scholarly journals Male Partner Involvement In The Utilization Of Antenatal Care Services In Kidera, Buyende District, Uganda: Cross Sectional Mixed Methods Study

2020 ◽  
Author(s):  
Priscilla Alupo ◽  
Esther Ruth Atim ◽  
Henry Kaggwa ◽  
Calorine Mudondo ◽  
Cliveland Ogallo ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Qualitative Data ◽  
Male Partner ◽  
Neonatal Morbidity ◽  
Male Involvement ◽  
Safe Motherhood ◽  
Adult Males ◽  
Cross Sectional ◽  
Male Partner Involvement ◽  
Customer Care

Abstract Background: Antenatal care, one of the pillars of safe motherhood, is a proven a concept aimed at reducing maternal and neonatal morbidity and mortality. It is a largely a health preventive and promotive activity. In order to foster its utilization and the desired benefits, the males who are largely key decision makers especially in patriarchal societies have to be involved. This concept of male involvement (MI) is essential in curtailing the gender inequality and improves the family livelihood. Although different strategies have been employed to woe males into ANC clinics, their involvement is largely lacking in Uganda. This study reports level of males’ involvement, their knowledge and attitudes of ANC and influencing factors . Methods: This was a cross sectional community descriptive study that employed quantitative and qualitative methods. Our qualitative data study was based on the phenomenological design and rooted into the Grounded theory. For quantitative study, 135 adult males were recruited and collected data analyzed using SPSS software (version 24) while for qualitative data collection, Focus Group Discussions(FGDs) were held for 60males and each transcript was analyzed by two researchers using NVIVO software version 12.Coding was done and themes developed. Results: Male involvement as assessed based on different activities was between 51.1 % and 85.2 %.Although 77.8% had ever accompanied their partner for ANC, only 9.6% did so on at least 4 occasions and 88.9% never received any supplementary service during the visit. Significantly males were generally knowledgeable and had positive attitude towards ANC. Also 65.4% reported their partner felt comfortable once accompanied.However during FGDs, males described ANC as a room for checking pregnant women, time wasting and unpleasant for the males with no privacy and rude staff. They were further wary of being tested as a couple for HIV. Despite challenges, ANC couple attendance was credited with potential of fostering unity.Conclusions: Male involvement is improving in Uganda but more needs to be done in educating men about their importance in ANC. Couple friendly infrastructure that ensures privacy, staff training that ensures customer care tailored towards being more sensitive and responsive to couples’ may improve MI.

scholarly journals Sociodemographic Factors Associated with Women’s Perspectives on Male Involvement in Antenatal Care, Labour, and Childbirth

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Shamsudeen Mohammed ◽  
Ibrahim Yakubu ◽  
Issahaku Awal
Keyword(s):  
Antenatal Care ◽  
Junior High School ◽  
Male Partner ◽  
Male Involvement ◽  
Northern Region ◽  
Married Women ◽  
Cross Sectional ◽  
Level Of Education ◽  
Factors Associated ◽  
Men’S Involvement

Background. Evidence suggests that in patriarchal societies such as Ghana, access to and survival of maternal and child healthcare services require the active involvement of men. However, interventions to promote men’s involvement in maternal and child health care are less likely to succeed if the views and concerns of women are not considered. This study provides an understanding of women’s perspective on men’s involvement in antenatal care, labour, and childbirth in the Northern Region of Ghana. Methods. Data for this cross‐sectional study were collected from 300 pregnant women using a structured questionnaire. Logistic regression models were then used to determine the socio‐demographic factors associated with women’s perspectives on men’s involvement in antenatal care, labour, and childbirth. Results. The mean age of the participants was 28 (SD = 5.21) years. More than four-fifths of the women in this study express the desire for male partner involment in natenatal care (ANC) services (n = 258, 86%) and as companions during labour and child birth (n = 254, 84.7%). We found that married women were 9.8 times more likely (95%CI 1.59, 60.81) to encourage male involvement in ANC compared to women who were unmarried. The probability of encouraging male involvement in ANC decreased with increased level of education among the women while support for male companionship during childbirth increased significantly with an increased level of education. After accounting for the effect of other significant covariates, there was good evidence to suggest that married women (p = 0.002), women with only primary/Junior High School education (p = 0.048) and those with two (p = 0.010), three (p =  0.008), or ≥4 (p = 0.044) previous pregnancies had a desire for male partner involvement in ANC while women who attained secondary (p = 0.004) or tertiary (p = 0.001) level education expressed the desire for male companionship in labour and childbirth in the adjusted model. Conclusion. Male involvement in antenatal care, labour, and childbirth received overwhelming support from the women in this study.

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 Timing and reasons for antenatal care booking among women in a tertiary health care center in Southern Nigeria

2017 ◽  
Vol 6 (9) ◽  
pp. 3731 ◽  
Author(s):  
Ntiense Macaulay Utuk ◽  
Anyiekere Ekanem ◽  
Aniekan Monday Abasiattai
Keyword(s):  
Antenatal Care ◽  
Care Center ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Safe Motherhood ◽  
Cross Sectional ◽  
Post Secondary ◽  
Health Care Center ◽  
Southern Nigeria ◽  
The Mean

Background: Antenatal care is one of the four pillars of safe motherhood and its benefits in preventing adverse feto-maternal outcome is proven. Commencement of antenatal care early has been shown to be key for this benefit to be fully realized. The aim of this study was to determine the antenatal booking pattern of pregnant women and its determinants in our environment.Methods: A cross sectional study of women attending the booking clinic in the University of Uyo Teaching Hospital, Akwa Ibom State, Southern Nigeria over a three-month period.Results: The mean age of the respondents was 28.5 years. The mean gestational age at booking was 18.3 weeks. The majority of the patients were married (94.1%). 68.1% had a post-secondary education. 33.5% of patients were nultiparous, while 3.5% were grand multiparous. The majority of patients (72.4%) booked late for antenatal care. Age group, marital status, mode of delivery was not significantly associated with timing of booking. High levels of patient’s education, high levels of husband’s education as well as grand multiparity were significantly associated with late booking (P<0.05). Majority (65.4%) of patients claimed that it was safe to book at any time during pregnancy.Conclusions: The majority of women booked late for antenatal care. In our study, we have found that general and health education, subsidisation of cost for antenatal care and introduction of focused antenatal care will help to reverse this trend.

scholarly journals Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Célestin Ndosimao Nsibu ◽  
Célestin Manianga ◽  
Serge Kapanga ◽  
Esther Mona ◽  
Philippe Pululu ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Male Partner ◽  
First Trimester ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Republic Of Congo

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.

scholarly journals Association between male involvement during antenatal care and use of maternal health services in Mwanza City, Northwestern Tanzania: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036211
Author(s):  
Clara C Natai ◽  
Neema Gervas ◽  
Frybert M Sikira ◽  
Beatrice J Leyaro ◽  
Juma Mfanga ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Growth Monitoring ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mwanza City

BackgroundMale involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Tanzania where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. In Tanzania information is limited regarding influence of male involvement during ANC on utilisation of maternal health services.ObjectivesTo determine the effect of male involvement during ANC on use of maternal health services in Mwanza, Tanzania.DesignA cross-sectional study conducted from June to July 2019.SettingThis study was conducted at seven randomly selected health facilities providing reproductive, maternal and child health (RCH) services in Mwanza City.ParticipantsIncluded 430 postpartum women who delivered 1 year prior to the study and attending for RCH services (growth monitoring, vaccination, postpartum care).Outcome measures4 or more ANC visits, skilled birth attendant (SBA) use during childbirth and postnatal care (PNC) utilisation 48 hours after delivery.MethodsInterviews and observation of the women’s ANC card were used to collect data. Data was entered, cleaned and analysed by SPSS.ResultsThe mean age of participants was 25.7 years. Of 430 women, 54.4% reported their partners attended ANC at least once, 69.7% reported they attended for four or more ANC visits during last pregnancy, 95% used SBAs during childbirth and 9.2% attended PNC within 48 hours after delivery. Male involvement during ANC was significantly associated with four or more ANC visits (Crude Odds Ratio (COR): 1.90; 95% CI: 1.08–3.35) but not with SBA use or PNC utilisation.ConclusionMale involvement in ANC is still low in Mwanza, as 46% of the partners had not attended with partners at ANC. Alternative strategies are needed to improve participation. Studies among men are required to explore the barriers of participation in overall RCH services.

scholarly journals Determinants of utilization of antenatal care services in rural area of Bangladesh

2016 ◽  
Vol 44 (2) ◽  
pp. 67-71 ◽  
Author(s):  
Shayela Farah ◽  
Mohoshina Karim
Keyword(s):  
Antenatal Care ◽  
Care Service ◽  
Behavioural Change ◽  
Educational Status ◽  
Pregnancy Complication ◽  
Safe Motherhood ◽  
Family Welfare ◽  
Cross Sectional ◽  
Danger Signs ◽  
Care Services

Appropriate ante-natal care services promote safe motherhood and delivery with improved maternal and neonatal outcome. This population based cross sectional descriptive study was carried out to determine the utilization of antenatal care (ANC) services in a rural community of Bangladesh. Out of the 112 women studied, 63.4% mothers were found to receive antenatal care. Among them one third (32.4%) took it more than 4 occasions, 34(47.8%) pregnant women received antenatal care from government hospitals, 19(27%) from family welfare centre, 6(8.5%) from satellite clinics and around 12(17%) received from private hospitals. Around 71% mothers received ANC service from doctor while 17% mothers received from trained professionals. Seventy four percent mothers received tetanus (TT) injections. Only one fourth (25.3%) mothers had not received it. On an average, 90% mothers received iron tablets during their pregnancy. Regarding have danger signs during pregnancy, it was found that, 58.9% mothers were not aware about the have danger signs and 29.5% respondents knew about all the danger signs. Association between educational status and treatment seeking behaviour for pregnancy complication was found to be statistically significant (p<0.05). However, association between educational status and place of treatment for pregnancy complication was also found significant (p<0.01). Intensive awareness programme, behavioural change interventions and regular pregnancy monitoring may promote antenatal care service utilization in rural Bangladesh.Bangladesh Med J. 2015 May; 44 (2): 67-71

scholarly journals Prevalence of husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months in Enebsiesarmider District, Northwest Ethiopia, 2018.

2019 ◽  
Author(s):  
Haimanot Abebe
Keyword(s):  
Antenatal Care ◽  
Health System ◽  
Associated Factors ◽  
Health Department ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Safe Motherhood ◽  
Cross Sectional ◽  
Multi Stage ◽  
Study Participants

Abstract Background Globally, husband attendance of skilled maternal ANC care remains a challenge to safe motherhood. Even though husband attendance in antenatal care is one of the strategies for enhancing reproductive and sexual health in Ethiopia, the magnitude of husband attendance in ANC is not well investigated in the study area. Therefore, this study aimed to assess husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months prior to the study in Enebsiesarmider district, Northwest Ethiopia.Methods A Community-based cross-sectional study was employed to assess husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months in Enebsiesarmider district, Northwest Ethiopia. The study was conducted from February 10-March 10, 2018. A total of 402 participants were involved in the study. Multi stage sampling method was used to recruit study participants. Data were collected using structured interviewer administered questionnaire. Data were entered using epi Data software and exported to SPPS for analysis. Descriptive statistics including mean, proportion were used to describe study variables. Binary and multivariable logistic regression was employed to describe variables in relation to the outcome variable.Result: The prevalence of husband antenatal care attendance was found to be 31.8% [95%CI, 27.4-36.3]. Attending secondary education and above [AOR 1.93, 95%CI, 1.14-3.26], good antenatal care knowledge [AOR 3.30, 95%CI, 2.02-5.39] and hadn’t health system barriers [AOR 2.32, 95%CI, 1.35-4.00] were statistically associated with husband antenatal care attendance.Conclusion Husband ANC attendance was found to be low in the study area. Regional health department shall design behavioral change interventions to reducing health system pitfalls towards ANC in the study area, furthermore, enabling all pregnant women to be booked for ANC and providing invitation letter to their husbands in the subsequent ANC visits seems essential to initiate husband ANC attendance.

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 Knowledge, utilization and clients’ satisfaction with antenatal care services in Primary Health Care Centres, in Ikenne Local Government Area, Ogun State, Nigeria

2020 ◽  
Vol 6 (2) ◽  
pp. 171-183
Author(s):  
K Sodeinde ◽  
O Onigbogi ◽  
O Odukoya ◽  
O Abiodun
Keyword(s):  
Health Care ◽  
Local Government ◽  
Antenatal Care ◽  
Knowledge Score ◽  
Local Government Area ◽  
Safe Motherhood ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Ogun State ◽  
Primary Health

Background: Clients’ satisfaction with the quality of care in an antenatal clinic is the extent to which the health care system meets the clients’ expectations, aims and choices. Objective:  To assess the clients’ knowledge and satisfaction with antenatal care (ANC) services in Primary Health Centres in Ikenne Local Government Area of Ogun State, Nigeria. Methods: This descriptive cross-sectional study was conducted among 380 registered pregnant women who were selected using a multistage sampling method. The data were collected using a structured interviewer-administered questionnaire, constructed from a review of the Safe Motherhood Needs Assessment package and other available literature on antenatal care. Results: The mean age of the respondents was 27.8±5.5 years. The majority were married (91.6%). Health education was the leading ANC activity recognized by 98.7% of the respondents. Knowledge was poor as only 46.1% had good knowledge of at least 50% of total knowledge score. Overall, satisfaction with the services was good as the majority (96.8%) of the respondents were satisfied with the services. Marital status, number of antenatal visits and level of education were statistically significantly associated with the level of satisfaction (p < 0.001, 0.02 and 0.007 respectively). Conclusion: Though the knowledge of ANC was poor, overall satisfaction level was good. Programmes that improve maternal knowledge about ANC should be emphasized in PHCs.

scholarly journals Maternal Immunization and Antenatal Care Situation Analysis (MIACSA) study protocol: a multiregional, cross-sectional analysis of maternal immunization delivery strategies to reduce maternal and neonatal morbidity and mortality

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e024449 ◽  
Author(s):  
Nathalie Roos ◽  
Philipp Lambach ◽  
Carsten Mantel ◽  
Elizabeth Mason ◽  
Flor M Muñoz ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Low Income ◽  
Online Survey ◽  
Health Indicators ◽  
Neonatal Morbidity ◽  
Situation Analysis ◽  
Cross Sectional ◽  
Maternal Immunization ◽  
Care Situation ◽  
Delivery Strategies

IntroductionMaternal immunization (MI) with tetanus toxoid containing vaccine, is a safe and cost-effective way of preventing neonatal tetanus. Given the prospect of introducing new maternal vaccines in the near future, it is essential to identify and understand current policies, practices and unmet needs for introducing and/or scaling up MI in low-income and middle-income countries (LMICs).Methods and analysisThe Maternal Immunization and Antenatal Care Situation Analysis (MIACSA) is a mixed methods, cross-sectional study that will collect data in four phases: (1) a review of global databases for selected health indicators in 136 LMICs; (2) a structured online survey directed at Maternal, Newborn and Child Health and Expanded Programme on Immunization focal points in all 136 LMICs; (3) semistructured telephone interviews of 30 selected LMICs and (4) 10 week-long country visits, including key informant interviews, health facility visits and focus group discussions. The principal analyses will assess correlations between the various aspects of MI delivery strategies and proxy measures of health systems performance related to vaccine-preventable disease control. The primary outcome will be a typology of existing MI delivery models, and secondary outcomes will include country profiles of child and maternal health indicators, and a MI gaps and needs analysis.Ethics and disseminationThe protocol was approved by the WHO Ethics Review Committee (ERC.0002908). The results will be made available in a project report and submitted for publication in peer-reviewed journals that will be shared broadly among global health decision-makers, researchers, product developers and country-level stakeholders.

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