Background Participation of men in Maternal and Child Health (MCH) is crucial for the reduction of infant and maternal mortality. Men may be influential in making health care decisions that may affect their female partner’s access to health care services, but also as individuals, whose health status has a significant impact on the health of their partners’ and that of their children. However, male involvement is still inadequate due to various reasons. This paper sought to explore the community perspectives towards participation of men in maternal and child health care in Kabale District, Western Uganda. Methods The study used a case study approach. Household questionnaires, in-depth interviews, focus group discussions, direct field observation and document review were employed to collect data. One hundred and twenty-four respondents completed a household questionnaire, eight key informants took part in semi-structured interviews and thirty-six community members (two men and two women groups) participated in focus group discussions. Results The participation of men in maternal and child health care was found to be low. Patriarchal community values and norms influencing gender roles hindered male involvement in MCH. More so, sensitisation on the importance of male involvement was inadequate. Conclusion Men’s participation in MCH is affected by multiple factors emanating from the community and health institutions. Involving men in MCH is critical, and therefore participatory and comprehensive approaches should be applied to encourage participation. Sensitisation of communities is fundamental for increasing awareness of the significance of male involvement in MCH.

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Background Over the years, there has been advocacy for use of improved cookstoves as one of the initiatives towards reducing overdependence on biomass energy. There is growing concern that the use of biomass energy may expose users to pollution which may be detrimental to their health. This study aimed at examining the health concerns of women attributed to access and use of biomass fuel in rural areas of Western Uganda. Methods A cross-sectional study design was employed where 193 respondents and 10 key informants participated in the interviews. Four focused group discussions were held in the districts of Mbarara and Bushenyi in Western Uganda. Quantitative data were analyzed using the Statistical Package for Social Sciences, while qualitative data were analyzed using the thematic approach. Results Dependence on biomass energy may expose users especially women to both physical and psychological health challenges. Findings suggest that the type of cookstove and cooking structure contribute to indoor air pollution. Women are exposed to pollution while preparing meals using biomass fuel which may lead to respiratory complications and other health-related challenges. Additionally, while gathering biomass fuel, women may be exposed to other risks and hazards that may lead to poor health and or trauma. Conclusion It is crucial for different stakeholders from both the public and private sectors to promote use of improved cookstoves through sensitization programs, promotional campaigns, and development of supportive regulatory frameworks for the well-being of women and their families.

Male participation in MCH leaves a lot to be desired. Health facilities and structures are neither conducive nor encouraging participation. Therefore, health institutions should design innovative strategies mainstreaming male involvement in line with development trends as well as enhance ethics and integrity among health care workers.

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