Engaging men to improve women’s wellbeing and address sociocultural barriers to family planning : the “husbands’ schools” approach in Eastern Democratic Republic of Congo
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Health zone office, Isangi, Congo, Democratic Republic of the
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Health zone - husbands' schools, Isangi, Congo, Democratic Republic of the
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Enabel, Kisangani, Congo, Democratic Republic of the
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School of public health, University libre of Brussels, Brussels, Belgium
Popul. Med. 2026;8(Supplement Supplement 1):A2323
ABSTRACT
INTRODUCTION:
In a context marked by child malnutrition and high maternal mortality, birth spacing remains a priority. However, the use of family planning (FP) services remains low in Tshopo Province, Democratic Republic of Congo (contraceptive prevalence 2025: 13.6%). In response, the Provincial Health Division, the Isangi Health Zone, and their partner Enabel (the Belgian cooperation agency) developed an innovative “Husbands’ Schools” approach. This community-based strategy aims to strengthen men’s involvement in reproductive health, address sociocultural barriers to FP, and improve women’s living conditions within households.
METHODS:
This action research initiative led to the establishment of four Husbands’ Schools in four villages. Community facilitators were identified and trained to lead the schools. Each school consisted of 14 married men, selected by the community based on criteria: being married to a woman of reproductive age, voluntary participation, good moral standing...14 sessions (2/month) are required to cover key topics (FP, household responsibilities, couple relationships…). Following the training, participating men were expected to raise awareness among their peers. Qualitative interviews were conducted as part of monitoring, evaluation, and continuous improvement of the approach.
RESULTS:
Both participating men and their spouses reported improvements in household financial management and couple communication. Health care providers observed an increase in demand for FP services. In addition, growing interest was noted among men who were not initially enrolled in the schools, prompting the action research to evolve toward broader community-based interventions. Planned activities include outreach sessions targeting men’s cooperatives, facilitated by trained role-model husbands and community facilitators.
CONCLUSIONS:
The Husbands’ Schools approach shows promise in improving women’s quality of life and fostering supportive male engagement in FP. However, its effectiveness depends on adequate strengthening of health system capacity to provide quality care. Beyond FP, the approach contributes to more equitable gender relations and improved wellbeing within households.