Transcript GREAT Endline Review Workshop

Not business as usual:
The catalyzing role of gender norm
transformation
GENDER ROLES, EQUALITY AND TRANSFORMATIONS PROJECT
INSTITUTE FOR REPRODUCTIVE HEALTH GEORGETOWN UNIVERSITY
PATHFINDER INTERNATIONAL
SAVE THE CHILDREN
THE GREAT PROJECT: OVERVIEW
PARTNERS:

Institute for Reproductive Health,
Georgetown University

Pathfinder International

Save the Children
GOAL: Improve gender equality and
reproductive health outcomes in
Northern Uganda
STRATEGIC OBJECTIVE: Boys and girls
aged 10-19 form equitable gender
norms and adopt attitudes and
behaviors which positively influence
health outcomes and reduce genderbased violence
WHY GREAT MATTERS
Gender roles and norms influence health and wellbeing.
Young people’s health and well-being is influenced
by their family, community, institutions and
environment.
Few gender transformative interventions have been
scaled up.
GREAT
INTERVENTION
PACKAGE
THE PRINCIPLES
Targeted to
address
different life
stages
Shift social
norms/attitudes
to foster more
equitable
behaviors
Diffuse new
ideas and info
through
community
levels
Engage girls
and boys,
together and
apart
Reach
majority of
people with
modest time
and money
MOVING FROM RESEARCH TO ACTION:
RADIO DRAMA
Determine radio
as appropriate
communication
channel
Use of structured
tool for
integrating
findings into
radio drama
Implementation
of participatory,
iterative review
process
PATHWAYS TO CHANGE TOOL
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The game gives players a character profile (similar to
target audiences) for which they must find:
P= personal
S= social
E= environmental
Barriers and
Facilitators
for specific behaviors,
from the research
summaries.
THE DEVELOPMENT PROCESS
Character trajectories were
mapped to reflect a gradual
process of change, with setbacks,
consistent with the Stages of
Change model
Sample Storyline
OKIDI’S TRAJECTORY
Okidi grows up seeing his siblings being
treated differently by his parents and thinks it is
normal. While the girls spend time doing
household chores, Okidi is out playing with
friends or attending school. This causes Okidi’s
sisters to perform poorly in school. One day
while at a friend’s home, Okidi realizes that
they treat girls differently from the way his
father treats his sisters. Okidi also realizes there
are women in leadership positions in Oteka
village. Okidi begins to reflect on the different
situations…
REACHING THE
TIPPING POINT
HOW MUCH IS ENOUGH?
INTENDED COVERAGE
 3 community
groups/
school clubs
per village
 Aired on 5
stations
twice a
week for
52 weeks
RADIO
CAC
 9 CAG
members
per parish
TOOLKIT
VHT
 98 VHTs (1/3
of VHTs) per
district
OVERALL EXPOSURE TO GREAT:
INTERVENTION & CONTROL AREAS
RADIO
VHT
COMMUNITY
ACTION CYCLE
10-14
78%
12%
8%
40%
15-19
59%
9%
5%
3%
Newly
Married/
Newly
Parenting
58%
22%
7%
5%
Adults
62%
25%
10%
2%
TOOLKIT
RESULTS
WHAT DIFFERENCE DID GREAT MAKE?
USING EVIDENCE TO
INFORM GREAT
BASELINEENDLINE
SURVEY
COHORT
STUDY
4,500
adolescents
and adults
In-depth
interviews
with 30 male
and 30
female
adolescents
CONSORTIUM DISCUSSIONS
QUALITATIVE
ASSESSMENT
MONITORING
152
adolescents
and VHTs
involved in
GREAT
Data
collected
from CAGs,
VHTs, group/
club leaders,
and radio
stations
LOCAL COMMUNITIES &
LEADERS CONSULTATIONS
GENDER EQUALITY
NEWLY MARRIED/
NEWLY PARENTING
RECEIVED HELP WITH
HOUSEHOLD CHORES
65
%
Endline
vs
53
Baseline
%
“My attitude has change, and my
life as well. I am married now
and my wife and I share
household responsibilities. This is
the biggest eye opener in my life.
We also teach this to our
children.”
-Community member
SEXUAL & REPRODUCTIVE HEALTH
Improved attitudes and behaviors related to
contraceptive use, discussions with partner
about contraceptive use and timing of next
child
33
%
Not Exposed
vs
43
%
Exposed
USING FAMILY PLANNING
(NEWLY MARRIED/NEWLY PARENTING)
GENDER-BASED VIOLENCE
NEWLY MARRIED/
NEWLY PARENTING
REACTING VIOLENTLY
TO PARTNER
21
%
Not Exposed
vs
5
%
Exposed
OLDER ADOLESCENTS
REPORTING TOUCHING/
BEING TOUCHED
WITHOUT PERMISSION
12
%
vs
Not Exposed
4
%
Exposed
ENABLING ENVIRONMENT
Improving youth outcomes requires adults
to support more equitable attitudes and
behaviors
50%
Not Exposed
vs
61%
Exposed
PROVIDE ADVICE TO ADOLESCENTS
(ADULTS)
“Being close to children is very important and
that is why I encourage parents to get close to
their children and bring back the culture of an
evening fire. We need to shape our children, not
by beating them, but by talking to them.”
54 YEAR OLD MAN
KEY
TAKEAWAYS
WHAT WORKED?

Radio drama
achieved broad
reach and behavior
change

Greater depth and
coverage needed to
reach a “tipping
point”

Boys and men, adults
and newly married
adolescents
changed most
INTERRELATED ENABLING FACTORS
H
COMPLEXITIES OF PROGRESS
Regressive
Gender
Views
Progressive
Gender
Views
Individuals Negotiating the Ecological Framework
SHIFTING SOCIAL NORMS

More time, resources, or better
diffusion strategies needed to
reach community-wide change.

Gender norms drive gender
equality, SRH, and GBV outcomes,
yet significant change in
underlying patriarchal social
system unrealistic from short-term
intervention

Unclear which intervention
component is most cost-effective,
or the benefits of addressing all
stages in tandem.
WHAT NEXT?
SCALING-UP GREAT IN
NORTHERN UGANDA
THANK
YOU
[email protected]
www.irh.org/projects/GREAT_Project