scholarly journals Involvement of Male Partners in Skilled Birth Care in the North Dayi District, Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-12
Author(s):  
Farrukh Ishaque Saah ◽  
Elvis Enowbeyang Tarkang ◽  
Joyce Komesuor ◽  
Eric Osei ◽  
Evelyn Acquah ◽  
...  
Keyword(s):  
Health Facility ◽  
Maternal Mortality Ratio ◽  
Male Partner ◽  
Male Involvement ◽  
Sub Saharan Africa ◽  
Male Partners ◽  
Birth Process ◽  
Male Partner Involvement ◽  
The North ◽  
Partner Involvement

Background. With more than half of the global maternal deaths occurring in sub-Saharan Africa, skilled attendance during childbirth is essential in achieving safer births and lower maternal mortalities. Given that societal ascriptions of gender roles strongly influence the utilisation of skilled care by women, male partner involvement in skilled birth is essential. We explored male partner involvement in skilled birth at the North Dayi District of Ghana. Methods. This qualitative study interviewed 14 mothers and their male partners, together with two health professionals. The participants were purposively recruited using in-depth interviews. Data collected were analysed manually, but thematically. Result. Male partners had inadequate knowledge of childbirth and the skilled birth process as well as possible complications arising during delivery. Even though the male partners demonstrated positive perception towards skilled birth and their involvement in the process, their actual involvement in skilled birth care was generally low. Factors which inhibited most of the male partners from getting involved in skilled birth care were health facility nonconduciveness and occupation. However, motivations to do so were marital commitment and sense of responsibility, past experience, nearness to health facility, and safety and survival of partner and baby. Conclusion. These findings imply that Ghana may not be able to meet the Sustainable Development Goal Three target of reducing its maternal mortality ratio from 216 to below 70 per 100,000 live births by 2030. Stakeholders in Ghana’s health industry need to develop male accommodating skilled birth policies and approaches to promote male involvement in skilled birth care.

scholarly journals Exploring the meanings of male partner involvement in the prevention of MTCT of HIV in Zimbabwe

2020 ◽  
Vol 76 (3) ◽  
Author(s):  
Vimbai Chibango
Keyword(s):  
Public Health ◽  
Male Partner ◽  
Male Involvement ◽  
Antiretroviral Drugs ◽  
Future Research ◽  
Major Theme ◽  
Male Partners ◽  
Male Partner Involvement ◽  
Health Institutions ◽  
Partner Involvement

Male partner involvement (MPI) in the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) is considered as one of the priority interventions in reducing paediatric HIV. However, there is neither a standard definition nor measurement for MPI in PMTCT. The study explored meanings of MPI in PMTCT programmes in Zimbabwe. Eight focus group discussions (FGDs) were conducted with men and women aged 18 years and above. Seven key informants (KII) from health institutions and organisations providing PMTCT services were interviewed. Eight in-depth interviews (IDIs) were conducted with pregnant women at two public health facilities. Thematic analysis was used for data analysis. Five major themes were identified which facilitated our understanding of MPI. Male partner involvement was referred to as participation of male partners in HIV couple counselling and testing. Acceptance of condom use during pregnancy and breastfeeding was deemed vital as this prevents HIV transmission. Male partners were expected to have knowledge of administering antiretroviral drugs to an HIV-exposed child. Provision of financial support was another form of male involvement commonly expected during antenatal and postnatal periods. Faithfulness in marriage was a major theme that was highlighted, especially by respondents in marital relationships. Male partner presence in PMTCT community educational sessions was also considered. However, the provision of male-oriented educational programmes was identified as poor. The study suggested a definition for MPI in PMTCT in Zimbabwe. The merit of this definition was that it took a holistic approach to include activities beyond antenatal activities and HIV testing. Future research should explore how public health institutions could create male-oriented health services within PMTCT programmes, as this has the potential of increasing men’s involvement in PMTCT of HIV.Contribution: This article contributed to the knowledge on how world views, which is shaped by culture and religion, influenced the formation of meanings on MPI PMTCT programmes.

scholarly journals Male partner involvement in birth preparedness, complication readiness and obstetric emergencies in Sub-Saharan Africa: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Faye Forbes ◽  
Karen Wynter ◽  
Berihun M. Zeleke ◽  
Jane Fisher
Keyword(s):  
Scoping Review ◽  
Male Partner ◽  
Sub Saharan Africa ◽  
Birth Preparedness ◽  
Male Partners ◽  
Complication Readiness ◽  
Male Partner Involvement ◽  
Obstetric Emergencies ◽  
Sub Saharan ◽  
Partner Involvement

Abstract Background Maternal mortality remains a pressing concern across Sub-Sahara Africa. The ‘Three Delays Model’ suggests that maternal deaths are a consequence of delays in: seeking care, reaching medical care and receiving care. Birth Preparedness and Complication Readiness (BPCR) refers to a plan organised during pregnancy in preparation for a normal birth and in case of complications. Male partners in many Sub-Saharan African communities could play a pivotal role in a woman’s ability to prepare for birth and respond to obstetric complications. This review aimed identify: the extent and quality of research performed on the topic of male partner involvement in BPCR in Sub-Saharan Africa; the degree to which populations and geographic areas are represented; how male partner involvement has been conceptualized; how male partners response to obstetric complications has been conceptualised; how the variation in male partners involvement has been measured and if any interventions have been performed. Methods In this scoping review, articles were identified through a systematic search of databases MEDLINE, EMBASE and Maternity and Infant Care and a manual scan of relevant papers, journals and websites. All authors contributed to the screening process and a quality assessment using the Kmet checklist. The PRISMA checking list for Scoping Reviews was used to guide the search, data charting and reporting of the review The protocol was registered with PROSPERO (ID: CRD42019126263). Results Thirty-five articles met inclusion criteria, reporting: 13 qualitative, 13 cross-sectional, 5 mixed method and 4 intervention studies. Data were contributed by approximately 14,550 participants (numbers were not always reported for focus groups) including: women who were pregnant or who had experienced pregnancy or childbirth within the previous 3 years, their male partners and key informants such as health workers and community leaders. Conclusions The diversity of study designs, aims and source countries in this body of literature reflects an emerging stage of research; as a result, the review yielded strong evidence in some areas and gaps in others. Male partner’s involvement in BPCR and responding to obstetric emergencies can be conceptualised as being centrally involved in responding to complications and having some role in preparing for birth through their position in the chain of decisions and provision of logistic support. However, their knowledge of pregnancy complications and level of preparation for birth is low, suggesting they are making decisions without being fully informed. There is limited evidence on interventions to improve their knowledge. Future research efforts should be focused on producing standardised, culturally appropriate, higher level evidence.

scholarly journals The involvement of male partners in care: socio determinants of health among women in Prevention of Mother to Child Transmission in Malawi

2020 ◽  
Author(s):  
Isotta Triulzi ◽  
Olivia Keiser ◽  
Claire Somerville ◽  
Sangwani Salimu ◽  
Fausto Ciccacci ◽  
...  
Keyword(s):  
Male Partner ◽  
Sub Saharan Africa ◽  
Mother To Child Transmission ◽  
Male Partners ◽  
Child Transmission ◽  
Hiv Knowledge ◽  
Male Partner Involvement ◽  
Attitude And Practice ◽  
Partner Involvement ◽  
Mother To Child

AbstractIntroductionMale partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). The involvement of men is increasingly recognised as an important element of women’s access to care. The study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by the male partners to the facilities.MethodWe included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, lived with a male partner, enrolled for the first time in four DREAM facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary outcome was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics, and logistic regressions to study the association between being accompanied and explanatory variables.ResultsWe enrolled 128 HIV-positive women : 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women with high level of knowledge on HIV/AIDS are more likely to be accompanied by the male partners (53.7% vs 34.8%,p=0.040). Level of attitude and practice were not different between women accompanied or not. Patients owning a mean of transport were more likely to go alone to facility (OR 4.16, 95% CI 1.02-16.94). Women who travelled more than 90 minutes to get to the facilities (OR 0.10, 95% CI 0.02-0.49) with high HIV-knowledge (OR 0.38, 95% CI 0.16-0.91) are more likely to be accompanied.ConclusionOur study showed a good male partner involvement compared to other studies performed in SSA. To our knowledge this is the first study outlining the relationship between male partner involvement in care with socio determinant of health. This is crucial to design and implement effective interventions.

scholarly journals Male Partner Involvement in Promoting Antenatal Care and Skilled Delivery Attendance in Bumula Sub-County, Kenya

2021 ◽  
Vol 3 (5) ◽  
pp. 43-51
Author(s):  
Rose A. M. Nyang’au ◽  
Maximilla Wanzala ◽  
Tom Were
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Male Partner ◽  
Male Involvement ◽  
Male Partners ◽  
Skilled Delivery ◽  
Low Level ◽  
Male Partner Involvement ◽  
Delivery Services ◽  
Partner Involvement

Globally, male partner involvement in antenatal care and skilled delivery services remains a challenge to effective management of maternal health. Maternal morbidities and mortalities have been increasing due to the underutilization of antenatal care and skilled delivery attendance at a global level. However, developed countries have had a different story on male partner involvement in antenatal care and skilled delivery attendance – most male partners are involved in the process. But sub-Saharan Africa in the global south records the highest percentage of male partners who are never active in accompanying their female counterparts to visit antenatal care and skilled delivery. In Kenya male involvement in maternal services remains low despite it being recognized as one of the pillars of safe motherhood. Therefore, this study was conducted to investigate male partner involvement in promoting antenatal care and skilled delivery attendance in Bumula Sub-County of Bungoma County in Kenya. It focused on the level of male partners involvement in maternal health. The study adopted a cross-sectional design. The target populations were married men and community health volunteers. The study had a sample size of 427 persons. Data was collected using a pre-tested semi-structured questionnaire, key in-depth interview guides, focused group discussion guides and observation checklist. Data were analysed using descriptive statistics with the aid of the Statistical Package for Social Scientist version 25. Data were presented using tables, figures, narratives and direct quotes. The study found a low level of male involvement (18%) in promoting antenatal care and skilled delivery attendance. Most of the male partners (83.1%) did not plan with their partners for ANC and skilled delivery services, however, (54.1%) accompanied their partners to the clinics. The study concluded There was a low level of male partner involvement in ANC and skilled delivery attendance. About 18% of male partners were involvement in ANC and skilled delivery attendance. There was an improvement of male partner involvement in accompaniment and provision of support. The study recommended that the two levels of government through the Ministry of Health should create awareness campaigns and public education with a targeted massage on negative cultural practices/mindset that hinder male partner involvement in maternal health services in the Bumula sub-county.

scholarly journals The Involvement of Male Partners in Care: Socio Determinants of Health Among Women in Prevention of Mother to Child Transmission Program in Malawi

2020 ◽  
Author(s):  
Isotta Triulzi ◽  
Olivia Keiser ◽  
Claire Somerville ◽  
Sangwani Salimu ◽  
Fausto Ciccacci ◽  
...  
Keyword(s):  
Male Partner ◽  
Sub Saharan Africa ◽  
Mother To Child Transmission ◽  
Male Partners ◽  
Child Transmission ◽  
Hiv Knowledge ◽  
Male Partner Involvement ◽  
Attitude And Practice ◽  
Partner Involvement ◽  
Mother To Child

Abstract Background Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). The involvement of men is increasingly recognised as an important element of women’s access to care. The study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by the male partners to the facilities. Methods We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, lived with a male partner, enrolled for the first time in four DREAM facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary outcome was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics, and logistic regressions to study the association between being accompanied and explanatory variables. Results We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women with high level of knowledge on HIV/AIDS are more likely to be accompanied by the male partners (53.7% vs 34.8%, p = 0.040). Level of attitude and practice were not different between women accompanied or not. Patients owning a mean of transport were more likely to go alone to facility (OR 4.16, 95% CI 1.02–16.94). Women who travelled more than 90 minutes to get to the facilities (OR 0.10, 95% CI 0.02–0.49) with high HIV-knowledge (OR 0.38, 95% CI 0.16–0.91) are more likely to be accompanied. Conclusions Our study showed a good male partner involvement compared to other studies performed in SSA. To our knowledge this is the first study showing that women’s knowledge on HIV and healthcare system inequality as geographical accessibility, social class, gender norms and masculinity play a key role on male partner involvement. Therefore, considering the socio determinant of health is crucial to improve the health of all the family.

scholarly journals Guidelines to operationalize a model to facilitate male involvement in the reproductive health context by the registered nurses

2015 ◽  
Vol 5 (1) ◽  
pp. 32
Author(s):  
Amukugo Hans Justus ◽  
Neshuku Hanna ◽  
Julia Paula Nangombe
Keyword(s):  
Reproductive Health ◽  
Conceptual Framework ◽  
Deductive Reasoning ◽  
Male Partner ◽  
Male Involvement ◽  
Male Partners ◽  
Male Partner Involvement ◽  
Full Participation ◽  
Health Centres ◽  
Partner Involvement

<p>The purpose of this article is to describe the guidelines for operationalising a model to facilitate male partner involvement in RH. Guidelines were developed for the implementation of the model to facilitate male partner involvement in RH through the management of a partnership environment. These guidelines may be implemented in those health facilities that provide RH services, namely, clinics, health centres and hospitals. The nurses, in collaboration with significant stakeholders from the community, representatives from the line ministries and NGOs, will be able to facilitate male partner involvement in RH.</p><p>These guidelines and strategies were derived from the conceptual framework which was generated by means of deductive reasoning and analysis. The guidelines and strategies at each level are aimed at facilitating male partner involvement in RH through the management of the partnership environment by enabling male partners to become actively involved and participate and to eliminate those factors that impede the full participation of male partners in the RH context. The chapter will focus on these guidelines which are expressed in terms of the aims and strategies of each of the four phases in facilitating male partner involvement in RH.</p>

scholarly journals Factors associated with male partner involvement in the prevention of mother-to-child transmission of human immunodeficiency virus in the Gokwe North District, Zimbabwe: A qualitative study

2020 ◽  
Vol 76 (3) ◽  
Author(s):  
Vimbai Chibango
Keyword(s):  
Belief Systems ◽  
Male Partner ◽  
Hiv Infections ◽  
Male Partners ◽  
Male Partner Involvement ◽  
Immunodeficiency Virus ◽  
Traditional Leadership ◽  
Partner Involvement ◽  
Mother To Child

Male partners’ involvement in human immunodeficiency virus (HIV) intervention programmes is crucial in the prevention of mother-to-child transmission (PMTCT) of HIV. However, male partner involvement in PMTCT is low in most countries in Sub-Saharan Africa. Therefore, this study aimed at exploring the major factors associated with male partner involvement in PMTCT of HIV programmes in the Gokwe North District of Zimbabwe. The study utilised qualitative methods. Data was collected using a pretested interview guide. Purposive sampling methods were used to select participants of focus group discussions and key informant interviews. Interviews were conducted from May to September 2015. Thematic analysis was used for data analysis. The study revealed that local traditional leaders played a role in mobilising men in communities. Awareness campaigns enhanced communities’ knowledge about PMTCT. Couple communication proved to be vital in promoting male involvement. However, stigmatisation against men utilising antenatal-care services, fear of HIV results and a lack of knowledge of the practices surrounding PMTCT of HIV programmes were hindrances to male partner involvement. Collaboration and engagement amongst stakeholders especially with traditional leadership can be essential in increasing male partner participation in PMTCT. Education has proved to be a catalyst in the de-stigmatisation of men in PMTCT programmes. Moreover, HIV counselling can illuminate an understanding on the implications of HIV test results. The significant contribution of this article is its demonstration of the role of African traditional leadership and belief systems in curbing HIV infections, particularly in terms of male partners’ involvement in PMTCT initiatives.Contribution: The significant contribution of this article is its demonstration of the role of African traditional leadership and belief systems in curbing HIV infections, particularly in terms of male partners’ involvement in PMTCT initiatives.

scholarly journals Roles and Expectations of Male Partners from PMTCT services in Chiradzulu Malawi: A Qualitative Study

2019 ◽  
Author(s):  
Beatrice M'baya Kansinjiro ◽  
Alinane Linda Nyondo-Mipando
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Facility ◽  
Health Care Workers ◽  
Health Assessment ◽  
Male Involvement ◽  
Sub Saharan Africa ◽  
Male Partners ◽  
Care Workers ◽  
Sub Saharan

Abstract Background: Prevention of mother to child transmission of HIV (PMTCT) is the main measure for curbing HIV infection in children. Male involvement (MI) greatly influences uptake and adherence to PMTCT services yet the level remain low in Sub Saharan Africa. Lack of well stipulated roles for men in PMTCT is one of the main barriers to MI. Studies on MI have focused on women and Health care workers (HCW), thereby making men silent partners. The main aim of the study was to explore the roles and expectations of male partners in PMTCT services in Malawi. Methods: This was a descriptive qualitative study that involved men whose partners were either pregnant or breastfeeding a child, health care workers working in PMTCT services for over six months and traditional leaders. We conducted 9 in-depth interviews and 12 key informant interviews from January to March 2018. All interviews were audio-recorded, transcribed and translated. Thematic analysis was employed to analyze data. Results: Male partners play supportive, HIV prevention behaviour change and decision-making roles in PMTCT services. Health assessment and health promotion activities are the male specific services required in PMTCT services and these should be delivered at both health facility and community levels. Conclusion : Male partners in PMTCT have expectations that need to be met at both health facility and community levels. There is need to have male-tailored package of health services that are directly provided to men along with PMTCT services at different levels in order to promote MI. The services should be provided in an atmosphere that allows and accepts male partners to exercise their roles in PMTCT services.

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