Factors Influencing Male Involvement in Antenatal Care in the Kassena Nankana Municipal in the Upper East Region, Ghana (original) (raw)
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Reproductive Health, 2019
Background: Men's involvement can impact the delays in the decision to seek health care and in reaching a health facility, which are contributing causes for increased maternal mortality. Despite of the call to involve men in antenatal care, their participation is not well understood. This study aimed to determine the level of men's involvement in antenatal care and the factors influencing their involvement in these services. Methods: A cross sectional study of 966 randomly selected men aged 18 years or older was conducted in Dodoma Region, from June 2014 to November 2015. Face to face interviews were conducted using a pretested structured questionnaire. The outcome variable was men's involvement and was constructed from four dichotomized items which were scored zero to two for low involvement and three to four for high involvement. A multiple logistic model was used to measure the factors influencing men's involvement in antenatal care services. Results: The level of men's involvement in antenatal care was high (53.9%). Majority 89% of respondents made joint decisions on seeking antenatal care. More than half (63.4%) of respondents accompanied their partners to the antenatal clinic at least once. Less than a quarter (23.5%) of men was able to discuss issues related to pregnancy with their partner's health care providers. About 77.3% of respondents provided physical support to their partners during the antenatal period. Factors influencing men's involvement in antenatal care were occupation (AOR = 0.692, 95% CI = 0.511-0.936), ethnicity (AOR = 1.495, 95% CI = 1.066-2.097), religion (AOR = 1.826, 95% CI = 1.245-2.677), waiting time (AOR = 1.444, 95% CI = 1.094-1.906), information regarding men's involvement in antenatal care (AOR = 3.077, 95% CI = 2.076-4.562) and men's perception about theattitude of health care providers (AOR = 1.548, 95%CI = 1.090-2.199). Conclusion: Overall, more than half of respondents reported high involvement in antenatal care services. Access to information on men's involvement, religion, occupation, ethnicity, waiting time and men's perception about the attitude of care providers were significant factors influencing men's involvement in antenatal care services in this study. Health promotion is needed to empower men with essential information for meaningful involvement in antenatal care services.
World Journal of Public Health
Men as partners in patriarchal societies play a very crucial role in pregnancy and childbirth. It has also been noted that male partners play an important role in family planning in Ghana. This notwithstanding, their involvement in maternal health has not been well investigated. This study sought to establish male partners' involvement in antenatal care utilization in West Mamprusi Municipality The study design was cross-sectional involving 351 respondents both male and female in West Mamprusi Municipality. The participants in the study were people aged 18 years and above who had at least a child born within one year prior to the study. Both questionnaire and focus group discussion guide was to gather the data. Results from the study revealed that majority of the participants had visited health facilities for antenatal care. It further showed that of those who visited for antenatal care, majority did not go with their partners. However, knowledge on birth preparedness and danger signs was good. With respect to place of delivery, majority were encouraged to deliver at health facilities. Majority of the participants averred that male partners noninvolvement in delivery is due to the fact that they perceive pregnancy and delivery as women affair. The majority of male partners supported their spouses' maternal care services; they did not involve themselves in birth preparedness and postnatal care. This calls for proper education to encourage male partners to involve themselves in all matters relating to pregnancy and childbirth .
Male involvement in antenatal care in Agege local government area, Lagos state, Nigeria
Research Journal of Health Sciences
Background: Male involvement in antenatal care (ANC) though beneficial remains a global challenge. This study aimed to assess male involvement in ANC among men in Agege Local Government Area of Lagos State Nigeria.Methods: A cross-sectional study, carried out between April and November 2017, among 420 men whose partners had at least one birth in the last 5 years, using interviewer-administered questionnaires. Male involvement was graded as good with minimum 50% score. Associations between male involvement and categorical variables were assessed using the chi-square test with the level of significance set at P < 0.05Results: Mean age of the respondents was 43.80 ± 11.42 years. Many (58.6%) had good involvement in antenatal care. Male involvement was statistically significant with age, educational status, occupation and income with p value of 0.004, 0.024, < 0.001and 0.04 respectively.Conclusion: Age, education, occupation and income were significantly associated with male invol...
Background: Male participation is a crucial component in the optimization of antenatal care services. Level of male participation has been found to be low. This study aimed to identify determinants of male partners? involvement in antenatal care services. Methods: A descriptive cross-sectional study was used. The study population included expectant women and available male partners at the antenatal clinic at Kenyatta National Hospital. A sample of 79 respondents was recruited into the study. Consecutive sampling was used to select the study participants. Data was collected using a semi-structured questionnaire, analyzed using SPSS computer package version 20 and thereafter presented using descriptive methods. Findings: Majority of participants (90%) were aged above 25 years, were more educated and had non-formal sources of employment. They knew at least 50% of the services offered and had a positive attitude towards ANC. Majority of participants (54%) stated that ANC is traditionally for women. Majority (77%) stated that the members of staff at ANC clinic are friendly and approachable. Conclusions: Cultural beliefs and practices still hinder men?s participation as communities continue to uphold patriarchal tendencies that disregard women. Men?s attitude also determined their participation.
African journal of reproductive health, 2019
Maternal health can be improved if men give support to their partners. This study determined the socio-demographic and structural predictors of male partner involvement in maternal health in Hohoe, Ghana. A descriptive, cross-sectional design was adopted, collecting data through self-administered questionnaires from a multistage sample of 193 respondents and analysing using Stata version 14 at the 0.05 level. Age groups 31-40 years and 41-51 years were 6 times [AOR=6.28, p=0.04] and 4 times [AOR=4.32 (95%, p=0.08] respectively more likely to get involved in maternal health issues compared to age group 20-30 years. Married men were 63% less likely to be involved in maternal issues compared to single men [AOR=0.37, p=0.08]. Men with tertiary and senior high school levels of education were 9 times [AOR=9.13, p=0.001] and 5 times [AOR=4.52, p=0.01] respectively more likely to be involved in maternal health than men with a basic level of education. Men with a high level of knowledge on m...
Male Involvement in Maternal Health Care in Jimeta Metropolis, Adamawa State, Nigeria
Greener Journal of Epidemiology and Public Health, 2016
This study was aimed to examine men's knowledge and perception in Maternal Health care at Jimeta Metropolis of Adamawa State, Nigeria. Male involvement in maternal health care, factors affecting male involvement in maternal health care and perceived effects of male involvement in maternal health care were explored. This was a cross sectional descriptive study. A multistage cluster sampling technique was adopted for the study. A total of 370 respondents were included with a response rate of 92.7%. Included participants were men of reproductive age residing in Jimeta Metropolis. Data was collected using a structured questionnaire and analyzed using Statistical Package for Social Sciences Version 21. Result of the study showed poor knowledge about maternal health care as majority (70.8%) of the respondents were not aware of the number of times a woman should attend antenatal clinic, 60.5% did not know the services offered for women and 58.9% did not know the danger signs of pregnancy. Result on male involvement showed that, more than half (56.8%) of the men gave consent to their wives to attend antenatal clinic, 76.5% gave consent for their wives to go for delivery in a health facility, 43.4% allowed their wives to attend post-natal clinic and 52.1% provided fund for delivery for their wives. Religious/cultural factors (28.2%) and ignorance (25.9%) were found to be the most likely reasons for men not participating in maternal health care. Although their overall knowledge of the type of maternal health services was above average (58%), no association was found between knowledge and male involvement in maternal health care (P=0.062).). A significant difference was observed between educational attainment, ethnicity with male involvement in maternal health care (x2 =26.43, p value <0.0001 and ethnicity X 2 =47.24 , p value <0.0001 respectively. Health workers attitude towards male involvement in maternal health care was not statistically significant with x 2 =1,477, p-value = 0.224. There was an association between couples joint decision making and male involvement in maternal health care, x 2 =63.3, p value=0.0001. Joint decision made by couples was discovered to be a positive factor in male involvement in maternal healthcare. It was therefore recommended that, male involvement should be encouraged at all levels of healthcare. Invitation letters should be given to women attending maternal health service centres to invite their partners for more enlightenment and effective communication between couples, thereby encouraging joint decision making.
BMC Public Health
Background: The need to promote maternal health in Ghana has committed the government to extend maternal healthcare services to the door steps of rural families through the community-based Health Planning and Services. Based on the concerns raised in previous studies that male spouses were indifferent towards maternal healthcare, this study sought the views of men on their involvement in maternal healthcare in their respective communities and at the household levels in the various Community-based Health Planning and Services zones in Awutu-Senya West District in the Central Region of Ghana. Methods: A qualitative method was employed. Focus groups and individual interviews were conducted with married men, community health officers, community health volunteers and community leaders. The participants were selected using purposive, quota and snowball sampling techniques. The study used thematic analysis for analysing the data. Results: The study shows varying involvement of men, some were directly involved in feminine gender roles; others used their female relatives and co-wives to perform the women's roles that did not have space for them. They were not necessarily indifferent towards maternal healthcare, rather, they were involved in the spaces provided by the traditional gender division of labour. Amongst other things, the perpetuation and reinforcement of traditional gender norms around pregnancy and childbirth influenced the nature and level of male involvement. Conclusions: Sustenance of male involvement especially, husbands and CHVs is required at the household and community levels for positive maternal outcomes. Ghana Health Service, health professionals and policy makers should take traditional gender role expectations into consideration in the planning and implementation of maternal health promotion programmes.
Male partners' involvement during antenatal care in Ekiti State, southwest Nigeria
African Journal of Midwifery and Women's Health
Background/Aims Male partners' involvement in the use of antenatal care services has been evaluated as a crucial determinant in the uptake of these services. This study investigated the opinion of antenatal care attendees on male partners' role in the use of antenatal care services in Ekiti State. Methods A cross-sectional study was conducted and data obtained through semi-structured questionnaires administered to 600 antenatal clinic attendees at the Ekiti State University Teaching Hospital, Ado Ekiti. Results Half (51.1%) of respondents attended antenatal care clinics to promote the development and growth of their unborn babies. Over a third (40.6%) of the respondents reported that the decision to attend an antenatal care clinic was made by ‘male partners’, while 82.8% of respondents had their male partners participate in activities that facilitated their use of antenatal care services. Conclusions Male partners play an important role in the uptake of antenatal care servic...
2019
Background: Antenatal care (ANC) service utilization is an important strategy for improved maternal and child healthcare. Evidence show that male partner's involvement in ANC has helped the improvement of women's and children`s wellbeing. However, there is limited evidence about male partner's involvement in ANC service in Ethiopia, particularly in Addis Ababa. Objective: The survey aimed to assess male partner's involvement in the utilization of ANC and associated factors in selected public health centers of Bole sub city, Addis Ababa, Ethiopia Methods: Facility based cross sectional study design was conducted among 383 male partner participants who accompanied their pregnant wives in ANC visit in selected public health centers, Bole sub city. Study participants were selected by using convenience sampling method. The purpose and significance of the study was explained to each participant ahead of their interview. Interviewers administered structured questionnaires, ...
Male Participation in Antenatal Care and Its Effect on Pregnancy
Journal of Health, Medicine and Nursing
Purpose: Male participation in antenatal care (ANC) is important and contributes to better maternal and neonatal birth outcomes. Deaths among mothers remain a serious burden in the developing countries, including Nigeria. Lack of male involvement in pregnancy related care is one of the contributing factors. The purpose of this study is to assess the level of male participation in ANC. In most countries in the world, promotion of maternal and child health is perceived as women’s role and men do not feel that they are responsible and see no reason to accompany their partners to Antenatal Care (ANC) clinics. Methodology: Cross sectional descriptive survey was used in the study. Findings: It was discovered that male partners do not fully participate in antenatal care due to many factors like low level of education, fear of being tested for HIV, culture and so on. Male partners/husbands are key support persons for many childbearing women and their involvement in pregnancy, childbirth an...