Predictors of Male Involvement in Post-Natal Care Services of their Partners in a Metropolitan City in North-Central Nigeria (original) (raw)
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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.
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...
Factors Influencing Husbands’ Involvement in Ante Natal Care Services in a Nigerian Urban Region
Journal of BioMedical Research and Clinical Practice, 2019
Maternal mortality continues to be a problem in the developing world, and unfortunately few pregnant women receive antenatal care (ANC) from skilled attendants in this region. It is known that men play a significant role in the health-seeking behavior of their families. Their involvement in ANC services may lead to improved women’s clinic attendance and maternal health. This descriptive cross-sectional study aimed to determine the proportion of husbands in Maiduguri, North-eastern Nigeria that accompanied their wives to ANC clinic, discussed issues related to pregnancy with them, and also the factors that influenced this role. A multi-stage sampling technique was used to recruit 307adult males, 18 years and above, who had fathered at least one child in the last two years preceding the study. Data were collected using pre-tested researcher-administered questionnaires designed from USAID Compendium of Indicators for Evaluating Reproductive Health Programs, and Health Belief Model of H...
Male partners’ involvement in pregnancy related care among married men in Ibadan, Nigeria
Reproductive Health, 2020
Background Maternal death remains a public health burden in the developing countries including Nigeria and the major causes are pregnancy related. Lack of male involvement in pregnancy related care is one of the contributing factors. Previous studies on male involvement focused on family planning services and were majorly targeted at women. This study, therefore, was carried out to assess the knowledge, perception and involvement of male partners in pregnancy related care among married men in Ibadan, Nigeria. Methods A cross sectional study was conducted using a four-stage sampling technique to select 367 married men in an urban community in Ibadan. A semi-structured, interviewer-administered questionnaire was used to obtain information on the knowledge, perception and involvement of respondents regarding pregnancy related care. Responses to questions on knowledge of pregnancy related care were converted to a 33-point scale. Scores greater than or equal to the mean knowledge score (...
European Scientific Journal , 2019
Background: Globally, male involvement in antenatal care remains a challenge to the effective utilization of maternal health services. Male involvement is considered to be a useful tool that is capable of improving the health outcome of mothers and their children. However, matters relating to antenatal care have often been considered on a gender basis. Objective: The objective of this study was to assess the factors that influence male partner involvement in antenatal care services. Methods: A community-based cross-sectional study was conducted among 420 men whose partners were pregnant or had delivered within twelve months preceding the study using multiple sampling procedures. Pearson Chi-Square and Fisher's exact test were conducted to establish an association between dependent and independent variables after which multiple logistic regression was conducted. P-values of < 0.05 at 95% confidence interval were considered significant. Data were analyzed using STATA version 13.1. Results: The level of male involvement in antenatal care was high (67.2%). About 71.9% accompanied their partners to antenatal clinics at one point during the pregnancy period. Out of this, 45.7% of them did so four or more times, 35.7% went two to three times, while 18.6% went only once. Factors such as staff attitude, time spent at the clinics, age, educational level, monthly income level, living with a partner during pregnancy, distance to the clinic, and community acceptability were all statistically significant to male involvement. Conclusion: The level of male involvement was high and considered above average. There is the need to
Adult male involvement in maternity care in Enugu State, Nigeria: A cross-sectional study
European Journal of Midwifery
INTRODUCTION Men are the key decision makers in the family and play a crucial role in the reproductive health of partners, in Nigeria. This study assessed adult male involvement in maternity care in Enugu south local government area, Enugu State, Nigeria. METHODS This community-based study was conducted using a cross-sectional survey design. A total of 145 respondents were selected through multi-stage sampling and data were collected using a structured questionnaire developed by the researchers. Data generated were statistically analyzed based on the research objectives using descriptive statistics. RESULTS Major findings revealed that the respondents had moderate knowledge on the expected role of males in maternity care with the majority, assessed using a 4-point Likert scale, having a moderate (2.99) level of involvement in maternity care. Lack of facilities that encourage male participation in maternity care, work schedule of the male partner, and lack of knowledge on the role of the male partners during maternity care were identified as major barriers to male involvement in maternity care with means of 3.80, 3.58 and 3.48, respectively. CONCLUSIONS Involvement in maternity care among the respondents in this study was moderate. However, men may be restricted by some cultural beliefs such as maternity care being regarded as exclusively a woman's matter. Thus, men should be educated on the importance of their role as partners in maternity care and on the need to participate actively, regardless of existing cultural norms. Hospitals should also promote policies that encourage male presence during birth and delivery rooms need to be designed to allow bonding of partners during birth.
The study focused on the male involvement in utilization of safe motherhood services of their spouses in Ilesa East Local Government, Osun state. It assessed the level of married men's involvement in ante, intra and post-partum health care, the relationship between selected demographic factors and a review of identified barriers to safe motherhood services utilization. It also examined the barriers to male involvement in maternal health care in Ilesa East Local Government. A cross-sectional descriptive design was employed using a semi structured questionnaire to gather information from 500 married men with at least one child. A multi stage sampling procedure was employed. Data was collected using interviewer administered questionnaire. Analysis of data was done using appropriate descriptive and inferential statistical techniques. The results of the study revealed that about 85% of respondents were less than 55 years of age, majority of them (92.6%) were of Yoruba ethnicity and were predominantly Christian (74%). About 40% of them had tertiary education with over 60% in monogamous relationship. Majority (60.2%) have between 1 and 4 children with 65% of respondents having a last child less than 4 years of age. Also, 362 (72.4%) of respondents were well involved in Maternity care services, while 138 (27.6%) were partially involved; none of the respondents was not involved in maternity care services. Also, majority of respondents agree with the named role of men in safe motherhood services at the prenatal level. The highest proportion of agreement was with regards to " Ensuring that the pregnant mother gets proper antenatal care " (97.8%), while the lowest proportion was obtained with regards to " learning the symptoms of imminent delivery and of delivery complications " (66.2%). Most (93.2%) of the respondents support ensuring that their children receive all the needed immunization and 6.8% did not support it as the role of men. Furthermore, majority supported the role of men in family planning. In addition, 86.2% supported " Helping mothers to use modern methods correctly " while, 68.8% supported the role of men in " Preventing unintended or unwanted pregnancies ". The respondents supported factors identified as barriers to male involvement in maternity care services and were able to name: Financial constraint, Poor health of husband and Ignorance as factors hindering them from participation in maternal care. No statistically significant relationship was obtained between each of age, religion and ethnicity and level of involvement of men in maternal care. However the relationship between educational status and level of involvement in maternity care was statistically significant. Also, there was a significant relationship between number of wives and the level of involvement in maternal care among men. (P=0.001).
Perception attitude and involvement of men in maternal health care in a Nigerian community
This study aimed to examine men's perception, attitude and involvement in maternal care. A crosssectional descriptive survey was carried out in Atelewo community in Osogbo, Osun State, Nigeria using multi-stage sampling technique to select 400 respondents. Participants were adult men of reproductive age. Data were collected using semi-structured questionnaire. In the study, there was no intervention component; and main outcome measures were perception of men about maternal health, attitude of men to maternal health and involvement of men in maternal care. Results revealed majority of the respondents 225 (62.2%) were within the age group 20 to 39 years with a mean age of 36.3 years ±10.86. Most of them were skilled workers 144 (39.8%) and many 147 (40.6%) had post primary school education. One hundred and eighty-six (51.5%) of the respondents had poor knowledge while 205 (56.5%) had a good attitude towards maternal health care. Concerning the involvement of the men in maternal health care of their wives, about a quarter 62 (29.1%), 87 (24.0%), 98 (27.1%) ever followed their wives to family planning clinic, ante-natal clinic and the delivery room respectively. Thus, the level of awareness of men about maternal heath was high, but their involvement in giving care was poor and only about half of them had good attitude towards maternal health care. Education and awareness programs should therefore be carried out by governmental agencies, non-governmental organizations and other voluntary groups to address involvement of men in maternal health care.
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...
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...