Changing men or changing health systems? A scoping review of interventions, services and programmes targeting men’s health in sub-Saharan Africa
MetadataShow full item record
Beia, T., Kielmann, K. & Diaconu, K. (2021) Changing men or changing health systems? A scoping review of interventions, services and programmes targeting men’s health in sub-Saharan Africa. International Journal for Equity in Health, 20:87.
Background: Sex and gender have been shown to influence health literacy, health seeking behaviour, and health outcomes. However, research examining the links between gender and health has mainly focused on women’s health, which is a long-standing global health priority. We examine literature focused on the ‘missing men’ in global health research, in particular empirical studies that document interventions, programmes, and services targeting men’s health issues in Sub-Saharan Africa. Within these studies, we identify dominant conceptualisations of men and men’s health and how these have influenced the design of men’s health interventions and services. Methods: This is a scoping review of published and grey literature. Following comprehensive searches, we included 56 studies in the review. We conducted a bibliographic analysis of all studies and used inductive methods to analyse textual excerpts referring to conceptualizations of men and service design. An existing framework to categorise services, interventions, or programs according to their gender-responsiveness was adapted and used for the latter analysis. Results: From the included studies, we distinguished four principal ways in which men were conceptualized in programs and interventions: men are variously depicted as ‘gatekeepers’; ‘masculine’ men, ‘marginal’ men and as ‘clients. Additionally, we classified the gender-responsiveness of interventions, services or programmes described in the studies within the following categories: gender-neutral, −partnering, −sensitive and -transformative. Interventions described are predominantly gender-neutral or gender-partnering, with limited data available on transformative interventions. Health systems design features – focused mainly on achieving women’s access to, and uptake of services – may contribute to the latter gap leading to poor access and engagement of men with health services. Conclusion: This review highlights the need for transformation in sub-Saharan African health systems towards greater consideration of men’s health issues and health-seeking patterns.
Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 International License
Showing items related by title, author, creator and subject.
O'Brien, Oonagh; White, Alan (2003)There is growing national and international recognition that gender is an important indicator of health differences. The United Kingdom is in danger of falling behind many other countries that are beginning to recognise ...
COPING WITH COMMUNITY HEALTH FINANCING: Illness costs and their implications for poor households' abilities to pay for health care and children's access to health services. A Study for Save the Children UK. Bate, Angela; Witter, Sophie (University of YorkQueen Margaret University, 2003)
Advancing the science behind human resources for health: highlights from the Health Policy and Systems Research Reader on Human Resources for Health George, A. S.; Campbell, J.; Ghaffar, A.; HPSR HRH reader collaborators (BioMed Central, 2018-08-14)Health workers are central to people-centred health systems, resilient economies and sustainable development. Given the rising importance of the health workforce, changing human resource for health (HRH) policy and practice ...