Husbands’ involvement in antenatal care and its association with women’s utilization of skilled birth attendants in Sidama zone, Ethiopia: a prospective cohort study

Teklesilasie, Wondwosen; Deressa, Wakgari

doi:10.1186/s12884-018-1954-3

Cited by 34 publications

(46 citation statements)

References 20 publications

(16 reference statements)

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“…The justification could be awareness created during the past five years. Our finding agrees to the prospective cohort study in Southern Nations Nationalities and Peoples of Ethiopia [10] and other studies in Uganda and Bangladesh [8,15] Male involvement in BPCR was strongly associated with women use of institutional delivery. Those mothers whose husbands involved in BPCR were eighteen times more likely to deliver in the health institution compared to mothers whose husbands didn't involve in BPCR.…”

Section: Discussionsupporting

confidence: 92%

“…This finding is in agreement with the successive national demographic and health survey findings of Ethiopia (6,21]. This finding also agrees with the other study conducted in Southeast Ethiopia and SNNP [10,14]. The study from Nepal also indicated that the odds of delivering in an institution was higher among urban women compared to women who lived in rural areas [22].…”

Section: Discussionsupporting

confidence: 91%

“…Education status, husbands' accompaniment during ANC, knowledge of BPCR, knowledge of danger signs of pregnancy, number of children, number of birth preparations, household wealth index, place of residence, travel time from home to nearest health facility, decision maker on place of delivery and frequency of ANC visit were associated with place of delivery [9][10][11][12][13][14]. However, the association between male involvement in BPCR and women's use of institutional delivery was not well addressed in our setting.…”

Section: Introductionmentioning

confidence: 99%

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Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

Gemechu

Ketema

Beresa

et al. 2020

Preprint

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Background: In sub-Saharan Africa (SSA), pregnancy and childbirth continue to be viewed as solely a woman’s issues. Increasing partner participation and encouraging joint decision making in maternal health care may provide an important strategy in reducing maternal mortality and morbidity.Objective: To assess the level of male partner involvement in Birth Preparedness and Complication Readiness (BPCR) and its association with women’s use of institutional delivery among mothers who had a child less than 12 months in West Arsi Zone, South Ethiopia Methods: Institutional based cross-sectional study was conducted in West Arsi Zone South Ethiopia in 2019. Systematic random sampling technique was used to select the study subjects. Data was collected using interviewer administered structured questionnaire. Binary and multivariable logistic regression was applied for the analysis of each of the independent variables against the dependent variable. The association between male involvement in BPCR and women’s use of institutional delivery was done. The results were reported using crude and adjusted odds ratio (OR) with their 95% confidence interval. Results: More than half of male partners, 407 (54.3%) accompanied their wife during ANC follow up at least ones for the last pregnancy. Slightly more than three fourth, 571 (76.1%) of male partners involved in BPCR for the last pregnancy. Fife hundred fifty-four (73.9%) of the mothers gave birth in the health institution for the most recent child. Male involvement in BPCR (aOR = 18.7, 95% CI (11.1 – 31.6), joint decision making about place of delivery (aOR = 3.2, 95% CI: 1.76 – 5.7), urban residence (aOR = 2.2, 95% CI: 1.32 – 3.7) and having two or less under-five children (aOR, 95% CI: 2.7 (1.4 – 5.3) were associated with women’s use of institutional delivery. Conclusion: More than three fourth of male partners involved BPCR. Male involvement in BPCR, joint decision making about place of delivery, urban residence and having ≤ 2 under-five children were associated with women’s use of institutional delivery. Designing and implementing health education on the role of male partner in maternal health care is mandatory. Empowering rural mothers to use health institutions for delivery and birth spacing may improve the magnitude of institutional delivery.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

Gemechu

Ketema

Beresa

et al. 2020

Preprint

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“…This companionship did not necessarily translate into men's attendance during the contact, as women reported that their husbands remained present during less than a quarter of the ANC contacts. Studies suggest that involvement of husband during ANC contacts improves MNH utilization and skilled birth attendance (40,41). This may be an important area to explore for increasing the use of skilled and appropriate services for women; however, this should only be promoted taking women's preferences and expectations into consideration.…”

Section: Discussionmentioning

confidence: 99%

Quality of antenatal care experience in rural Bangladesh: social support, respect, dignity, communication and counselling

Mhajabin

Perkins

Siddique

et al. 2020

Preprint

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Background Quality antenatal care (ANC) can contribute to reducing maternal and neonatal morbidity and mortality. Very little information is available on the experience of care during ANC contacts in Bangladesh. This study aims to understand social support received by women, their experience of respect and dignity, and quality of communication and counselling during ANC contacts in rural Bangladesh for improving the quality of ANC services. Methods A cross-sectional household survey was administered in three upazillas (sub-districts) of Bangladesh in 2018. We defined the experience of care as reported by women using three indicators: social support received, respect and dignity experienced, quality of communication and counselling. Associations between explanatory and outcome variables were explored through binary and multiple logistic regression models controlling for background characteristics and health system contacts. Findings: Most women (79%) reported having any social support during their ANC contacts, i.e. someone was present during the ANC contact. More than half the women desired their husbands’ presence during their ANC contact while only one-fourth of the husbands were present. Experiences regarding different aspects of respect and dignity were mixed. Almost all women reported that their visual (94%) and auditory privacy (94%) were maintained. However, only in 58% of the ANC contacts the health service providers sought permission before carrying physical examination. Less than half of the women reported that the health services listened to their problems, assessed the overall situation and encouraged women to take part in the discussion during ANC counselling. After adjusting for background characteristics and other covariates, the odds of experiencing respect and dignity and the odds of receiving quality communication and counselling were significantly higher (AOR 1.9 and 16 respectively at p < 0.5) when the women were accompanied by someone during ANC contact. Conclusion Ensuring quality ANC in Bangladesh required focusing on addressing the existing gaps in the experience of care for a positive pregnancy experience. This study presents the importance of social support in improving the experience of care and suggests further research to identify effective interventions for the integration of quality of care components in this context.

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“…Certainly, male partner participation in ANC is vital to bettering maternal and neonatal birth outcomes [38]. Whilst it was showed within Ethiopia women who reported at least one ANC visit with their husbands were 6.27 times more likely to use skilled birth attendants in comparison to their counterparts who attended ANC alone [39]. Likewise, a separate study showed a signi cance for women whose partners attended ANC in receiving urine and blood tests and counselling regarding pregnancy complications compared to those who attended alone [40].…”

Section: Cultural and Social Dynamicsmentioning

confidence: 99%

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

Jones

Damayanti²,

Wiseman

et al. 2020

Preprint

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Background: Antenatal Care (ANC) is a central plank in reducing maternal mortality in low and middle income countries. ANC provides pivotal education to all individuals involved and can be utilised as a preventative tool in avoiding complications during childbirth. Within Indonesia, the maternal mortality ratio (MMR) remains unacceptably high in comparison to high income country counterparts, with an ANC coverage of 77% for a minimum of 4 visits. Few studies within Indonesia have explored the experiences of pregnant women accessing ANC and the impact this has on uptake of ANC services.Methods:  Five focus group discussions (FGDs) with pregnant women were conducted at community health facilities within the city and urban areas of Surabaya, Indonesia, along with five semi-structured interviews with midwives employed at these health facilities. Results: Findings suggest individual circumstances, social and cultural dynamics and community and health care conditions shaping the uptake of ANC services. Fears of negative diagnosis prior to initial ANC appointment, personal beliefs and myths surrounding pregnancy, influence of husbands, family and friends and long waiting times with overcrowding leading to limited seating were shaping timely access and achieving 4 ANC visits. In addition, feeling comfortable with the quality of the service and receiving a friendly service from the practitioners was a theme across all FGDs. Finally, it was acknowledged feeling afraid of being referred to a hospital if deemed a high-risk pregnancy shaped return ANC visits. Conclusions:  Efforts to decrease maternal and infant mortality rates in Surabaya have largely centred on increasing ANC coverage. The findings of this study highlight several factors shaping the uptake of ANC services by mothers. However, with ANC coverage (minimum 4 visits) now at 77% of the population, findings suggest that future research should be directed towards the standard of quality of ANC services being delivered.

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Husbands’ involvement in antenatal care and its association with women’s utilization of skilled birth attendants in Sidama zone, Ethiopia: a prospective cohort study

Cited by 34 publications

References 20 publications

Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

Quality of antenatal care experience in rural Bangladesh: social support, respect, dignity, communication and counselling

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

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