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Assessment of Gender Sensitivity in the Top Reseau Social Franchise Network

Patricia NOROLALAOPSI Madagascar

Top Reseau Social Franchise

- Launched in 2000- 245 clinics: Urban: 67%, Peri-urban: 17%,

Rural: 16% - 347 providers- 9 Services : Basic package services:Youth reproductive health: RH, STI, FPChild survival, Fever Management Optional package services:Long-acting reversible contraceptionHIV testing and counselingCervical cancer screeningPost-abortion careNutrition

Why assess providers’ gender sensitivity?

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Gender norms and relations influence people’s ability to freely access family planning

50% of Women of Reproductive Age thought that husbands accept their wife using IUD

Objective of the Gender Assessment

Identify different constraints and opportunities that affect men and women’s health risks and capacity to seek appropriate quality care

Methodology

Findings :1- Health Care Providers Providers' behaviors can have

impact on the clients For All : hidden contraceptive use

“The husband asked the wife ‘where are you going?’ She said [to the doctor] ‘if my

husband checks tell him I’m not using.’” – Urban Facility Based Provider

The majority of women in the FGD said, they have no provider sex preference

“I don’t care as long as the doctor remains professional.” - Married Urban Woman

2- Male and female friendly services

Friendly services for all Men and women, young singles and married

people, all describe male and female friendly services in the same way

Friendly services for married men Comprehensive information for informed

decision Services tailored to their own needs and

realities Position men to communicate about health

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“No one gives us information.” – Married Rural Man

Response to the findings

Reinforce and continue to assess in the quality assurance process the traits and behaviors clients value, including respect for privacy and confidentiality

Related to hidden contraception : support providers to identify and respond to Gender-Based Violence

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Limitation and applicability

Qualitative programmatic assessment Quality of care from client perspectives Cost effectiveness

Thank you

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