This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this site. Copyright 2012, The Johns Hopkins University and Arik Marcell. All rights reserved. Use of these materials permitted only in accordance with license rights granted. Materials provided “AS IS”; no representations or warranties provided. User assumes all responsibility for use, and all liability related thereto, and must independently review all materials for accuracy and efficacy. May contain materials owned by others. User is responsible for obtaining permissions for use from third parties as needed. Class 8 – Training & Wrap-Up 380.720 – Masculinity, Sexual Behavior & Health, 2012 Qtr 2 Class readings: Questions Steinauer et al 2009 • What can we glean about training on men’s SRH? • What content is present, missing? Obedin-Maliver et al 2011 • What does this article add? • What content is present, missing? • How do studies’ design & methods compare/ contrast? • What other types of training programs are missing? 1 Issues for education/training of U.S. clinicians to provide male SRH care 1. Lack sufficient evidence-base with male consumer input 2. Lack understanding of current state & barriers to care delivery 3. Need to update infrastructure within clinical settings & broader healthcare system to more effectively deliver care to males 4. Need to train clinicians at all levels using – Comprehensive educational curriculum – Clinical practicum experiences for skills-based learning – Expert educators/clinicians – Standard approach for non-clinical staff (e.g., administrative, front staff, health educators) re. male SRH care 5. Need to deliver culturally competent care to males & address cultural beliefs impacting male SRH & healthcare Wrap-up questions • Are males being socialized in ways that threaten their health? • To what extent are men’s health issues, particularly related to SRH & traditional masculine beliefs, a public health concern? • Other take away from class? Need to focus on males’ sexual & reproductive health (SRH)? 1. Need to address both sides of couple equation (It takes 2 to prevent SRH outcomes) 2. Males in own right have SRH needs • With more balance in meeting all men’s needs (family planning focus on heterosexual men) 3. Many barriers to men’s SRH & care using socioecological framework 4. “Providers” (e.g., parents, teachers, healthcare) lack sufficient knowledge & interactions with males on SRH-related topics 2 Socio-Ecological Framework for Male SRH & Care Seeking Goals for male SRH Prevent 1. Unintended pregnancy 2. STIs, including HIV (& control) 3. Reproductive health cancers Promote 4. Sexual health & development 5. Healthy intimate relationships & responsible behavior 6. Responsible fatherhood 7. Access to clinical services Reduce 8. Sexual dysfunction, infertility * WHO, Urban Institute & AGI 3