Are health care facilities and programs in <scp>Western Uganda</scp> encouraging or discouraging men's participation in maternal and child health care?

Muheirwe, Florence; Nuhu, Said

doi:10.1002/hpm.2627

Cited by 9 publications

(8 citation statements)

References 7 publications

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“…It drew from both quantitative data analysis and qualitative insights to present an in-depth analysis of the diverse factors that determine the choice of women on where they deliver their children. This study aligns findings with national maternal health statistics, revealing patterns in maternal age, marital status, parity, and education levels that impact maternal health-seeking behaviours (MoH, 2018;Muheirwe & Nuhu, 2018). These demographic factors, particularly low education levels and economic constraints, emerged as significant barriers to accessing skilled birth attendance services (Kasaye et al, 2017;Simel et al, 2018).…”

Section: Discussion Of the Findingssupporting

confidence: 81%

Barriers to Utilization of Skilled Birth Attendance Among Post-Natal Women in North Horr Ward, Marsarbit County, Kenya

2024

JMNPH

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Section: Discussion Of the Findingssupporting

confidence: 81%

Barriers to Utilization of Skilled Birth Attendance Among Post-Natal Women in North Horr Ward, Marsarbit County, Kenya

2024

JMNPH

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“…Although men are not direct beneficiaries of pregnancy related care services, their understanding, participation and support are crucial in order for women to access basic pregnancy related care services. Although many other factors contribute to increased maternal and infant morbidity and mortality in the developing countries, low male involvement is a major determinant and their participation has been shown to be vital for their reduction [19,21,22,41]. Despite the average involvement of men in pregnancy related care in this study, their involvement in performing care tasks such as accompanying their partner for antenatal and postnatal care; assisting in changing diaper of the baby was poor.…”

Section: Discussionmentioning

confidence: 55%

Male partners’ involvement in pregnancy related care among married men in Ibadan, Nigeria

Falade-Fatila

Adebayo

2020

Reprod Health

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Background: Maternal death remains a public health burden in the developing countries including Nigeria and the major causes are pregnancy related. Lack of male involvement in pregnancy related care is one of the contributing factors. Previous studies on male involvement focused on family planning services and were majorly targeted at women. This study, therefore, was carried out to assess the knowledge, perception and involvement of male partners in pregnancy related care among married men in Ibadan, Nigeria. Methods: A cross sectional study was conducted using a four-stage sampling technique to select 367 married men in an urban community in Ibadan. A semi-structured, interviewer-administered questionnaire was used to obtain information on the knowledge, perception and involvement of respondents regarding pregnancy related care. Responses to questions on knowledge of pregnancy related care were converted to a 33-point scale. Scores greater than or equal to the mean knowledge score (26.2) were categorized as good knowledge of pregnancy related care. Similarly, responses to involvement in pregnancy related care questions were converted to a 24-point scale with scores greater than or equal to the mean (15.1) classified as good involvement in pregnancy related care. Data were analyzed using descriptive statistics and association between qualitative variables was established using Chisquare test at p < 0.05. Results: Sixty-three percent had good knowledge of pregnancy related care. Majority believed that they had roles to play in their partners' care during pregnancy (89.9%), labor and delivery (92.9%), and in newborn care (97.5%). Overall, 56.9% had good involvement in pregnancy related care. About 20% followed their partners to antenatal care (19.6%) and postnatal (19.9%) clinics. A significantly higher proportion of respondents with good knowledge accompanied their partners for antenatal care (p = 0.008) and postnatal care clinic (p = 0.014); participated in birth preparedness (p < 0.001) and assisted with newborn care (p < 0.001). Job demands, social stigma and long waiting time at the health facilities were reasons highlighted for non-involvement in pregnancy related care. Conclusions: The study revealed gaps in knowledge and involvement in pregnancy related care. There is a need for reproductive health policy review to strongly emphasize the need for involvement of male partners in reproductive health issues including pregnancy related care.

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“…Discourteous attitudes of healthcare workers, particularly towards pregnant and postpartum women, are well-known barriers to access [16,34,82]. Similar to findings in other African countries [5,7,9,21,[83][84][85][86], poor healthcare worker attitudes discouraged our participants from accompanying their wives to health facilities. Healthcare worker hostility was cited as the most common reason for male partners' absence at delivery for pregnant women in North-Central Nigeria [87].…”

Section: Plos Onementioning

confidence: 56%

Access to maternal-child health and HIV services for women in North-Central Nigeria: A qualitative exploration of the male partner perspective

et al. 2020

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Background In much of sub-Saharan Africa, male partners play influential roles in women's access to maternal-child healthcare, including prevention of mother-to-child transmission of HIV services. We explored male partner perspectives on women’s access to maternal-child healthcare in North-Central Nigeria. Methods Three focus groups were conducted with 30 men, purposefully-selected on the basis of being married, and rural or urban residence. Major themes explored were men’s maternal-child health knowledge, gender power dynamics in women’s access to healthcare, and peer support for pregnant and postpartum women. Data were manually analyzed using Grounded Theory, which involves constructing theories out of data collected, rather than applying pre-formed theories. Results Mean participant age was 48.3 years, with 36.7% aged <40 years, 46.7% between 41 and 60 years, and 16.6% over 60 years old. Religious affiliation was self-reported; 60% of participants were Muslim and 40% were Christian. There was consensus on the acceptability of maternal-child health services and their importance for optimal maternal-infant outcomes. Citing underlying patriarchal norms, participants acknowledged that men had more influence in family health decision-making than women. However, positive interpersonal couple relationships were thought to facilitate equitable decision-making among couples. Financial constraints, male-unfriendly clinics and poor healthcare worker attitudes were major barriers to women’s access and male partner involvement. The provision of psychosocial and maternal peer support from trained women was deemed highly acceptable for both HIV-positive and HIV-negative women. Conclusions Strategic engagement of community leaders, including traditional and religious leaders, is needed to address harmful norms and practices underlying gender inequity in health decision-making. Gender mainstreaming, where the needs and concerns of both men and women are considered, should be applied in maternal-child healthcare education and delivery. Clinic fee reductions or elimination can facilitate service access. Finally, professional organizations can do more to reinforce respectful maternity care among healthcare workers.

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Are health care facilities and programs in Western Uganda encouraging or discouraging men's participation in maternal and child health care?

Cited by 9 publications

References 7 publications

Barriers to Utilization of Skilled Birth Attendance Among Post-Natal Women in North Horr Ward, Marsarbit County, Kenya

Barriers to Utilization of Skilled Birth Attendance Among Post-Natal Women in North Horr Ward, Marsarbit County, Kenya

Male partners’ involvement in pregnancy related care among married men in Ibadan, Nigeria

Access to maternal-child health and HIV services for women in North-Central Nigeria: A qualitative exploration of the male partner perspective

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