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Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW

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six months; 2) number of partners over the last month; <strong>and</strong> 3)<br />

support for gender-equitable norms as measured by the GEM<br />

(<strong>Gender</strong>-Equitable Men) scale. Secondary outcome measurements<br />

include: 1) intimate partner violence (physical <strong>and</strong> sexual); 2)<br />

communication with partner over the last six months about<br />

condoms, sex life <strong>and</strong> <strong>HIV</strong>; <strong>and</strong> 3) communication with peers over<br />

the last six months about condoms, sex life <strong>and</strong> <strong>HIV</strong>. The outcome<br />

evaluation also will include qualitative data collection with a group<br />

of participating men <strong>and</strong> (in Ethiopia only) their sexual partners,<br />

which will provide richer information <strong>to</strong> enhance the findings of the<br />

quantitative surveys.<br />

Evaluation Results • Project reach: The Male Norms Initiative reaches thous<strong>and</strong>s of men<br />

through 50 partner organizations in Namibia <strong>and</strong> 10 partner<br />

organizations in Ethiopia.<br />

• Needs assessment: The needs assessment showed that, at the start of<br />

the project, Ethiopia <strong>and</strong> Namibia were addressing gender issues<br />

superficially. That is, strategies <strong>to</strong> curb gender inequity tended <strong>to</strong><br />

highlight men as perpetra<strong>to</strong>rs only. There was little focus on existing<br />

gender norms <strong>and</strong> their relationship <strong>to</strong> <strong>HIV</strong> <strong>and</strong> AIDS or on challenging<br />

inequitable gender relationships that put both men <strong>and</strong> women at risk.<br />

This assessment helped shape how the Male Norms Initiative sought <strong>to</strong><br />

create change—by helping programs use an asset-based model where<br />

men are not seen as perpetra<strong>to</strong>rs of gender inequity, but instead as<br />

assets who can change norms <strong>and</strong> behaviors around gender-related<br />

issues.<br />

• Process <strong>and</strong> outcome evaluation: Endline data collection is scheduled<br />

for February 2009.<br />

Replication <strong>and</strong><br />

Scale-up Activities<br />

The Male Norms Initiative has been asked <strong>to</strong> implement a similar program<br />

at a national scale in Tanzania <strong>and</strong> <strong>to</strong> provide technical assistance in other<br />

countries, including Rw<strong>and</strong>a <strong>and</strong> Angola.<br />

LESSONS LEARNED AND CHALLENGES<br />

Key Findings <strong>and</strong><br />

Lessons<br />

• Working with different stakeholder levels (individual, community, policy,<br />

<strong>and</strong> service delivery) at the same time <strong>to</strong> create change is essential.<br />

Otherwise, when individuals go back <strong>to</strong> their communities after<br />

attending a program, they tend <strong>to</strong> readopt original gender norms.<br />

Norms must be changed at the community, policy <strong>and</strong> service delivery<br />

levels, not just at the individual level.<br />

Challenges <strong>and</strong><br />

Unforeseen<br />

Outcomes<br />

• Some partners require more assistance than others <strong>to</strong> underst<strong>and</strong><br />

gender-related work. Some organizations required repeated trainings<br />

before they fully unders<strong>to</strong>od key concepts.<br />

• Funding cycles between the Male Norms Initiative <strong>and</strong> CBOs did not<br />

coincide. Consequently, partners interested in integrating strategies did<br />

not always have the funding necessary <strong>to</strong> begin the process.<br />

• Capacity building <strong>to</strong> a point where external support or technical<br />

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