Demographic factors related to male involvement in reproductive health care services in Nigeria

Ani, Franklin; Abiodun, Olumide; Sotunsa, John; Faturoti, Olubukola; Imaralu, John; Olaleye, Atinuke O

doi:10.3109/13625187.2015.1036856

Cited by 25 publications

(43 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This nding was in line with previous studies [12,18,19]. This could be explained by those married women who may have better economic and psychosocial support from their partners to access health care [30].…”

Section: Discussionsupporting

confidence: 92%

Factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia: a secondary data analysis of 2016 Ethiopian Demographic and Health Survey

Tamirat

Tessema

Kebede

2020

Preprint

View full text Add to dashboard Cite

Background: Health care access is the timely use of personal health services to achieve the best health outcomes. Problems in accessing health care among reproductive-age may lead to various adverse health outcomes like death and disabilities. Therefore, this study aimed to identify factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia. Method: This study was based on secondary data sources from the 2016 Ethiopia Demography and Health Survey. From the largest dataset, individual women record (IR) file was used to extract about 15, 683 women for the final analysis. A composite variable of health care access was created from four questions used to rate health care access problems among women of reproductive age. The Generalized Estimating Equation (GEE) model fitted to identify factors associated with perceived barriers of health care access. Crude and adjusted odds ratio (AOR) with a 95% confidence interval (CI) computed to assess the strength of association between independent and outcome variables.Result: This study revealed that the magnitude of perceived barriers of health care access among reproductive-age women found to be 69.9% with 95%CI (69.3 to 70.7) to at least one or more of the four reasons. Rural resident (AOR= 2.13, 95%CI: 1.79 to 2.53), age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), divorced/separated (AOR= 1.34, 95%CI: 1.17 to 1.54), had no health insurance coverage (AOR=1.19, 95%CI: 1.01 to 1.45), poorer (AOR=2.09,95%CI: 1.86 to 2.35) and middle wealth (AOR=1.57,95%CI:1.38 to 1.79), no education (AOR=2.30, 95%CI:1.95 to 2.72), primary education (AOR= 1.84, 95%CI :1.58 to 2.15) and secondary education (AOR= 1.31, 95%CI: 1.13 to 1.51) were factors associated with the perceived barriers of health care access.Conclusion: A significant proportion of women of reproductive age faced barriers to health care access, of which money and distance were the most frequently perceived barriers. Divorced/separated marital status, old age, rural dwelling, no health insurance coverage, low economic situation, and level of education were factors associated with perceived barriers. These findings suggest further strengthening and improving health care access to those women with low socio-economic status for the realization of universal health coverage.

show abstract

Section: Discussionsupporting

confidence: 92%

Factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia: a secondary data analysis of 2016 Ethiopian Demographic and Health Survey

Tamirat

Tessema

Kebede

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This finding was in line with previous studies [13,14,17]. This could be explained by those married women who may have better economic and psychosocial support from their partners to access health care [30]. Indirectly, those married women may have decided collectively to control their family size and fertility behavior which could have impact on the health need of the woman.…”

Section: Discussionsupporting

confidence: 91%

Factors associated with perceived barriers of health care access among reproductive-age women in Ethiopia: a Secondary data analysis of 2016 Ethiopian Demographic and Health Survey

Tamirat

Tessema

Kebede

2020

Preprint

View full text Add to dashboard Cite

Background: Health care access is the timely use of personal health services to achieve the best health outcomes. Difficulties to access health care among reproductive-age women may lead to different negative health outcomes like death and disability. Therefore, this study aimed to assess factors associated with perceived barriers of health care access among reproductive-age women in Ethiopia. Method: This study was based on the 2016 Ethiopia Demography and Health Survey. Individual women record (IR) file was used to extract the dataset and 15, 683 women were included in the final analysis. A composite variable of health care perceived barriers were created from four questions used to rate health care access perceived barriers among reproductive-age women. The Generalized Estimating Equation (GEE) model was fitted to identify factors associated with health care perceived barriers. Crude and Adjusted odds ratio with a 95% CI computed to assess the strength of association between independent and outcome variables. Result: This study revealed that the perceived barrier of health care access among reproductive age women found to be 69.9% with 95%CI (69.3 to 70.7) to at least one or more of the four reasons. Rural residence (AOR= 2.13, 95%CI: 1.79 to 2.53), age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), divorced/separated (AOR= 1.34, 95%CI: 1.17 to 1.54), had no health insurance coverage (AOR=1.19, 95%CI: 1.01 to 1.45), poor (AOR=2.09,95%CI: 1.86 to 2.35) and middle wealth (AOR=1.57,95%CI:1.38 to 1.79), no education (AOR=2.30, 95%CI:1.95 to 2.72), primary education (AOR= 1.84, 95%CI :1.58 to 2.15) and secondary education (AOR= 1.31, 95%CI: 1.13 to 1.51) were factors associated with perceived barriers of health care access. Conclusion: Significant proportion of reproductive-age women faced barriers of health care access, of which, money and distance were the common perceived barriers. Divorced/separated marital status, old age, rural dwelling, no health insurance coverage, low economic status and level of education were factors associated with perceived barriers of health care access. This findings suggests that further strengthening and improvement of health care access to those with low socio-economic status for the realization of universal health coverage and equity of service provision.

show abstract

“…Once again, the importance of the link between educational status and the attitudes and behavior of males to reproductive health issues is brought to the fore. This had earlier being validated by Dunson and colleagues that established in their study a deeper involvement of more educated men with issues concerning the fertility and reproductive health of their partners 31,32 . A significant association between higher education levels of men and attendance at antenatal care (ANC) or reproductive health care services has been established 33,34 for which our study corroborates further.…”

Section: Discussionmentioning

confidence: 99%

Influence of Knowledge of Spousal Fertility Cycles on Male Reproductive Health Participation in Ibadan Metropolis, Nigeria

Obembe

Odebunmi

Osungbade

et al. 2017

Afr J Reprod Health

View full text Add to dashboard Cite

Despite the established roles and influence of men on women"s uptake and utilization of reproductive health care interventions, the degree of involvement with intimate issues within the household which could help to understand male involvement and support remains an under-researched topic. The aim of this study was to investigate the degree of involvement at the family level of men within sub-urban communities of Ibadan in South-West Nigeria. A cross sectional survey design was conducted among 380 men selected from sub-urban communities in Ibadan, Oyo State using multi-stage sampling. Data was obtained using pretested, semi-structured, interviewer administered questionnaires. Data were analysed using descriptive statistics, bivariate analysis and logistic regression with level of significance set at 5%. Mean age of respondents was 41.1 ± 7.6 years. Men who were knowledgeable of spouse"s menstrual cycles and ovulation dates were significantly more likely to have supported some form of public health intervention before (p<0.001). Age over 30, above secondary education, and men aware of menstrual dates of spouse were significant predictors of reproductive health interventions. Men who were aware of menstrual cycles of spouse were 96.6% more likely to be supportive or involved in reproductive health matters compared to those who were not (OR =0.034; 95% CI = 0.02 -0.07; p<0.001). Involvement of men at family level as demonstrated in this study serves to influence and explain the level of involvement with reproductive health. Further research investigating other proximal factors that influence male participation is recommended. (Afr J Reprod Health 2017; 21[3]: 76-88).Keywords: reproductive health, health disparities, male involvement, menstrual cycle, ovulatory cycles, fertility RésuméEn dépit des rôles établis et de l'influence des hommes sur la prise en charge des femmes et l'utilisation des interventions en matière de soins de santé de la reproduction, le degré de participation aux problèmes intimes au sein du ménage qui pourrait aider à comprendre l'implication et le soutien des hommes demeure un sujet de recherche insuffisamment étudié. L'objectif de cette étude était d'étudier le degré d'implication au niveau familial des hommes dans les communautés sub-urbaines d'Ibadan dans le sud-ouest du Nigéria. Une étude transversale a été menée auprès de 380 hommes sélectionnés parmi les communautés suburbaines d'Ibadan, dans l"État d'Oyo, en utilisant un échantillonnage en plusieurs étapes. Les données ont été obtenues à l'aide de questionnaires pré-testés, semi-structurés et administres à partir des interviews. Les données ont été analysées en utilisant des statistiques descriptives, une analyse bivariée et une régression logistique avec un niveau de signification fixé à 5%. L'âge moyen des répondants était de 41,1 ± 7,6 ans. Les hommes qui connaissaient bien les cycles menstruels et les dates d'ovulation des épouses étaient beaucoup plus susceptibles d'avoir soutenu une forme d'intervention de santé publique ...

show abstract

Demographic factors related to male involvement in reproductive health care services in Nigeria

Abstract: Male involvement in reproductive health care is predicted by level of education, number of living children and approval of family planning. There is a need to focus on the identified factors in order to strengthen and increase male participation in reproductive health care.

Cited by 25 publications

References 15 publications

Factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia: a secondary data analysis of 2016 Ethiopian Demographic and Health Survey

Factors associated with the perceived barriers of health care access among reproductive-age women in Ethiopia: a secondary data analysis of 2016 Ethiopian Demographic and Health Survey

Factors associated with perceived barriers of health care access among reproductive-age women in Ethiopia: a Secondary data analysis of 2016 Ethiopian Demographic and Health Survey

Influence of Knowledge of Spousal Fertility Cycles on Male Reproductive Health Participation in Ibadan Metropolis, Nigeria

Contact Info

Product

Resources

About