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Male partner involvement in antenatal care

Metrics details. Despite of the call to involve men in antenatal care, their participation is not well understood. Face to face interviews were conducted using a pretested structured questionnaire. More than half

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Barriers to men’s involvement in antenatal and postnatal care in Butula, western Kenya

About the Author s. The Author s. This is an Open Access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Their involvement is critical in the delivery and uptake of maternal healthcare services and improving maternal and child health outcomes.

Methods: A qualitative study design, which is exploratory, descriptive and contextual in nature, was used.

The population comprised 15 men whose partners had been pregnant within the last 2 years. A non-probability, purposive sampling procedure was used. Data were collected via in-depth individual interviews using a voice recorder and an interview schedule guide.

Conclusions: The involvement of male partners in maternal healthcare services, and further research in promoting this activity, should be proposedto policymakers.

A maternal healthcare service comprises a wide range of health services provided to mothers before pregnancy, during pregnancy, during labour, and after giving birth. Most maternal and child health MCH programmes seek to address the health needs of women and children by engaging and educating pregnant women and mothers in appropriate care-seeking and care-giving practices for themselves and their children. This has often led to men being excluded from areas and services where they could learn more about reproductive, MCH matters.

Yet men are often unable to make informed choices because they have not been included in reproductive, MCH services and education. Greater male involvement in maternal health programmes may help to reduce unintended, unwanted pregnancies and the transmission of sexually transmitted infections as well as improve child survival.

The objectives of the study were to explore and describe the views of male partners on their involvement in maternal healthcare services provided at clinics of the Makhado Municipality, Limpopo Province. The study population included all men who had had pregnant partners in the past 2 years who had attended the Kutama, Madombidzha and Vleifontein clinics of Makhado Municipality in Limpopo Province.

The study setting was purposively selected. A purposive sampling technique was used to select five participants from each clinic on the basis that they possessed the characteristics of interest to the researcher. The unstructured individual interviews were conducted to collect data from the 15 participants until saturation was reached. Field notes were taken to capture aspects such as facial expressions that could not be recorded by the voice recorder. Data analysis involved reading and re-reading verbatim transcriptions of all interviews sessions to acquire a sense of the whole.

All topics were listed, and themes and sub-themes were classified and codes allocatedto them, and field notes were also coded. To ensure trustworthiness in the study, the criteria of credibility and transferability 10 were adhered to.

Credibility was ensured by triangulation of data collection methods whereby a voice recorder was used to capture all interview sessions, and field notes were written to supplement what was not captured by the recorder. Prolonged engagement in the study field, where the researcher stayed for 3 months whilst accompanying male partners, also provided a credible data source. Permission to collect data was granted by the nurse managers in charge of the healthcare facilities where the research was conducted.

Informed consent forms were signed by all participants before commencement of interview sessions to confirm voluntary participation.

The purpose of the study was outlined to all participants at the beginning of each interview session. Anonymity and confidentiality were ensured throughout the study. Table 2 presents the theme and two sub-themes that emerged from the data. The findings below include a summary of the events and interviews, with discussion and quoted statements that are supported by the literature as views of male partners in involvement in maternal healthcare services.

The results revealed that lack of knowledge about maternal health issues led to non-participation and fear of the unknown by male partners. This finding is supported by Jooste 12 who stated that, in general, men do not accompany their female partners when they attend these clinics, nor do they participate fully in the antenatal and PNC of their partners. In the present study, male partners would sit in their car, waiting for their women for more than an hour, complaining because they did not know the services which are rendered at the clinic and the expectations from them.

This observation was supported by one participant when saying:. I only help with transport, and I know that I must do some minor things at home which I think might be hard for her since she is pregnant. Men, who frequently are in a paid workforce, are usually not in a position to spend virtually the entire day participating in ANC services. Knowledge levels did not differ amongst male partners according to their presence or not at ANC.

Participants indicated that their culture, Tshivenda, does not allow them to participate in maternal healthcare services. This was expressed by one participant as follows:. Our Tshivenda culture does not allow that, a male in the delivery room? All male partners who participated in the study were of the Tshivenda ethnic group.

Contextual factors, such as paternal age, ethnicity, education, and family decision-making patterns, have been shown to influence male involvement in maternal health.

I am not allowed to carry my child before they do the rituals, and I am not allowed to get into the room where my wife and child are in. In many cases, it has been observed that men reject participation in female-oriented health services, encountering cultural as well as structural barriers such as a unit that accommodates more than one woman. Participants cited long distances from workplace to home as a factor that contributed to their non-participation in maternal healthcare services.

For male partner involvement to take place, short distances are necessary and, if labour occurs spontaneously, partners may not be available. Most participants worked far from their homes, thus hindering their involvement in maternal healthcare services. I accompany her only when I am present but most of the time she goes there alone, and she will meet others on her way to the clinic. How do I involve myself with her antenatal care?

It is because there is nothing I shall be doing there. Byamugisha 20 indicated that men, who frequently are in the paid workforce, are often not in a position to spend virtually the entire day participating in ANC services.

Traditionally, maternal health issues have predominantly been seen and treated as a purely feminine matter; this is because women fall pregnant and give birth. That is why it is difficult to find men involving themselves.

I work far from home. Dan et al. Most men were willing to learn about their expected roles during childbirth and were eager to support their partners during this time. They found the health system unwelcoming, intimidating and unsupportive. However, there are different views with regard to what other European countries do. This view was supported by the following statement:. Nurses do not refuse a person to get in, but I feel it myself that that place is not a place to play, it is for women, there is nothing I can do there [ laugh ].

An important exception in Africa was a study conducted in Nigeria, where limited birth preparedness and participation by men in a patriarchal society was reported, and a study in Uganda in which spousal influence was identified to be amongst the main factors affecting the choice of delivery place. This finding was supported by the following excerpt:.

Chattopadhyay 26 indicated that men were not always encouraged to be involved during pregnancy and childbirth in the South-Asian context.

For example, men in Nepal are typically discouraged from involvement with pregnancy and childbirth. Literature in this regard shows that service providers sometimes play a crucial role in creating barriers for men to participate in ANC services. The following strategies were recommended to facilitate promoting the involvement of male partners and to address factors that contribute to non-participation of male partners in maternal health care services in Makhado Municipality.

Primary healthcare nurses, in their role of facilitating male partner involvement, need to motivate the male partner by ensuring that he realises the importance of active involvement in maternal health services.

For example, attending maternal health facilities with their partners, and assisting partners to understand their problems and needs in totality, will lead to greater understanding of their families and the community in general. The clinics at Makhado Municipality should identify innovative ways of implementing the policy of male involvement in pregnancy and childbirth in order to effectively engage men who are keen to be involved in the healthcare of their partners.

These might involve health education of men who escort their partners to antenatal clinics, and on expected roles during pregnancy and childbirth.

The related clinic should train healthcare providers in customer care, and have waiting rooms where men are welcome, provided with information on their spouses, given education on health needs and specific roles in pregnancy and childbirth, and highlighting the importance of these rolesin positive pregnancy outcomes.

Further needs are to assist the facilities to establish community outreach, clinic-based education and couple-oriented counselling interventions.

Such steps would improve male involvement, as would the distribution of information, education and communication materials on relevant maternal health issues. Informal peer information-sharingwould also encourage the male initiative.

Men could be invited to participate in maternal healthcare and to then inform their peers about their experiences and encourage them to participate. Cultural factors were identified as barriers to male involvement. Studies have reported negative perceptions toward men attending ANC services. The influence of local cultural lore showed that effective health interventions should take into account traditional beliefs and customs in order to achieve health goals.

Midwives should provide culturally congruent care, and they should be able to care for, and communicate with, patients who belong to different cultures during maternal healthcare. Community health workers CHWs should be encouraged to conduct community outreachin villages to disseminate messages about male involvement, and to collaborate with community leaders on how to approach the men.

Inadequate knowledge, cultural factors and lack of appropriate services were found to have negatively influenced male participation and involvement in maternal healthcare services. Although men are not direct beneficiaries of safe motherhood services, their understanding, participation, involvement and support is crucial in order for women to access basic reproductive health services.

We gratefully acknowledge the voluntary participation of male partners in the study. The authors declare that they have no financial or personal relationships which may have inappropriately influenced them in writing this article.

Original Research. Kenneth Nesane, Sonto M. Introduction A maternal healthcare service comprises a wide range of health services provided to mothers before pregnancy, during pregnancy, during labour, and after giving birth. Ethical considerations Permission to collect data was granted by the nurse managers in charge of the healthcare facilities where the research was conducted. Results Table 1 summarises biographical data of the participants.

Involving male partners in maternity care in Burkina Faso: a randomized controlled trial

Globally, male involvement in maternal health care services remains a challenge to effective maternal health care accessibility and utilization. This study assessed male involvement in maternal health care services and associated factors in Anomabo in the Central Region of Ghana. Random sampling procedures were employed in selecting adult male respondents whose partners were pregnant or had given birth within twelve months preceding the study. The low male involvement in maternal health care services warrants interventions to improve the situation. Public health interventions should focus on designing messages to diffuse existing sociocultural perceptions and health care provider attitudes which influence male involvement in maternal health care services.

July 1, Journal article Open Access. Sharmila Pokharel. Abstract : Male involvement in antenatal care ANC is an operative approach for improving maternal health results.

However, studies have shown their involvement in antenatal care ANC and postnatal care PNC is relatively low owing to several factors. A mixed methods study design, descriptive in nature, was used to collect both quantitative and qualitative data. A total of 96 men were selected to participate in the surveys. Also, four focus group discussions and four key informant interviews were conducted.

A review on factor influencing the involvement of male partner in antenatal care in Nepal

Dedih Suandi, Pauline Williams, Sohinee Bhattacharya, Does involving male partners in antenatal care improve healthcare utilisation? Although in most low- and middle-income countries LMICs men are decision makers and control the household budget, their involvement in maternity care is limited. Reports from high-income countries indicate a beneficial effect of involving men in antenatal and delivery care on birth outcomes. We conducted a systematic review to assess whether similar effects are observed in LMICs. A total of 17 articles were included. Meta-analysis of extracted data was performed, using the generic inverse variance method where possible. All studies were conducted in South Asia and Africa. We found that involving a male partner in antenatal care was associated with skilled birth attendance utilization pooled OR 3.

Prevalence of male partners involvement in antenatal care visits – in Kyela district, Mbeya

About the Author s. The Author s. This is an Open Access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Their involvement is critical in the delivery and uptake of maternal healthcare services and improving maternal and child health outcomes. Methods: A qualitative study design, which is exploratory, descriptive and contextual in nature, was used.

Central Data Catalog.

Metrics details. Male partner participation in antenatal care ANC is important and contributes to better maternal and neonatal birth outcomes. Studies have been conducted to explore male participation in ANC and barriers to participation.

Male Involvement in Maternal Health Care at Anomabo, Central Region, Ghana

Metrics details. There is limited data on prevalence of male involvement in ANC visits in Kyela. The findings from this study will serve as a baseline in efforts to increase male involvement in ANC care in Kyela.

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Correspondence to Marina AS Daniele email: marina. Bulletin of the World Health Organization ; Ending preventable maternal and perinatal mortality necessarily involves engaging with families and communities. In the last few decades, strategies promoting male involvement in reproductive health services have received increasing attention, such as endorsement by the World Health Organization. Few high-quality experimental studies have been conducted in sub-Saharan Africa and even fewer have assessed facility-based interventions, 17 , 18 apart from those focusing on the prevention of mother-to-child HIV transmission.

Central Data Catalog

Или это ненависть. Они буквально пожирали ее тело. Новая волна паники охватила Сьюзан. Хейл всей тяжестью своего тела придавил ее ноги, холодно следя за каждым ее движением. В сознании Сьюзан промелькнуло все то, что она читала о приемах самозащиты.

Она попыталась бороться, но тело ее не слушалось.

Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy Childbirth ;

Стратмор дал маху. Но надо идти вперед, а не оглядываться все время.  - В трубке воцарилась тишина, и Джабба подумал, что зашел слишком.  - Прости меня, Мидж. Я понимаю, что ты приняла всю эту историю близко к сердцу.

Его смерть бросает на Цифровую крепость тень подозрения. Я хотел внести исправления тихо и спокойно. Изначальный план состоял в том, чтобы сделать это незаметно и позволить Танкадо продать пароль. Сьюзан должна была признать, что прозвучало это довольно убедительно.

В течение нескольких секунд ни он, ни она не произнесли ни слова. Наконец Стратмор откинулся на спинку стула, и Сьюзан поняла, что он постепенно успокаивается. Когда он наконец заговорил, голос его звучал подчеркнуто ровно, хотя было очевидно, что это давалось ему нелегко.

- Господи Иисусе.

Да уж, - застонал.  - Чуточку. - Это как будто деление на ноль. - Что. - Деление на ноль, - сказала она, пробегая глазами остальные данные.

- Может быть, у этих элементов разное число протонов или чего-то. Если вычесть… - Он прав, - сказал Джабба, повернувшись к Соши.

 - На этих таблицах есть числа. Количество протонов. Период полураспада. Что-нибудь, что можно было бы вычесть одно из другого. - Три минуты! - послышался крик.

Она казалось напуганной еще сильнее, чем раньше. - Мистер, - сказала она дрожащим голосом, - я не говорила вам, как меня зовут. Откуда вы узнали.

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