scholarly journals Promotion of Birth Preparedness Plan in Zambia: Impact of Male Partner Involvement on Childbirth Preparation as Strategy to Improve Maternal Health Care

2017 ◽  
Vol 5 (2) ◽  
pp. 34-47
Author(s):  
Elvis Chipili
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Male Partner ◽  
Maternal Health Care ◽  
Birth Preparedness ◽  
Preparedness Plan ◽  
Male Partner Involvement ◽  
Partner Involvement ◽  
Childbirth Preparation

scholarly journals Effects of health education on spousal knowledge and participation in birth preparedness in Farafenni Regional Hospital, The Gambia: a randomized trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haddy Tunkara- Bah ◽  
Florence O. Adeyemo ◽  
Friday E. Okonofua
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Education ◽  
Test Data ◽  
Comparison Group ◽  
Intervention Group ◽  
Maternal Health Care ◽  
Birth Preparedness ◽  
Unit Increase ◽  
Comparison Groups

Abstract Background The Gambia is a male-dominant society in which the cultural norms empower husbands to decide when and where their wives seek care, yet they are not always involved in maternal health care services. Therefore, the purpose of this study was to design and measure the effects of antenatal health education on spousal participation in birth preparedness in Farafenni and satellite villages. Methods The study used a quasi-experimental design, and the participants were 300 spouses of pregnant women attending their antenatal care booking at Farafenni Hospital. A multistage sampling method was used to select the study participants who were then equally distributed to the intervention and comparison groups. Pre-test data were collected from both groups. Thereafter, the intervention group was exposed to two health education sessions on obstetric danger signs and birth preparedness. The post-test data were collected immediately before discharge of the participants’ wives after institutional delivery or within 2 weeks post-delivery for those who did not accompany their wives to the health care institution, or whose wives delivered at home. IBM SPSS version 21 software was used to analyze the data. Results The differences between the demographic characteristics of participants in the intervention and comparison groups were not statistically significant except for the highest level of education achieved. After controlling for the demographic variables, the health education administered to the intervention group effectively increased knowledge on birth preparedness among them (F (1, 255) = 376.108, p < .001). Every unit increase in the intervention led to a unit increase in the spouses’ knowledge on birth preparedness (β = 0.789, p <  0.001). Furthermore, the participants in the intervention group had higher mean score (M = 4.4; SD = 0.8) on participation in birth preparedness than those in the comparison group (M = 0.9; SD = 0.8). The spouses in the intervention group were four times more likely to be prepared for the delivery of their wives after being exposed to the health education than those in the comparison group (F (1, 255) = 522.414, p < .001). Conclusion The study provides evidence that educating men on maternal health care can improve their level of participation in birth preparedness. Trial registration Name of Registry: Pan African Clinical Trial Registry (www.pactr.org). Registry Number:PACTR202004752273171. Date of Registration: 19th April 2020. Retrospectively Registered.

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 Social-Cultural Determinants of Male Partner Involvement in Antenatal Care at Anti-Stock - Theft – Unit Kenya

2021 ◽  
Vol 3 (1) ◽  
pp. 1-16
Author(s):  
Wanjiku Lucy ◽  
Dr. Mutisya Albanus Kyalo ◽  
Kariuki Wanja Dainah
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Male Partner ◽  
Traditional Birth Attendants ◽  
Male Partner Involvement ◽  
Birth Attendants ◽  
Care Workers ◽  
Cross Tabulation ◽  
Partner Involvement ◽  
Tests Of Independence

Purpose: Male involvement in antenatal care is a problem identified by different researchers and experienced globally. It is a key component in the optimization of maternal health and universal maternal health achievement. Few men engage in care in developing countries. The current study sought to identify Social-cultural Determinants of Male Partner Involvement in Antenatal Care.Methodology: Descriptive cross-sectional research design. Simple random sampling was used to sample 334 subjects from 2582 population. Data was gathered using self- administered questionnaires, edited, coded, and organized with help of statistical Package for Social Sciences (SPSS), then analysed using descriptive and inferential statistics. Hypothesis was tested using Chi square tests of independence and information presented using tables and percentages.Results: Majority (92.8%) of subjects were affiliated to religion. On cross tabulation, (100%) of participants who accompanied the partners during the first ANC visit disagreed that religion impairs male partner participating in antenatal care unlike (100%) of those who did not. Chi squire tests of independence was (p=0.047). Majority (77.2%) of the respondents preferred traditional birth attendants for partner’s antenatal care compared to 15.6% for health care workers. On cross tabulation, (93.3%) of the participants who accompanied partners during the first ANC visit indicated that they preferred health care providers to traditional birth attendants while 81.8% of those who did not accompany the partners indicated preference for traditional birth attendants and 9.1% preferred care workers. Chi squire tests of (independence (p=0.001).Unique contribution to theory, practice and policy: Male partner involvement in maternal health is desirable at the study area and there is need of social supports such as informational, appraisal, instrumental and emotional supports to enhance physical, psychological well-being, social integration and social ties. Researcher highlights the need to address religion and traditional birth attendants’ reliance which were found significant and established as barriers of male partner participating in ANC and causes of low ANC attendances among pregnant women. Further, policy change is advocated so that the government can pass laws which oblige men to be responsible for pregnant partners by accompanying them to ANC, knowing ANC schedules, discussing interventions, supporting the ANC fees if applicable, and knowing what happens at the ANC during the current pregnancy.

scholarly journals Attitude and Involvement of Male Partner in Maternal Health Care in Addis Ababa, Ethiopia: a Cross-sectional Study

2021 ◽  
Author(s):  
Zeytuna Mohammed Umer ◽  
Endalew Gemechu Sendo
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternity Care ◽  
Addis Ababa ◽  
Male Partner ◽  
Cross Sectional Study ◽  
Maternal Health Care ◽  
Cross Sectional ◽  
Male Participation ◽  
Men’S Involvement

Abstract Background: The participation of men in maternal health care [MHC] is recognized as a crucial strategy to enhance maternal health care. Research assessing male participation in MHC and factors influencing their involvement in Ethiopia is minimal, despite the important role of men in maternity care.Objective: To assess the attitude and involvement of the male partner in maternal health care in Nifas Silk Lafto sub-city, Addis Ababa, Ethiopia.Methods: A community-based cross-sectional study was conducted from April to June 2020. A sample of 411 married men was recruited using a systematic random sampling technique. The data were collected using a structured interviewer-administered questionnaire. Data were entered in Epidata version 4.6 and SPSS version 25 used for analysis. The association between the dependent variable (Male partner involvement in maternal health care) and independent variables was checked using Multivariable logistic regression.Results: A composite score was obtained by adding the level of participation in all three aspects of maternity care together, and the overall level of participation in maternity care was 103 (25.1%) with good participation and 308 (74.9 %) with poor participation. Almost half of the study participants [48.7%] had a positive attitude towards maternal health care.In multivariate analysis, men whose spouse had unplanned pregnancy (AOR = 0.46, 95%, CI: 0.222 - 0.956), who did not reside with their partner (AOR = 0.09, 95 % CI: 0.011- 0.804), who did not obtain information in prenatal and postnatal clinics (AOR = 0.101, 95% CI: 0.056-0.181) were variables significantly correlated with male participation compared to their counterparts. Conclusion: The level of men’s involvement in maternity care was poor. In this study, access to information on men's involvement in maternity care, education, and living conditions were the determinants of men's participation in maternity care. These findings provide a useful guide for targeting future strategies for potential male participation.

scholarly journals Effects Of Health Education On Spousal Knowledge And Participation In Birth Preparedness In Farafenni Regional Hospital, The Gambia: A Randomized Trial

2020 ◽  
Author(s):  
Haddy Tunkara Bah ◽  
Florence O. Adeyemo ◽  
Friday E. Okonofua
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Education ◽  
Test Data ◽  
Comparison Group ◽  
Intervention Group ◽  
Maternal Health Care ◽  
Birth Preparedness ◽  
Unit Increase ◽  
Comparison Groups

Abstract BackgroundThe Gambia is a male-dominant society in which husbands decide when and where their wives seek care, yet they are not involved in maternal health care services. Therefore, the purpose of this study was to design and measure the effects of antenatal health education on spousal participation in birth preparedness in Farafenni and satellite villages.MethodsThe study used a quasi-experimental design, and the participants were 300 spouses of pregnant women attending their antenatal care booking at Farafenni Hospital. A multistage sampling method was used to select the study participants who were then equally distributed to the intervention and comparison groups. Pre-test data were collected from both groups. Thereafter, the intervention group was exposed to two health education sessions on obstetric danger signs and birth preparedness. The post-test data were collected immediately prior to discharge of the participants’ wives after institutional delivery or within two weeks post-delivery for those who did not accompany their wives to the health care institution, or whose wives delivered at home. IBM SPSS version 21 software was used to analyze the data.ResultsThe differences between the demographic characteristics of participants in the intervention and comparison groups were not statistically significant except for highest level of education achieved. After controlling for the demographic variables, the health education administered to the intervention group effectively increased knowledge on birth preparedness among them (F (1, 255) = 376.108, p < .001). Every unit increase in the intervention led to a unit increase in the spouses’ knowledge on birth preparedness (β = 0.789, p < 0.001). Furthermore, the participants in the intervention group had higher mean score (M = 4.4; SD = 0.8) on participation in birth preparedness than those in the comparison group (M = 0.9; SD = 0.8). The spouses in the intervention group were four times more likely to be prepared for the delivery of their wives after being exposed to the health education than those in the comparison group (F (1, 255) = 522.414, p < .001).ConclusionThe study provide evidence that educating men on maternal health care can improve their level of participation in birth preparedness.Name of Registry:Pan African Clinical Trial Registry (www.pactr.org)Registry Number:PACTR202004752273171.Date of Registration:19th April, 2020Retrospectively Registered

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.

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