Individual, socio-cultural, and health facility factors affecting men’s involvement in facility-based childbirth in Southwest, Ethiopia: A mixed method study

Abstract

Introduction: Traditionally, men are not supposed to take part in maternal health issues in many cultures. Nevertheless, pregnancy care and childbirth are the most crucial matters of reproductive health influenced by men. Hence, the aim of this study was to identify individual, sociocultural, and health facility factors affecting men’s involvement in facility-based childbirth in Southwest, Ethiopia. Objectives: The aim of this study was to identify individual, sociocultural, and health facility factors affecting men’s involvement in facility-based childbirth in Southwest, Ethiopia. Methods: A community-based cross-sectional study accompanied with a qualitative method was carried out from 1 July to 30 August 2019. A multistage cluster sampling technique was employed to recruit study participants. Descriptive statistics, frequencies, proportions, and mean were calculated, and the results of the analysis were presented in text, tables, and graphs. A multivariate logistic regression model was fitted to investigate the independent effect of each explanatory variable on the likelihood of men’s involvement in facility-based childbirth. Qualitative data were analyzed thematically using OpenCode 4.0 software. Results: Out of 800 men, only 36.5% (95% confidence interval: 33.3%–39.6%) were found to have involved in facility-based childbirth. Several factors were associated with men’s involvement in facility-based childbirth of this, being in the age group of 40–49 (adjusted odds ratio 5.04, 95% confidence interval: 2.49–10.20), attaining secondary education and above (adjusted odds ratio 2.14, 95% confidence interval: 1.53–5.60), and having sufficient knowledge of danger signs during pregnancy (adjusted odds ratio 5.65, 95% confidence interval: 3.25–7.46) associated with men’s involvement in facility-based childbirth. Conclusion: Relevant entities had better design-specific educational programs targeting younger age groups, those with lower schooling, and had previous bad obstetrics outcomes. Involving elders and religious leaders in the reproductive health program could also help in overcoming the existing cultural barriers. Moreover, creating a men-friendly facility environment and extensively engaging medias are suggested to improve men’s involvement in the study area.

Husband Involvement in Maternal, Neonatal, and Child Health Care among Women who Have a Child Less Than one Year in Gondar City, Northwest Ethiopia, 2021

“…The data collection tool was developed by reviewing related literature. 15 , 19 , 20 , 22 Data were collected using semi-structured, pretested questionnaires through face-to-face interview. The questionnaire contains socio-demographic characteristics, obstetric and maternal health services utilization related characteristics, decision-making autonomy, and intimate partner violence-related questions, and questions assessing husband involvement in MNCH service.…”

“… 18 Studies conducted in Ethiopia showed that husband involvement in ANC care were 61% and 36.5% of husbands involved during labor and delivery. 19 , 20 Also study conducted in Gondar city showed that 40.1% of male involved in HIV counseling and testing during antenatal care follow up. 21 Studies conducted in different countries suggest different factors associated with husband involvement in MNCH care, like; women's level of education, husband educational status, number of children, average family income, occupation of husband, decision making autonomy.…”

“… 21 Studies conducted in different countries suggest different factors associated with husband involvement in MNCH care, like; women's level of education, husband educational status, number of children, average family income, occupation of husband, decision making autonomy. 16 , 19 , 20 , 22 , 23 …”

The role of men in antenatal care and preventing HIV transmission from mothers to infants in Gambella region, Ethiopia

“…The Anuak sustain on crop production, fishing, and hunting; the Nuer are mainly pastoralists dependent on livestock rearing. The most recent population-based HIV impact assessments documented that Gambella had the highest HIV prevalence in Ethiopia (5.7%) when the study was conducted [30].…”

Cultural Barriers to Husband’s Involvement in Maternal Health in Indonesia Rural Area, A Qualitative Study

“…The health officers never conduct an activity to increase the participation of husbands because there are heavy challenges that must be faced besides having no budget allocation for such an activity. mentioned by Hailemariam [15]. Among them is the cultural view that husbands are not usually involved in matters that have long been women's affairs.…”