Submission ID 131105
| Issue/Objective | Family planning (FP) uptake in Northern Nigeria remains among the lowest globally, driven by entrenched socio-cultural norms and male-dominated decision-making. Contraceptive use among married women is as low as 3%, reflecting persistent gender inequities and misconceptions. Despite men's central role in household decisions, FP interventions have historically focused on women, limiting effectiveness. This study examines how engaging men as advocates can reshape norms, improve shared decision-making, and advance equitable reproductive health outcomes |
|---|---|
| Methodology/Approach | From June to December 2025, the IntegratE project conducted twelve male involvement meetings across Kano and Kaduna states, engaging 240 participants including community leaders, male health providers, and household heads. Participatory communication techniques, peer-led storytelling, and facilitated discussions were used to address misconceptions and promote dialogue. Qualitative in-depth interviews with participants were conducted to capture shifts in perception and behavior. Thematic analysis was used to identify emerging patterns of change, focusing on men's attitudes, support for spouses, and the reduction of myths surrounding contraceptive use. |
| Results | Participants demonstrated improved understanding of FP benefits, particularly for family well-being and economic stability. Men who initially opposed FP began encouraging their wives to seek services and engaged peers in advocacy discussions. Dispelling misconceptions especially around infertility was central to this shift. The involvement of respected male leaders strengthened trust and legitimized conversations, contributing to increased social acceptance of FP. |
| Discussion/Conclusion | This initiative demonstrates that sustainable social and behavior change in conservative contexts requires inclusive dialogue that values men's participation as partners rather than obstacles. Engaging men as partners in reproductive health can transform restrictive gender norms and foster shared decision-making. Future interventions should build on these insights by institutionalizing male engagement platforms and leveraging digital and community media to sustain advocacy and to achieve gender-equitable health outcomes. It aligns with the conference theme by illustrating how inclusive engagement can restore trust and commitment to equitable health outcomes in fragmented settings. |
| Presenters and Affiliations | Michael Alagbile Society for Family Health Emeka Okafor Society for Family Health Delafrida Ukaga Society for Family Health |
