Male partner influence on Women's choices and utilisation of family planning services in Mufulira district, Zambia

Nkonde, Hildah; Mukanga, Bright; Daka, Victor

doi:10.1016/j.heliyon.2023.e14405

Cited by 5 publications

(5 citation statements)

References 41 publications

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“…These findings are consistent with studies examining women’s perspectives on how male partner involvement influences their ability and likelihood of utilizing sexual and reproductive health services in LMICs ( 42 , 50 – 53 ). For example, one study found that women who attended their post-treatment follow-up visit as part of an HPV-based cervical cancer screening program in Western Kenya more often identified their male partners as supportive, compared to women who did not return and were considered “lost to follow-up” ( 43 ).…”

Section: Discussionsupporting

confidence: 88%

“…This is consistent with a study in Kenya that found that male partners were willing and interested in accompanying their partner to maternal and child health to help facilitate uptake ( 50 ). Although women highly value and perceive the presence of male partners at clinical services as supportive, several SRH studies have identified obstacles to such accompaniment, including transportation costs, a need to work during clinic hours, and a lack of interest from male partners ( 42 , 53 , 54 , 61 , 62 ). Research on methods to encourage male partner participation in counseling sessions for topical precancer treatment, along with the use of education messages customized to local contexts, can shed light on how these strategies can impact the uptake of topical therapies in LMICs.…”

Section: Discussionmentioning

confidence: 99%

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“There is nothing that can prevent me from supporting her:” men’s perspectives on their involvement and support of women’s use of topical therapy for cervical precancer treatment in Kenya

Mungo,

Adewumi,

Adoyo

et al. 2024

Front. Oncol.

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PurposeCervical cancer disproportionately impacts women in low- and middle-income countries (LMICs). The World Health Organization’s (WHO) 90/70/90 strategy aims to eliminate cervical cancer by 2030 by increasing HPV vaccination coverage to 90%, screening 70% of eligible women, and effectively treating 90% of those with abnormal results by 2030, potentially preventing 62 million deaths in LMICs. LMICs, however, struggle with limited access to cervical precancer treatment, in part due to a lack of trained professionals and weak health systems. Effective non-surgical, self-administered, which have demonstrated efficacy in high-income countries, could bridge the treatment gap in LMICs and may be more scalable and cost-effective than provider-administered therapies. To inform feasibility studies in LMICs, data are needed on the role of male partners in influencing the acceptability and uptake of self-administered topical therapies, including their support of recommended abstinence and contraception guidelines associated with these therapies.MethodsBetween November 2022 and April 2023, we conducted five focus group discussions (FGDs) with men aged 25 to 65 years in Kenya to explore their perspective and perceived support regarding their female partners using topical self-administered therapies for cervical precancer treatment. The FGDs were moderated by local qualitative research assistants and conducted in local languages, transcribed, coded, and analyzed using qualitative description.ResultsThirty-nine male participants meeting the eligibility criteria participated in five FGDs. The mean age of participants was 42.5 years. Most participants, 79.5%, had a female partner with a history of cervical precancer treatment, 5.1% did not, and 15.4% were unsure of their female partner’s prior precancer treatment history. The study aimed to assess men’s support of their female partners’ use of topical therapies for treating cervical precancer. We find that male participants strongly express acceptance and willingness to support their wives or partners in using such therapies, if available. Reported supportive behavior included permitting the use of the therapies and support of maintaining abstinence during the recommended times. Additionally, participants desired male involvement in clinic and community-based education about topical therapies to facilitate widespread support.ConclusionThe use of self-administered topical therapies for cervical precancer treatment, if supported by efficacy studies in LMICs, may support achieving the WHO’s 2030 goal of 90% treatment access. We find that with adequate education, men express overwhelming support of their female partner’s use of topical therapies, including adherence to abstinence and contraception guidelines.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“There is nothing that can prevent me from supporting her:” men’s perspectives on their involvement and support of women’s use of topical therapy for cervical precancer treatment in Kenya

Mungo,

Adewumi,

Adoyo

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 82%

“…This is consistent with a study in Kenya that found that male partners were willing and interested in accompanying their partner to maternal and child health to help facilitate uptake (50). Although women highly value and perceive the presence of male partners at clinical services as supportive, several SRH studies have identified obstacles to such accompaniment, including transportation costs, a need to work during clinic hours, and a lack of interest from male partners (42,53,54,63,64). Research on methods to encourage male partner participation in counseling sessions for topical precancer treatment, along with the use of education messages customized to local contexts, can shed light on how these strategies can impact the uptake of topical therapies in LMICs.…”

Section: Discussionmentioning

confidence: 99%

“There is nothing that can prevent me from supporting her:” Men’s perspectives on their involvement and support of women’s use of topical therapy for cervical precancer treatment in Kenya

Mungo,

Adewumi,

Adoyo

et al. 2023

Preprint

View full text Add to dashboard Cite

PurposeCervical cancer disproportionately impacts women in low- and middle-income countries (LMICs). The World Health Organization’s (WHO) 90/70/90 strategy aims to eliminate cervical cancer by 2030 by increasing HPV vaccination coverage to 90%, screening 70% of eligible women, and effectively treating 90% of those with abnormal results by 2030, potentially preventing 62 million deaths in LMICs. LMICs, however, struggle with limited access to cervical precancer treatment, in part due to a lack of trained professionals and weak health systems. Effective non-surgical, self-administered, which have demonstrated efficacy in high-income countries, could bridge the treatment gap in LMICs and may be more scalable and cost-effective than provider-administered therapies. To inform feasibility studies in LMICs, data are needed on the role of male partners in influencing the acceptability and uptake of self-administered topical therapies, including their support of recommended abstinence and contraception guidelines associated with these therapies.MethodsBetween November 2022 and April 2023, we conducted five focus group discussions (FGDs) with men aged 25 to 65 years in Kenya to explore their perspective and perceived support regarding their female partners using topical self-administered therapies for cervical precancer treatment. The FGDs were moderated by local qualitative research assistants and conducted in local languages, transcribed, coded, and analyzed using qualitative description.ResultsMale participants in the FGDs strongly expressed acceptance and willingness to support their wives or partners in using topical therapies for cervical precancer treatment, if available. Reported supportive behavior included permitting the use of the therapies and support of maintaining abstinence during the recommended times. Additionally, participants desired male involvement in clinic and community-based education about topical therapies to facilitate widespread support.ConclusionThe use of self-administered topical therapies for cervical precancer treatment, if supported by efficacy studies in LMICs, may support achieving the WHO’s 2030 goal of 90% treatment access. We find that with adequate education, men express overwhelming support of their female partner’s use of topical therapies, including adherence to abstinence and contraception guidelines.

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“…Males may be perceived as decision-makers, influencing how sexual health information is disseminated and acted upon. This dynamic can limit women's ability to make informed sexual and reproductive health decisions (Nkonde et al, 2023).…”

Section: Healthcare Decision Makingmentioning

confidence: 99%

An Intersectional Analysis of Gender-Specific Barriers to Adolescent Health Literacy in South Africa

Adekola

2024

ICGSS

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Various studies have shown that influencing factors such as gender, race, and socio-economic status could significantly impact adolescents’ health literacy in South Africa. The adolescent stage is crucial for acquiring and developing health-promoting knowledge and behaviors. Therefore, this study aimed to analyze the gender-specific determinants that prevent adolescents from accessing, understanding, and utilizing health-related information and services through an intersectionality theoretical lens. This study used content analysis of secondary data from 2010 until 2023 from electronic databases such as SciELO, Google Scholar, the Directory of Open Access Journals, Scopus, and governmental reports. From the initial 102 articles and documents obtained from the search process, a total of 26 papers were included in this study. The results indicated that gender roles, cultural norms, heteronormativity, gender-based violence, and associated stigmatization are gender-specific barriers to adolescents’ health literacy in South Africa. Based on the study findings, I argue that multi-stakeholder engagement is needed to address the identified barriers and collaboratively develop and implement a gender-responsive health literacy programme that promotes equitable and non-judgmental access for young people to health information and services in South Africa.

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Male partner influence on Women's choices and utilisation of family planning services in Mufulira district, Zambia

Cited by 5 publications

References 41 publications

“There is nothing that can prevent me from supporting her:” men’s perspectives on their involvement and support of women’s use of topical therapy for cervical precancer treatment in Kenya

“There is nothing that can prevent me from supporting her:” men’s perspectives on their involvement and support of women’s use of topical therapy for cervical precancer treatment in Kenya

“There is nothing that can prevent me from supporting her:” Men’s perspectives on their involvement and support of women’s use of topical therapy for cervical precancer treatment in Kenya

An Intersectional Analysis of Gender-Specific Barriers to Adolescent Health Literacy in South Africa

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