Does involving male partners in antenatal care improve healthcare utilisation? Systematic review and meta-analysis of the published literature from low- and middle-income countries

Suandi, Dedih; Williams, Pauline; Bhattacharya, Sohinee

doi:10.1093/inthealth/ihz073

Cited by 55 publications

(69 citation statements)

References 32 publications

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“…A similar finding was reported in Yem special woreda, [19] and Nigeria [26]. Besides, a systematic review and meta-analysis from low-and middle-income countries reported that male involvement in antenatal care had a positive impact on the uptake of maternal health [27]. Participants from qualitative component of this study also mentioned if the husband shared money and ideas with his wife during ANC service, the mothers experienced freedoms and fully enjoyed the ANC opportunities.…”

Section: Plos Onesupporting

confidence: 84%

Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: A community-based cross-sectional study design

Ftwi¹,

Gebretsadik²,

Berhe³

et al. 2020

PLoS ONE

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Background Despite decades of implementation of maternal health care programs, the uptake of antenatal care services based on the recommended gestational age continues to be below the national and regional targets. Thus, this study aimed to assess the prevalence and factors related to the completion of four antenatal care visits among mothers who gave birth 6 months preceding the study. Method We conducted a community-based cross-sectional study using both quantitative and qualitative approaches. The quantitative component included administering a pre-tested structured questionnaire to 466 mothers who gave birth 6 months preceding the study using a simple random sampling technique from respective Tabias. The quantitative result was analyzed using SPSS version 22. Bivariate and multivariate analysis was done to determine the association between independent and dependent variables. Variables were declared as statistically significant at P � 0.05 in multivariable logistic regression model. The qualitative interview data were collected from eight mothers and four key informants recruited through purposive sampling method. Results The overall prevalence of completion of four ANC visits based on the recommended time schedule was 9.9% (95% CI, 7.1-12.4). However, 63.9% of the participants attended four visits or more regardless of the recommended time schedule. Being member of community health insurance (AOR 2.140, 95% CI, 1.032-4.436), walking on foot less than or equal one hour to reach the health facility (AOR 3.921, 95% CI, 1.915-8.031), having workload at

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Section: Plos Onesupporting

confidence: 84%

Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: A community-based cross-sectional study design

Ftwi¹,

Gebretsadik²,

Berhe³

et al. 2020

PLoS ONE

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“…Moreover, involving husbands in ANC visits may help them to prevent home deliveries. 27,28 Our data showed women who preferred TBAs were more likely to deliver at home compared to women who preferred SBAs. This finding is supported by studies conducted in Afar, Ethiopia, 23 Buta-Jira district Ethiopia 29 and in the rural district of Ibanda, Uganda.…”

Section: Discussionmentioning

confidence: 74%

<p>Determinants of Home Delivery Among Women in Rural Pastoralist Community of Hamar District, Southern Ethiopia: A Case–Control Study</p>

Wondimu¹,

Woldesemayat²

2020

RMHP

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Purpose: Studies addressing determinants of home delivery in pastoralist areas are scarce in Ethiopia. In this study, we aimed to assess determinants of home delivery in rural pastoralist communities of Hamar District, Southern Ethiopia. Patients and Methods: In April 2018, we conducted a community-based case-control study. Of 35 rural kebeles (lowest level of administration) in the district, 8 were randomly selected. Ninety-nine randomly selected cases (mothers who gave birth at home) and 193 controls (mothers who gave birth at health facility) were included in the study. We used structured questionnaires to collect data. Through face-to-face interview, data on place of delivery, sociodemographic characteristics, obstetric history knowledge and attitude of mothers were collected. We used logistic regression model to measure association between variables. Results: Late initiation of antenatal care (AOR = 4.6, 95% CI = 1.2, 17.1), husbands only decision-making (adjusted odds ratio [AOR] =7.2, 95% CI = 2.1, 24.5), women's preference for traditional birth attendants (TBAs) (AOR = 3.9, 95% CI = 1.2, 12.5), and not involving in women's development army (WDA), (AOR = 3.3, 95% CI = 1.0, 10.5) increased the risk of home delivery. Moreover, low maternal knowledge on danger signs of pregnancy (AOR = 6.5, 95% CI = 1.5, 29.0) and negative maternal attitudes towards institutional delivery (AOR = 4.4, 95% CI = 1.4, 14.1) were other factors that increased the risk of home delivery. Conclusion: Among our study participants, a number of factors increased the risk of home delivery. Improving women's awareness on the importance of institutional delivery, establishing systems for integration between TBAs and health facilities, empowering women and promoting them to participation in WDA were recommended.

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“…The nding of this review shows identifying a potential blood donor, looking for a skilled birth attendant, an arrangement of transportation, and saving money for delivery and emergency case during the birth of the baby and nursing time during postpartum period were among the poorly practiced components of BP/CR in low-and middle-income countries. Failure to identify skilled birth attendants is among the main contributors to the disproportionate pregnancy -related complications in the global south [53,54]. In this study 40.5% of male partners of pregnant women and nursing mothers were identi ed skilled birth attendant.…”

Section: Discussionmentioning

confidence: 74%

Male partners' participation in birth preparedness and complication readiness in global south: systematic review and meta-analysis

Kebede¹,

El‐Khatib²,

Asamoah³

et al. 2020

Preprint

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Background: The lower priority given for involving male partners in birth preparedness and complication readiness contributes to the poor maternal and neonatal health outcomes. Male partners in low- and middle-income countries determine women’s access to and affordability of health services and directly influence their health outcomes. This systematic review and meta-analysis determine the pooled magnitude of the male partner’s participation in birth preparedness and complication readiness in the global south.Methods: Literature published in the English language from 2004 to 2019 was retrieved using appropriate search terms on Google Scholar, PubMed/MEDLINE, CINHAL, Scopus, and Embase. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. A pooled statistical meta-analysis was conducted using STATA Version 14.0 software. The heterogeneity and publication bias were assessed using the I2 statistics and Egger’s test, respectively. Duval and Tweedie's nonparametric trim and fill analysis using the random-effect analysis. The Random effects model was used to estimate the summary prevalence of BPCR and the corresponding 95% confidence intervals (CI). Results: 12 studies and 4210 participants were included. The overall pooled result showed 52.3% of male partners of pregnant women and nursing mothers were prepared for birth and its complications. Forty-nine percent of male partners saved money for delivery and 40.5% of them identified skilled birth attendants, and 55% of male partners saved money for birth or its complication. Only 42.1% of male partners arranged transportation and 59.8% of them identified the place of birth. Only 18.9% of male partners identified a potential blood donor for emergency cases of childbirth and postpartum complication.Conclusions: A low proportion of male partners of pregnant women and nursing mothers were prepared for childbirth and its complications. Countries in the global south region should review their health care policies and design strategies to improve the birth preparedness and complication readiness practice among male partners of pregnant women and nursing mothers.

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Does involving male partners in antenatal care improve healthcare utilisation? Systematic review and meta-analysis of the published literature from low- and middle-income countries

Cited by 55 publications

References 32 publications

Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: A community-based cross-sectional study design

Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: A community-based cross-sectional study design

<p>Determinants of Home Delivery Among Women in Rural Pastoralist Community of Hamar District, Southern Ethiopia: A Case–Control Study</p>

Male partners' participation in birth preparedness and complication readiness in global south: systematic review and meta-analysis

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