Mwendwa Purity, Karani Caroline, Kamolo Elizabeth, Kroll Thilo, De Brún Aoife, McAuliffe Eilish
UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (UCD IRIS Centre), School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland, Ireland.
School of Nursing, Meru University of Science and Technology, Meru, Kenya.
HRB Open Res. 2021 Feb 16;3:55. doi: 10.12688/hrbopenres.13113.2. eCollection 2020.
Sexual and reproductive health (SRH) outcomes of women within low resource contexts continue to be of concern to policymakers. Notably, sub-Saharan Africa (SSA) continues to lag behind other regions of the world in improving SRH outcomes for women in the region. A key suggested strategy is male involvement through interventions that respect, promote and facilitate women in taking care of themselves and their new-borns. However, factors such as social-cultural barriers may preclude men's involvement in these programmes. There is a need for a context-specific understanding of gender dynamics and interaction and the mechanisms that enhance or impede men's involvement. We will employ a rapid realist review (RRR) methodology to examine what mechanisms and contextual factors are essential to facilitate the involvement of men in women's SRH programmes in SSA. In keeping with the realist literature we will follow six steps, which will include: (1) developing a theory, (2) developing a search strategy, (3) selecting and appraising documents, (4) extracting data, (5) analysing data and synthesising the evidence, and (6) presenting and disseminating a revised theory. We will also engage with key stakeholders who will provide local contextual insights and with experts in the subject area. The review findings will be shared with relevant stakeholders using a variety of avenues including through publications, at conferences and on social media platforms. This review will identify the mechanisms and contextual factors that facilitate or hinder men's involvement in women's SRH programmes in SSA. The rationale for adopting an RRR approach is to help gather the information within a relatively short period to ensure relevance of findings to policymakers in SSA. Results from this work also have the potential to be adapted to the other contexts, for example, Ireland and the UK, which have a growing population of people from SSA.
资源匮乏环境下女性的性与生殖健康（SRH）结果一直是政策制定者关注的问题。值得注意的是，在改善该地区女性的SRH结果方面，撒哈拉以南非洲（SSA）继续落后于世界其他地区。一项关键的建议策略是通过尊重、促进和便利女性照顾自己及新生儿的干预措施让男性参与进来。然而，社会文化障碍等因素可能会妨碍男性参与这些项目。需要针对具体情况理解性别动态与互动以及促进或阻碍男性参与的机制。我们将采用快速现实主义综述（RRR）方法来研究哪些机制和背景因素对于促进SSA地区男性参与女性SRH项目至关重要。根据现实主义文献，我们将遵循六个步骤，包括：（1）构建理论，（2）制定检索策略，（3）选择和评估文献，（4）提取数据，（5）分析数据并综合证据，以及（6）呈现和传播修订后的理论。我们还将与能提供当地背景见解的关键利益相关者以及该领域的专家进行交流。综述结果将通过包括出版物、会议和社交媒体平台在内的各种途径与相关利益相关者分享。本综述将确定促进或阻碍SSA地区男性参与女性SRH项目的机制和背景因素。采用RRR方法的理由是在相对较短的时间内收集信息，以确保研究结果与SSA地区的政策制定者相关。这项工作的结果也有可能适用于其他情况，例如爱尔兰和英国，这些地区来自SSA的人口正在增加。
