recorded, translated to English, and transcribed. For this study, we focused on HCW perceptions of men as HIV clients, using inductive and deductive coding in Atlas.ti v.8, and analyzed codes using constant comparison methods. Findings: 20 FGDs with 154 HCWs working in HIV treatment clinics were included. Median age was 30 years, 59% were female, and 43% were providers versus support staff. HCWs held strong implicit bias against men as clients. Most HCWs believed men could easily navigate HIV services due to their elevated position within society, regardless of facility-level barriers faced. Men were described in pejorative terms as ill-informed and difficult clients who were absent from health systems. Men were largely seen as “bad clients” due to assumptions about men’s ‘selfish’ and ‘prideful’ nature, resulting in little HCW sympathy for men’s poor use of care. Interpretation: Our study highlights a strong implicit bias against men as HIV clients, even when gender and implicit bias were not the focus of data collection. As a result, HCWs may have little motivation to implement male-specific interventions or improve provider-patient interactions with men. Framing men as problematic places undue responsibility on individual men while minimizing institutional barriers that uniquely affect them. Implicit bias in local, national, and global discourses about men must be immediately addressed.

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Global Health and the Changing Contours of Human Life

Aikins¹,

Wikler²,

Allotey³

et al.

Rethinking Society for the 21st Century

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Sexual and reproductive health and rights post 2015—challenges and opportunities

Cited by 4 publications

References 15 publications

Health care workers’ perceptions and bias toward men as HIV clients in Malawi and Mozambique: A qualitative study

Health care workers’ perceptions and bias toward men as HIV clients in Malawi and Mozambique: A qualitative study

Health care workers’ internal bias toward men as HIV clients in Malawi and Mozambique: A qualitative study

Global Health and the Changing Contours of Human Life

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