scholarly journals Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

2020 ◽  
Author(s):  
Bikila Lencha Gemechu ◽  
Kassahun Ketema ◽  
Girma Beresa ◽  
Bonso Ami ◽  
Aman Urgessa
Keyword(s):  
Decision Making ◽  
Institutional Delivery ◽  
Male Partner ◽  
Male Involvement ◽  
Birth Preparedness ◽  
Male Partners ◽  
Complication Readiness ◽  
Joint Decision ◽  
South Ethiopia ◽  
Arsi Zone

Abstract Background: In sub-Saharan Africa (SSA), pregnancy and childbirth continue to be viewed as solely a woman’s issues. Increasing partner participation and encouraging joint decision making in maternal health care may provide an important strategy in reducing maternal mortality and morbidity.Objective: To assess the level of male partner involvement in Birth Preparedness and Complication Readiness (BPCR) and its association with women’s use of institutional delivery among mothers who had a child less than 12 months in West Arsi Zone, South Ethiopia Methods: Institutional based cross-sectional study was conducted in West Arsi Zone South Ethiopia in 2019. Systematic random sampling technique was used to select the study subjects. Data was collected using interviewer administered structured questionnaire. Binary and multivariable logistic regression was applied for the analysis of each of the independent variables against the dependent variable. The association between male involvement in BPCR and women’s use of institutional delivery was done. The results were reported using crude and adjusted odds ratio (OR) with their 95% confidence interval. Results: More than half of male partners, 407 (54.3%) accompanied their wife during ANC follow up at least ones for the last pregnancy. Slightly more than three fourth, 571 (76.1%) of male partners involved in BPCR for the last pregnancy. Fife hundred fifty-four (73.9%) of the mothers gave birth in the health institution for the most recent child. Male involvement in BPCR (aOR = 18.7, 95% CI (11.1 – 31.6), joint decision making about place of delivery (aOR = 3.2, 95% CI: 1.76 – 5.7), urban residence (aOR = 2.2, 95% CI: 1.32 – 3.7) and having two or less under-five children (aOR, 95% CI: 2.7 (1.4 – 5.3) were associated with women’s use of institutional delivery. Conclusion: More than three fourth of male partners involved BPCR. Male involvement in BPCR, joint decision making about place of delivery, urban residence and having ≤ 2 under-five children were associated with women’s use of institutional delivery. Designing and implementing health education on the role of male partner in maternal health care is mandatory. Empowering rural mothers to use health institutions for delivery and birth spacing may improve the magnitude of institutional delivery.

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.

Shared Decision-making in Maternal and Newborn Health in Burkina Faso

2015 ◽  
Vol 5 (2) ◽  
pp. 68-73
Author(s):  
Janet Perkins ◽  
Cecilia Capello ◽  
Aminata Bargo ◽  
Carlo Santarelli
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Burkina Faso ◽  
Health Sector ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Birth Preparedness ◽  
Care Providers ◽  
Complication Readiness ◽  
Maternal And Newborn

Community participation in decision-making within the health sector is an essential component in advancing efforts toward primary health care (PHC). Since 2006, Enfants du Monde, a Swiss non-governmental organization (NGO), in collaboration with the local NGO Fondation pour le Développement Communautaire/Burkina Faso (FDC/BF), has been supporting the Ministry of Health (MoH) to include communities in decision-making related to maternal and newborn health (MNH) services. Notably, participatory community assessments (PCA) are conducted to provide a platform for community members to discuss MNH needs and be involved in the decision-making within the health sector. During the PCAs, participants identify and prioritize needs and propose solutions to improve MNH, solutions which are then integrated in the annual district health action plan. Integrated interventions include: promotion of birth preparedness and complication readiness; training health care providers in counselling skills; building awareness of men on MNH issues and their capacity to support women; and strengthening community bodies to manage obstetrical and neonatal complications. The inclusion of these interventions has contributed to the advancement of PHC in three regions in Burkina Faso.     

scholarly journals Unlocking community capabilities for addressing social norms/practices: Behavioural change intervention study to improve birth preparedness and complication readiness among pregnant women in rural Nigeria

2020 ◽  
Author(s):  
Irene Ifeyinwa Eze ◽  
Chinyere Ojiugo Mbachu ◽  
Edmund Ndudi Ossai ◽  
Celestina Adaeze Nweze ◽  
Chigozie Jesse Uneke
Keyword(s):  
Health Services ◽  
Pregnant Women ◽  
Intervention Study ◽  
Statistical Tests ◽  
Behavioural Change ◽  
Male Partner ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Danger Signs ◽  
Rural Nigeria

Abstract Background Maternal mortality is attributed to combination of contextual factors that cause delay in seeking care, leading to poor utilization of skilled health services. Community participation is one of the acknowledged strategies to improve health services utilization amongst the poor and rural communities. The study aimed at assessing the potentials of improving birth preparedness and complication readiness (BP/CR) using community-driven behavioural change intervention among pregnant women in rural Nigeria. Methods A pre-post intervention study was conducted from June 2018 to October 2019 on 158 pregnant women selected through multi-stage sampling technique from 10 villages. Data on knowledge and practices of birth preparedness and utilization of facility health services were collected through interviewer-administered pre-tested structured questionnaire. Behavioural change intervention comprising of stakeholders’ engagement, health education, facilitation of emergency transport and fund saving system, and distribution of educational leaflets/posters were delivered by twenty trained volunteer community health workers. The intervention activities focused on sensitization on danger signs of pregnancy, birth preparedness and complication readiness practices and emergency response. Means, standard deviations, and percentages were calculated for descriptive statistics; and T-test and Chi square statistical tests were carried out to determine associations between variables. Statistical significance was set at p-value < 0.05 Results The result showed that after the intervention, mean knowledge score of danger signs of pregnancy increased by 0.37 from baseline value of 3.94 (p < 0.001), and BP/CR elements increased by 0.27 from baseline value of 4.00 (p < 0.001). Mean score for BP/CR practices increased significantly by 0.22 for saving money. The proportion that attended ANC (76.6%) and had facility delivery (60.0%) increased significantly by 8.2% and 8.3% respectively. Participation in Community-related BP/CR activities increased by 11.6% (p = 0.012). Conclusion With the improvements recorded in the community-participatory intervention, birth preparedness and complication readiness should be promoted through community, household and male-partner inclusive strategies. Further evaluation will be required to ascertain the sustainability and impact of the programme.

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 Factors affecting male partners’ involvement in maternity waiting home utilization in North Achefer district, Northwest Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Getachew Asmare ◽  
Dabere Nigatu ◽  
Yamrot Debela
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Male Partner ◽  
Cross Sectional Study ◽  
Male Partners ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Targeted Interventions ◽  
Maternity Waiting Home

Abstract Background: Maternity waiting home is a direct strategy to improving newborn and maternal survival. The utilization of maternity waiting home, however, remains very low in Ethiopia. The involvement of men in maternal health programs is a key strategy to increase utilization of various maternal health services including maternity waiting home. Thus, this study is aimed to determine the proportion of and factors affecting male partners’ involvement in maternity home utilization.Methods: A community-based cross-sectional study was conducted from November 01 – December 30, 2018. A total of 403 male partners were involved in the study. Data were analyzed by statistical package for social science (SPSS) version 23. Independent predictors were identified by multivariable logistic regression model. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) was reported.Results: The proportion of male partner’s involvement in maternity waiting home utilization was 55.6% (50.71, 60.45). Age (AOR=0.88, 95% CI=0.82-0.94), knowledge (AOR=4.75, 95% CI=2.65-8.49), decision making power (AOR=4.00, 95% CI=1.38-11.57), and male partners’ who got counseling about maternity waiting home during spousal antenatal care visit (AOR=9.15, 95% CI=3.34-25.03) had statistically significant association with male partner’s involvement in maternity waiting home utilization.Conclusions: Nearly, a half of male partners were involved in maternity waiting home utilization. Men’s age, knowledge, decision making power, and receiving counseling were factors for male partner involvement in maternity waiting home utilization. Targeted interventions on increasing men’s knowledge about maternity waiting home and changing patriarchal thinking in the society can improve men’s involvement in maternity waiting home utilization.

scholarly journals Social determinants of male partner involvement in women's Prevention of Mother to Child Transmission care Program in Malawi

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

Abstract Background Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Men’s involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. 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, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective 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’s unemployment and possession of a vehicle are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.13-0.83] and 0.23 [95% CI, 0.07-0.77]), whereas high women’s level of knowledge of HIV is positively associated with male attendance (adjusted OR 2.33 [95% CI, 1.01-5.40]). Level of attitude and practice toward HIV were not significantly associated to our study variable. Conclusions Our study shows a high male involvement in Malawi compared to other studies performed in SSA. This study highlights the factors affecting male attendance which are women’s level of knowledge on HIV, economic condition (employment and means of transport) and healthcare system inequality including geographical accessibility. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

scholarly journals Social determinants of male partner involvement in women's Prevention of Mother to Child Transmission care Program in Malawi

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

Abstract Background Male partners are rarely present during PMTCT ( Prevention-Mother-To-Child-Transmission ) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. 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, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective 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’s unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11-0.82] and 0.23 [95% CI, 0.07-0.77]), whereas high women’s level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03-4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable. Conclusions Our study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights the factors affecting male attendance which are women’s level of knowledge on HIV, economic condition (employment and owning a means of transport). Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

scholarly journals Birth Preparedness and Complication Readiness Practice and Associated Factors among Pregnant Women, Northwest Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Yewondwossen Bitew ◽  
Worku Awoke ◽  
Simachew Chekol
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Group Discussion ◽  
Male Partner ◽  
Northwest Ethiopia ◽  
Postnatal Period ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Danger Signs ◽  
The Status

Background. Little is known about birth preparedness and complication readiness (BPCR) plan in resource limited settings to decrease maternal mortality. Therefore, this study was done to assess the status of BPCR and associated factors among pregnant women in South Wollo, Northwest Ethiopia, by involving 819 pregnant women from March to April, 2014. Data were collected by using pretested interviewer administered questionnaire and analyzed using a computer program of SPSS version 20.00. Results. Pregnant women who were prepared for at least three elements of BPCR were 24.1%. Pregnant women knowing at least three key danger signs during pregnancy, delivery, and postnatal period were 23.2%, 22.6%, and 9.6%, respectively. Women having secondary education and higher were 6.20 (95% CI = [1.36, 28.120]) times more likely to be prepared than illiterates. Women having a lifetime history of stillbirth [5.80 (1.13, 29.63)], attending ANC for last child pregnancy [5.44 (2.07, 14.27)], participating in community BPCR group discussion [4.36 (1.17, 16.26)], and having their male partner involved in BPCR counseling during ANC follow-up [4.45 (1.95, 10.16)] were more likely to be prepared. Conclusions. BPCR was very low and should be strengthened through health communication by involving partner in BPCR counseling.

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