Supported motherhood? An examination of the cultural context of male participation in maternal health care among tribal communities in India

2019 ◽  
Vol 52 (3) ◽  
pp. 452-471 ◽  
Author(s):  
Suresh Jungari ◽  
Balram Paswan
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Cultural Context ◽  
Maternal Health Care ◽  
Primary Data ◽  
Care Seeking ◽  
Care Providers ◽  
Male Participation ◽  
Tribal Communities

AbstractIn many cultural settings worldwide, within families, men tend to be responsible for important choices relating to the allocation of household resources and care-seeking behaviour that directly impact on the health of women and newborns. This study examines the extent of male participation in antenatal care (ANC), delivery, postnatal care (PNC), household chores and providing food to wives among tribal communities in India. In addition, health care providers’ views on male participation in maternal health were examined. Primary data were collected from 385 men aged 15–49 from rural Gadchiroli District in Maharashtra, India. Interviews of 385 men whose wives had delivered a child within the previous 2 years were conducted between November 2014 and March 2015. Bivariate and multivariate analyses were done. The results showed that the tribal men’s participation in maternal health care was minimal. Around 22% of the men reported accompanying their wives to ANC, 25% were present at the time of delivery of their children and 25% accompanied their wives to PNC. Participation in household work, and support for wives in other ways, were slightly better. The main reason given by men for not participating in maternal health care was that they didn’t think it was necessary, believing that all maternal health issues were women’s concern. Health care providers among these tribal communities in India should encourage men to participate in issues related to maternal health care.

scholarly journals Knowledge of preconception care and associated factors among maternal health care providers working in urban public health institutions of Eastern Ethiopia

2021 ◽  
Vol 17 ◽  
pp. 174550652110461
Author(s):  
Seboka Abebe Sori ◽  
Kedir Teji Roba ◽  
Tesfaye Assebe Yadeta ◽  
Hirut Dinku Jiru ◽  
Keyredin Nuriye Metebo ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Confidence Interval ◽  
Health Care Providers ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Preconception Care ◽  
Maternal Health Care ◽  
Good Knowledge ◽  
Care Providers

Background: Provision of preconception care is significantly affected by the health care provider’s knowledge of preconception care. In Ethiopia, preconception care is rare, if even available, as part of maternal health care services. Thus, this study aimed to determine the level of knowledge of preconception care and associated factors among health care providers working in public health facilities in Eastern Ethiopia. Methods: A multicenter cross-sectional study was conducted from 1 March to 1 April 2020. A simple random sampling technique was used to select a total of 415 maternal health care providers. We utilized a structured, pretested, and self-administered questionnaire to collect data. Data were entered into EpiData (version 3.1) and exported to STATA (version 16) for analysis. Descriptive statistics and bivariate and multivariate logistic regression analyses were performed. All covariates with a p value ⩽0.20 in bivariate logistic regression were entered into a multivariate logistic regression analysis to control the confounding variables; variables with a p value <0.05 were considered statistically significant. Results: Out of 410 respondents, 247 (60.2%; 95% confidence interval: 55.4–65.1) had good knowledge of preconception care. Having an educational level of Bachelor of Science degree and above (adjusted odds ratio: 6.97, 95% confidence interval: 3.85–12.60), 5 or more years work experience (adjusted odds ratio: 2.60, 95% confidence interval: 1.52–4.49), working in a hospital (adjusted odds ratio: 2.50, 95% confidence interval: 1.25–4.99), reading preconception care guidelines (adjusted odds ratio: 3.06, 95% confidence interval: 1.40–6.68), and training on preconception (adjusted odds ratio: 2.90, 95% confidence interval: 1.37–6.15) were significantly associated with good knowledge of preconception care. Conclusions and Recommendations: Three out of five maternal health care providers in this study had good knowledge of preconception care. Facilitating continuous refreshment training and continuous professional development for health workers, preparing comprehensive preconception care guidelines for health institutions, and reading preconception care guidelines were highly recommended.

scholarly journals Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

2019 ◽  
Author(s):  
Oludoyinmola Omobolade Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Pregnancy Outcomes ◽  
Preconception Care ◽  
Reproductive Age ◽  
Care Seeking ◽  
Care Providers ◽  
Medical Problems ◽  
Potential Benefits

Abstract Background: Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has shown that PCC services are minimally available and yet to be fully integrated into maternal health services in Nigeria. This study explored the perceptions about PCC services among health care providers in Ibadan, Nigeria. Methods: This was a case study research among 26 health care providers – 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. In-depth interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis. Results: Six main themes were identified from the data – scope of PCC, people who require PCC, where PCC services can be provided, acceptability of PCC services, relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Participants opined that delayed health care seeking observed in the community may influence acceptability of PCC especially for people without known pre-existing conditions. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes. Conclusion: Preconception care is perceived as being more important for promoting positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Provision of the service will however require establishment of guidelines and its uptake will depend on acceptability to people with known medical problems who will benefit from the service.

scholarly journals Training of maternal health care providers in newer modalities of management of post-partum haemorrhage

2019 ◽  
Vol 8 (3) ◽  
pp. 1062
Author(s):  
Samita Bhardwaj ◽  
Sonal Raut ◽  
Vidyadhar B. Bangal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Post Partum ◽  
Maternal Health Care ◽  
Active Management ◽  
Care Providers ◽  
Hands On ◽  
Third Stage ◽  
Training Programmes

Background: Postpartum haemorrhage (PPH) is a life-threatening complication, that occurs suddenly and unexpectedly. Institutional delivery by skilled birth attendant who are trained in active management of third stage of labour and those who can use of Uterine Balloon Tamponade and Non-pneumatic anti shock garment can reduce incidence and morbidity related to PPH. The objective of the paper was to share the experiences of the training programmes held for maternal health care workers in the newer modalities of PPH management.Methods: During one and a half year period, 32 Continuation of Medical Education (CME) programmes, with the theme of “Managing Obstetric Emergencies and Obstetric Trauma”, covering important topics related to high risk pregnancies like Hypertension, Eclampsia ,Anaemia and Haemorrhage at 32 health institutions, spread over 11 states and 2 union territories in India, were conducted .In addition,42 hands on workshops  at various health facilities were conducted with training of more than 2575 maternal health care providers.Results: The pre and post test scores revealed that 95 percent of the maternal health care providers were unaware about the use of Uterine Balloon Tamponade (Bakri balloon) in PPH and Non-pneumatic anti shock garment (NASG). Seventy percent were unaware about the proper sequence of steps of active management of third stage of labour. Training programmes helped to improve the knowledge, whereas hands on workshop, helped in skill development of the health care providers. The participants expressed great satisfaction regarding the knowledge and skills they acquired through training programme on management of post-partum haemorrhage. They gave positive feedback about the quality, contents and conduct of training programme.Conclusions: There is need for refresher training of maternal health care providers in newer modalities like AMTSL, NASG and Bakri balloon, which have potential to save lives.

scholarly journals HEALTH CARE PROVIDERS’ VIEWS CONCERNING KNOWLEDGE AND PRACTICES OF TRADITIONAL BIRTH ATTENDANTS IN TAJIKISTAN: A QUALITATIVE STUDY

2021 ◽  
Vol 3 (2) ◽  
pp. 479-495
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Skilled Birth Attendant ◽  
Maternal Health Care ◽  
Traditional Birth Attendants ◽  
Care Providers ◽  
Birth Attendants

Introduction: This study seeks to explore health care providers’ perspectives of the traditional birth attendants’ knowledge and practices. Methods: This qualitative study was conducted in 2018 with 16 health care professionals working at various levels of maternal health care system in two purposefully selected research settings, Khorog town and Dushanbe, which have different social, economic and ethnic backgrounds. Semi-structured face-to-face interviews were conducted to gather the data. Duration of interviews ranged from 30-60 min. NVivo software for qualitative research was used to analyse the results. Results: This study has shown that health care workers have extremely negative views of the knowledge and practices of traditional birth attendants. They highlight the lack of adequate knowledge of traditional birth attendants on biomedical aspects of birth, poor skills in infections control and lack of use of clean delivery practices. They also claim that the traditional birth attendants’ practices also lead to different complications while they are woefully unprepared to recognize obstetric complications during birth. Conclusion: The study recommends providing a skilled birth attendant in every area. It also recommends avoiding a homogeneous approach to address maternal health issues in diverse countries of the Global South and reviewing maternal health care policies and programs to provide the most marginalized groups of women with skilled birth services to improve their maternal health and further decrease maternal mortality in Tajikistan.

scholarly journals Frekuensi Antenatal Care Tidak Berhubungan dengan Tingkat Pengetahuan Perawatan Kesehatan pada Ibu Nifas

2017 ◽  
Vol 5 (2) ◽  
pp. 100
Author(s):  
Fatimatasari Fatimatasari ◽  
Ashon Sa’adi ◽  
Widati Fatmaningrum
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Providers ◽  
Health Knowledge ◽  
Care Quality ◽  
Maternal Health Care ◽  
Rank Test ◽  
Postpartum Women ◽  
Care Providers

<em>Maternal health care knowledge affects prenatal care and pregnanci’s outcome. Antenatal care is one opportunity to increase maternal health care knowledge. This study aims to investigate the association between antenatal care visits and level of maternal health knowledge among postpartum women in RSUD Majenang. This study was a cross sectional design. The sample was thirty five Postpartum women who admitted in RSUD Majenang on 12th May to 12th June with criteria: being on post partum period, had aterm pregnancy, could show KIA books, had maximally senior high school graduated and performed antenatal care with obstetric and gynecologist maximally twice during pregnancy. Antenatal care visits assessed by questionnaire and antenatal visits record in KIA book. Level of maternal health care knowledge was assessed by questionnaire and interview. This study found 62.9% of total respondents had good antenatal care visits, 28.6% moderate and 8.6% had less antenatal care visits during last pregnancy. 57.1% of total respondents had moderate maternal health care knowledge, 31.4% less and 11.4% had good maternal healthcare knowledge. Spearman Rank test with the significance level  = 0.05 showed p value = 0, 293, it means there is no significant association between antenatal care visits and level of maternal health care knowledge. Conclusion, the un significant association between antenatal care visits level of maternal health care knowledge among postpartum women in RSUD Majenang may caused by many factors, such as the respondents belief about maternal health care information, diverse information resources, insufficient education materials from health care providers and lack of anteatal care quality assessment from health ministry.</em>

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