The USAID Transform: Primary Health Care Activity provides technical assistance to strengthen Ethiopia’s health systems and support the government of Ethiopia’s Health Sector Transformation Plan to reduce preventable maternal and child deaths. In 2017-2018, the Activity conducted a gender analysis, led by EnCompass team members, to identify gender gaps and opportunities to achieve its objectives. The report uncovered widespread men’s opposition to family planning, a lack of men’s participation in ante-natal care, men’s broad influence on women’s decisions and autonomy in their healthcare, and men’s perception of health services as unfriendly and failing to address their needs. The Activity sought to address these gaps by implementing an activity to better engage men in family planning and ante-natal care. After a thorough literature review, the Activity chose Promundo’s Program P, given its focus on fatherhood and men’s involvement in family planning, throughout pregnancy, and early childhood as well as robust, positive findings from the randomized-control trial of its adaptation in Rwanda, Bandebereho.
The Activity conducted formative research to adapt and pilot the adapted Program P in select woredas in Oromia and SNNPR. The attached report details the methodology, findings, recommendations, and adaptation process for the adapted Program P, titled Fathers: Involved, Responsible, Healthy.
Photo: Pathfinder International