Knowledge of male partner involvement in Maternity care among Nurses/midwives in tertiary hospitals in Owerri, Imo State Nigeria

Level Of Knowledge ◽

Abstract: Male partner involvement has been recommended as an effective strategy to combat maternal and child death in pregnancy and childbirth and to promote effective child care. This study assessed nurses'/midwives perception Knowledge on male involvement in midwifery care. A total of 84 nurses/midwives were purposively selected from the facility for the study. The study employed a quantitative approach in which a questionnaire was used to collect data. Data were analyzed using SPSS Version 25. Respondents’ were aware of the importance of male involvement in maternity care and 60.7% of the respondents had a good level of knowledge on male involvement in maternity care. Respondents’ number of years in practice (X2 =13.76, p=0.001)and rank (X2 =14.75, p=0.012) were significantly associated with their level of knowledge. If facilities can improve the knowledge of nurses/midwives and other health care providers on the concept of male involvement and in maternity care, there will be the implementation of a more ‘Male-friendly’ care approach in maternity care.

Pregnancy and childbirth in Mozambique: men as decision makers and women as caretakers?

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.879 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Galle ◽

H Cossa ◽

N Osman ◽

K Roelens ◽

S Griffin ◽

...

Keyword(s):

Health Care ◽

Maternal Health ◽

Hiv Prevention ◽

Health Care Providers ◽

Male Involvement ◽

Sub Saharan Africa ◽

Care Providers ◽

Policy Level ◽

Sub Saharan

Abstract Background Increasing male involvement during pregnancy is considered an important, but often overlooked intervention for improving maternal health in sub-Saharan Africa. This study explores the attitudes and beliefs of health policymakers, health care providers and local communities regarding men's involvement in maternal health in southern Mozambique. Methods Ten key informant interviews with stakeholders were carried out to assess their attitudes and perspectives regarding male involvement in maternal health, followed by 10 days of semi structured observations in health care centers. Subsequently 16 focus group discussions were conducted in the community and at provider level, followed by three in depth couple interviews. Analysis was done by applying a socio-ecological systems theory in thematic analysis. Results Results show a lack of strategy at policy level to stimulate male involvement in maternal health. Invitation cards for men are used as an isolated intervention in health facilities but these have not lead to the expected success. Providers have a rather passive attitude towards male involvement initiatives and women accompanied by a husband are often put in a submissive position. In the community however, male attendance at ANC is considered important and men are willing to take a more participating role. Main barriers are the association of male attendance at ANC with being HIV infected and strong social norms and gender roles. On the one hand men are seen as caretakers of the family by providing money and making the decisions. On the other hand, men supporting their wife by showing interest in their health or sharing household tasks are seen as weak or as a manifestation of HIV seropositivity. Conclusions A clear strategy at policy level and a multi-level approach is needed. Gender-equitable relationships between men and women should be encouraged in all maternal health interventions and health programs should step away from linking male involvement to HIV prevention. Key messages Linking the promotion of gender equality to male involvement is the key for success. Step away from linking HIV prevention to male involvement in maternal health.

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

HTS Teologiese Studies / Theological Studies ◽

10.4102/hts.v76i3.6023 ◽

2020 ◽

Vol 76 (3) ◽

Author(s):

Vimbai Chibango

Keyword(s):

Public Health ◽

Male Partner ◽

Male Involvement ◽

Antiretroviral Drugs ◽

Future Research ◽

Major Theme ◽

Male Partners ◽

Health Institutions ◽

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.

Nurses' and midwives' views on male partner involvement in maternity care in Imo, Nigeria

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2020.0036 ◽

2021 ◽

Vol 15 (3) ◽

pp. 1-12

Author(s):

Atenchong Ngwibete ◽

Chizoma M Ndikom ◽

Felix E Anyiam

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Maternity Care ◽

Male Partner ◽

World Health ◽

Male Partners ◽

Partner Involvement ◽

Nurses And Midwives ◽

And Child Health

Background/Aims In 2015, the World Health Organization recommended male partner involvement in maternal and child health as an effective strategy to combat maternal and child health in pregnancy. Healthcare practitioners' acceptance of male partners in maternal and child healthcare is likely to improve provider and patient satisfaction. The main objective of the study was to assess nurses' and midwives' perceptions of male partner involvement in maternity care, and their willingness and constraints to performing it in selected hospitals in Imo, Nigeria. Methods A mixed-method approach was used to gather data from nurses and midwives in the antenatal care, labour and postnatal care wards of selected hospitals. A semi-structured questionnaire and interview guide were used to collect data assessing the participants' perceptions of male partner involvement in maternity care and of the barriers to it. Quantitative data were analysed through bivariate analysis, using the Chi squared test, and key quotes were extracted from qualitative data to illustrate relevant points. Results The majority (57%) of the respondent had a good perception of the concept of male partner involvement. The ward that a participant worked in significantly affected their perception (P=0.01). Respondents were willing to accept male partners in maternity care through education and providing more male-friendly services. However, sociocultural, hospital policy and structural factors restricted acceptance of men in the wards. Conclusions Nurses and midwives in all wards should be educated on the importance of male partner involvement in maternity care. Nurses and midwives need to engage in community health education programmes that will modify cultural constraints to male partner involvement and facilities should modify their structure and policies to be more male-friendly.

Experiences of health care providers on pregnancy and childbirth care during the COVID-19 pandemic in Iran: a phenomenological study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04148-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sedigheh Hantoushzadeh ◽

Maryam Bagheri ◽

Marjan Akhavan Amjadi ◽

Maryam Farmahini Farahani ◽

Fedyeh Haghollahi

Keyword(s):

Health Care ◽

Health Care Providers ◽

Maternity Care ◽

Phenomenological Study ◽

Lessons Learned ◽

Care Providers ◽

Physical And Mental Health ◽

Structured Interviews ◽

Childbirth Care

Abstract Background Coronavirus currently cause a lot of pressure on the health system. Accordingly, many changes occurred in the way of providing health care, including pregnancy and childbirth care. To our knowledge, no studies on experiences of maternity care Providers during the COVID-19 Pandemic have been published in Iran. We aimed to discover their experiences on pregnancy and childbirth care during the current COVID-19 pandemic. Methods This study was a qualitative research performed with a descriptive phenomenological approach. The used sampling method was purposive sampling by taking the maximum variation possible into account, which continued until data saturation. Accordingly, in-depth and semi-structured interviews were conducted by including 12 participants, as 4 gynecologists, 6 midwives working in the hospitals and private offices, and 2 midwives working in the health centers. Data were analyzed using Colaizzi’s seven stage method with MAXQDA10 software. Results Data analysis led to the extraction of 3 themes, 9 categories, and 25 subcategories. The themes were as follows: “Fear of Disease”, “Burnout”, and “Lessons Learned from the COVID-19 Pandemic”, respectively. Conclusions Maternal health care providers experience emotional and psychological stress and work challenges during the current COVID-19 pandemic. Therefore, comprehensive support should be provided for the protection of their physical and mental health statuses. By working as a team, utilizing the capacity of telemedicine to care and follow up mothers, and providing maternity care at home, some emerged challenges to maternal care services can be overcome.

Description of a model to facilitate male involvement in the reproductive health context by the registered nurses

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v5i1.5361 ◽

2015 ◽

Vol 5 (1) ◽

pp. 19

Author(s):

Amukugo Hans Justus ◽

Kareen Jooste ◽

Julia Paula Nangombe

Keyword(s):

Reproductive Health ◽

Registered Nurses ◽

Model Evaluation ◽

Male Partner ◽

Male Involvement ◽

Concept Analysis ◽

Theory Generation ◽

The aim of this article is to describe a model to facilitate male partner involvement in the RH context. The findings in chapter 3, step1 – concept analysis – which comprised the identification, definition and classification of concepts and the construction of an interrelationship between concepts and statements (chapter 4), formed the basis for the development of this model. This model to facilitate male partner involvement in RH is based on the theory generation of Chinn and Kramer (1991). The central concepts are defined by using the rules described by Rossouw (2000/1,) and Copi and Cohen (1996). Lastly, the model evaluation has been done in accordance with the method of Chinn and Kramer (1991).

Men's experiences of pregnancy and childbirth in Sierra Leone: Reexamining definitions of “male partner involvement”

Social Science & Medicine ◽

10.1016/j.socscimed.2020.113479 ◽

2020 ◽

Vol 265 ◽

pp. 113479

Author(s):

Kristen E. McLean

Keyword(s):

Sierra Leone ◽

Male Partner ◽

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

International Journal of Reproductive Medicine ◽

10.1155/2019/2852861 ◽

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 ◽

The North ◽

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.

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

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.5.978 ◽

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 ◽

Delivery Services ◽

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.

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

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v5i1.5362 ◽

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 ◽

Full Participation ◽

Health Centres ◽

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.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.

Development of model to facilitate male involvement in the reproductive health context by the registered nurses

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v4i2.5018 ◽

2015 ◽

Vol 4 (2) ◽

pp. 122

Author(s):

Hans Justus Amukugo ◽

Karen Jooste ◽

Honoré Kabwebwe Mitonga

Keyword(s):

Reproductive Health ◽

Registered Nurses ◽

Phase 1 ◽

Male Partner ◽

Male Involvement ◽

Health Facilities ◽

Situational Analysis ◽

Male And Female ◽

The purpose of this article is to describe the process followed in the development of the model of facilitating male partner involvement in reproductive health (RH) context by the nurses. Namibia is one of the African countries affected by cultural and socio-economic influences that have persuaded gender roles in a way that hinders male-partner involvement in RH context. This phenomenon make difficult for the nurses to facilitate their involvement.The research methods were done in four phases. Phase 1 entitled concepts analysis. Phase one was done into two steps namely step1 - concepts identification and step 2 - concepts definition. During concept identification, qualitative, exploratory, descriptive design was followed. The target population included male and female partners attending health facilities and all nurse managers (registered nurses in charge) that provided RH services in the health facility in a northern region in Namibia. Individual interviews and focus were conducted until data saturation occurred. During the research three fundamental principles such as respect person, beneficence and justice were adhered. Tech’s eight steps of descriptive data analysis were used. Three (3) main categories, six (6) categories and twelve (12) subcategories were identified using open coding and conceptualization. The main concepts of the model were identified and classified using a survey list of Dickoff, James, Wiedenba (Dickoff,James, Wiedenbach, 1968; Mckenna, 2006). Phase 2 dealt with the creation of interrelationship statements between concepts identified in step 1. In phase 3 focuses with the description of the model using strategies proposed by (Chinn & Kramer, 1991). In phase 4, the description of guidelines and evaluation for the model was also done. The applied the principle of trustworthiness through developing dependability, credibility, transferability and confirmability in all four phases.A model was developed based on a theory generated approach. The model consist of five phase namely, situational analysis in the external environment (community) and internal environment (health facilities); establishment of partnership (male and female partner and Nurses), management process, maintaining the conducive environment and control & terminus/ outcome phase. It was concluded that facilitation of Male involvement in RH care context is needed. Further the recommendations were made to implement a model within the current health care framework in which reproductive health is provided.