Involving men in maternity care in India

Caleb-Varkey, Leila; Mishra, Anurag; Das, Anjana; Ottolenghi, E; Huntington, Dale; Adamchak, Susan E.; Khan, Mohsin; Homan, Rick

doi:10.31899/rh4.1167

Cited by 44 publications

(5 citation statements)

References 4 publications

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“…The remaining 67 studies were examined for full-text review and 46 records that did not meet the inclusion criteria were eliminated. A total of 21 (40-60) studies met our inclusion criteria; 18 of these studies (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57) were compatible for meta-analysis, while the remaining three (58-60) studies were not part of the meta-analysis due to differences in outcome measurements and study designs that precluded comparison. However, the narrative synthesis incorporated ndings from all eligible studies (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Modern contraceptive use was reported in 15 studies (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)57) and 12 studies assessed overall contraceptive prevalence use inclusive of traditional methods (withdrawal, periodic abstinence, etc.). Most commonly reported secondary outcomes were knowledge of various modern methods, methods speci c use, and unmet need.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of the included studies, four were conducted in Bangladesh (45,47,49,58), eight in India(48,50,52-56,59), seven in Pakistan (40)(41)(42)(43)(44)46,57), and two in Nepal (51,60). Majority of the experimental studies (n = 18) were quasi-experimental designs (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(54)(55)(56)58,59) alongside two randomized controlled trials (53,57) and one step-wedge design (60).…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effective Strategies for Increasing the Uptake of Modern Methods of Family Planning in South Asia: A Systematic Review and Meta-analysis

Memon

Tahmeena

Fazal

et al. 2023

Preprint

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Background Family planning (FP) interventions have improved the use of modern contraceptives, yet a high unmet need for contraception still exists in South Asia. This systematic review of existing research was conducted to identify effective FP interventions that led to an increase in the uptake of modern methods of contraception in South Asia.Methods Five electronic databases were searched for relevant studies published between January 2000 and May 2021. Experimental studies which reported data on the impact of FP interventions on modern contraceptive use among women of reproductive age (15–49 years) in the South Asian region were included. A random-effects Inverse Variance weighted model was employed to pool the adjusted odds ratio (OR) on modern contraceptive use and unmet need for contraception. In addition, we computed subgroup meta-estimates based on intervention type and the urban-rural divide.Results Among 513 studies identified, 21 met the inclusion criteria. The overall pooled odds ratio for modern contraceptive use was significantly higher (OR 1.51; 95% CI 1.35–1.70; heterogeneity; I2 = 81%) for FP interventions with a significant reduction in unmet need for contraception (OR 0.86; 95% CI 0.78–0.94, I2 = 50%). The subgroup analysis revealed demand-generation (OR 1.61; 95% CI 1.32–1.96), health system integrated (OR 1.53; 95% CI 1.07–2.20), and franchised FP clinic interventions (OR 1.32; 95% CI 1.21–1.44) had promoted the modern contraceptive uptake. Further, FP interventions implemented in urban settings showed a higher increase in modern contraceptive use (OR 1.73; 95% CI 1.44–2.07) compared to rural settings (OR 1.46; 95% CI 1.28–1.66). Given the considerable heterogeneity observed across studies and low degree of certainty indicated by GRADE summary for the primary outcome, caution is advised when interpreting the results.Conclusion The review collated experimentally evaluated FP interventions that increased modern contraception use and reduced the unmet need in South Asia. The demand generation interventions were found to be the most effective interventions in increasing the uptake of modern contraceptive methods. Furthermore, the urban environment provides a conducive environment for interventions to improve contraceptive usage. However, further studies should assess which aspects were most effective on attitudes towards contraception, selection of more effective methods, and contraceptive behaviors.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Effective Strategies for Increasing the Uptake of Modern Methods of Family Planning in South Asia: A Systematic Review and Meta-analysis

Memon

Tahmeena

Fazal

et al. 2023

Preprint

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“…The period of effectiveness has been reported up to a decade in some researches 3,4 . The neighbouring country has reported that 66.6% of the post-partum women were not applying nay contraceptive method while a desire of contraception was shown by 75% of the post-partum women [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Antenatal Counselling in Increasing the Acceptability and Insertion of Postplacental IUCD in Postpartum

Shams¹,

Ashraf²,

Moon³

et al. 2023

PJMHS

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Aim: To evaluate effectiveness of antenatal counselling in increasing the acceptability and insertion of Post Placental Intrauterine Contraceptive Device in postpartum women Study design: Prospective study. Place and duration of study: Department of Obstetrics & Gynaecology, Hayatabad Medical Complex, Peshawar from 1st April 2022 to 30th September 2022. Methodology: Fifty pregnant women were enrolled. The age of the pregnant women was taken within 18-43 years. The couples were counselled for the uptake of PPIUCD through gynaecological professional assistance. The counselling was done at 28 weeks followed by at 36 weeks. The misconceptions and myths were eradicated through the use of one-to-one interview as well as focus group discussions. The fears of the patients and their spouse were addressed through detailed discussion. Results: The mean age was 24.8±4.06 years. There were 70% of the pregnant women who agreed to get PPIUCD inserted, however only 42% actually underwent the procedure. Majority of the cases were within the age group of 18-28 years. The reasons recorded for not getting PPIUCD insertion previously presented data where 23% of the pregnant women had no awareness provided about PPIUCD before while 13% preferred other contraceptive methods. Conclusion: The outcomes of the antenatal counselling are higher uptake of post placental intrauterine contraceptive device with a rate of 42% increase in post-partum women. There is an evident reduction in misconceptions and myths about post-placental intrauterine contraceptive device through antenatal counselling. Key words: Antenatal counselling, Outcome, Intrauterine contraceptive device, Post-partum

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“…Totally 1897 husbands were invited to attend antenatal counselling for intervention and knowledge of key pregnancy danger sign was 24% in intervention group significantly whereas only 13% in control group. Moreover, the proportion of breast feeding initiation was higher among husbands attending ANC counselling intervention group while 47.3% women breast feed in those whose husband did not attend (Varkey et al, 2004).…”

Section: Previous Study Of Husband Involvement In Maternal Health For...mentioning

confidence: 90%

Effectiveness of Men in Maternity Health (Mim) Intervention to Improve Husband Involvement in Birth Preparedness and Complication Readiness for safe Motherhood in Nay Pyi Taw, Myanmar: a Quasi-Experimental Study

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Involving husbands in birth preparedness and complication readiness (BP/CR) has been encouraged as a new strategy to improve maternal health for safe motherhood since 2000. Myanmar is a patriarchy society and despite the strong domination of husbands on the health of their families, their involvement in maternal health are still limited. This quasi-experimental study aimed to determine the effectiveness of Men in Maternity Health' (MiM) intervention to improve husband involvement in BP/CR and institutional delivery for safe motherhood in Nay Pyi Taw, Myanmar. Total 198 husbands of pregnant women were included (99 husbands from each Township): Lewe Township as study group and Takkone Township control group. Face to face interview using interviewer administered questionnaire was carried out to collect the data. The data was analyzed by independent t-test to compare the continuous variables between study and control groups including within group comparison by paired t-test. Pearson's Chi-square test was used to compare the difference of categorical variables. After MiM' programme, there were significantly changes in husbands' knowledge (p=0.001) and attitude (p=0.04) between study and control groups. Husbands in both groups were more likely to involve indirectly as financial support than direct involvement as planning skilled birth attendant and blood donor in case of emergency for their wives before give birth. In study group, husbands' involvement in BP/CR improved significantly (p<0.001). Institutional delivery prevalence was significant difference between study and control groups, 64.6% and 39.4% respectively. In conclusion, the implementation of MiM' programme for promoting partner involvement in BP/CR and institutional delivery among pregnant women couples can enhance the benefits for safe motherhood.

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Involving men in maternity care in India

Cited by 44 publications

References 4 publications

Effective Strategies for Increasing the Uptake of Modern Methods of Family Planning in South Asia: A Systematic Review and Meta-analysis

Effective Strategies for Increasing the Uptake of Modern Methods of Family Planning in South Asia: A Systematic Review and Meta-analysis

Effectiveness of Antenatal Counselling in Increasing the Acceptability and Insertion of Postplacental IUCD in Postpartum

Effectiveness of Men in Maternity Health (Mim) Intervention to Improve Husband Involvement in Birth Preparedness and Complication Readiness for safe Motherhood in Nay Pyi Taw, Myanmar: a Quasi-Experimental Study

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Involving men in maternity care in India

Cited by 44 publications

References 4 publications

Effective Strategies for Increasing the Uptake of Modern Methods of Family Planning in South Asia: A Systematic Review and Meta-analysis

Effective Strategies for Increasing the Uptake of Modern Methods of Family Planning in South Asia: A Systematic Review and Meta-analysis

Effectiveness of Antenatal Counselling in Increasing the Acceptability and Insertion of Postplacental IUCD in Postpartum

Effectiveness of Men in Maternity Health (Mim) Intervention to Improve Husband Involvement in Birth Preparedness and Complication Readiness for safe Motherhood in Nay Pyi Taw, Myanmar: a Quasi-Experimental Study

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Effectiveness of Men in Maternity Health (Mim) Intervention to Improve Husband Involvement in Birth Preparedness and Complication Readiness for safe Motherhood in Nay Pyi Taw, Myanmar: a Quasi-Experimental Study