Socio-demographic predictors of gender inequality among heterosexual couples expecting a child in south-central Uganda

Vrana-Diaz, Caroline; Korte, Jeffrey E.; Gebregziabher, Mulugeta; Richey, Lauren; Selassie, Anbesaw W.; Chemusto, Harriet; Wanyenze, Rhoda K.

doi:10.4314/ahs.v20i3.23

Cited by 4 publications

(3 citation statements)

References 24 publications

(31 reference statements)

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“…However, many men do not have regular work conditions to effectuate that. Obstacles to male involvement in maternity care are grounded in both culture and religion, as shown in studies within Nigerian and Ugandan settings, where women tend to share similar views as men when it comes to what is considered appropriate and expected, although it varies within the socioeconomic strata [ 28 , 29 ]. Many mothers in the study did not have safe environments around the time of childbirth.…”

Section: Discussionmentioning

confidence: 99%

Women’s experiences of maternal and newborn health care services and support systems in Buikwe District, Uganda: A qualitative study

et al. 2021

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Background Uganda continues to have a high neonatal mortality rate, with 20 deaths per 1000 live births reported in 2018. A measure to reverse this trend is to fully implement the Uganda Clinical Guidelines on care for mothers and newborns during pregnancy, delivery and the postnatal period. This study aimed to describe women’s experiences of maternal and newborn health care services and support systems, focusing on antenatal care, delivery and the postnatal period. Methods We used triangulation of qualitative methods including participant observations, semi-structured interviews with key informants and focus group discussions with mothers. Audio-recorded data were transcribed word by word in the local language and translated into English. All collected data material were stored using two-level password protection or stored in a locked cabinet. Malterud’s Systematic text condensation was used for analysis, and NVivo software was used to structure the data. Findings Antenatal care was valued by mothers although not always accessible due to transport cost and distance. Mothers relied on professional health workers and traditional birth attendants for basic maternal services but expressed general discontentment with spousal support in maternal issues. Financial dependency, gender disparities, and lack of autonomy in decision making on maternal issues, prohibited women from receiving optimal help and support. Postnatal follow-ups were found unsatisfactory, with no scheduled follow-ups from professional health workers during the first six weeks. Conclusions Further focus on gender equity, involving women’s right to own decision making in maternity issues, higher recognition of male involvement in maternity care and improved postnatal follow-ups are suggestions to policy makers for improved maternal care and newborn health in Buikwe District, Uganda.

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Section: Discussionmentioning

confidence: 99%

Women’s experiences of maternal and newborn health care services and support systems in Buikwe District, Uganda: A qualitative study

et al. 2021

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“…They can also include norms around men’s role as the primary provider and women’s role as the caregiver [ 18 ]. These gender norms are prevalent in Uganda and other parts of sub-Saharan Africa [ 19 , 20 ] and drive gender-based economic disparities [ 21 ]. These norms likely shaped women’s unreliable mobile phone access and the support men with TB received from their female partners to complete 99DOTS dosing confirmation calls, which reflect gender norms emphasizing women’s primary role as family caretaker [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Implementing a Digital Adherence Technology for Tuberculosis Treatment Supervision in Uganda: Qualitative Study

Leddy¹,

Ggita²,

Berger³

et al. 2023

J Med Internet Res

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Background Ensuring the completion of treatment for tuberculosis (TB) remains a key challenge in many high-burden countries. 99DOTS is a low-cost digital adherence technology that has emerged as a promising tool for monitoring and supporting TB treatment completion. Objective We aimed to understand the feasibility and acceptability of 99DOTS, a mobile phone–based TB treatment support method, and characterize barriers and facilitators to its implementation during a pragmatic trial in Uganda. Methods Between April 1 and August 31, 2021, we conducted in-depth interviews with people with TB and key informant interviews with health workers and district and regional TB officers involved in the implementation of 99DOTS at 18 health facilities in Uganda. Semistructured interview guides were informed by the capability, opportunity, motivation, and behavior (COM-B) model and explored perceptions of, and experiences with, 99DOTS, including barriers and facilitators to its use. Qualitative analysis was conducted using the framework approach. Results Interviews were conducted with 30 people with TB, 12 health workers, and 7 TB officers. All people with TB, health workers, and TB officers noted that 99DOTS supported and encouraged people with TB to take their anti-TB medication, facilitated treatment monitoring, and improved relationships between people with TB and health workers. Participants also liked that the platform was free, easy to use, and improved TB treatment outcomes. Barriers to 99DOTS implementation for some people with TB were related to limited literacy, including technology literacy; limited access to electricity to charge their mobile phone to make dosing confirmation calls; and poor network connection. Gender differences in 99DOTS uptake also emerged. Specifically, women with TB were described to be more concerned that 99DOTS use would expose them to TB stigma and to be more likely to have mobile phone–access issues than men with TB. By contrast, men with TB not only had access to mobile phones but also received substantial support from their female partners to take their anti-TB medication and make 99DOTS dosing confirmation calls. Finally, although women with TB were described to face more barriers to 99DOTS use than men with TB, the women’s narratives centered on the ways the platform facilitated and improved their adherence, whereas the men’s narratives did not. Conclusions Overall, 99DOTS seems to be a feasible and acceptable strategy to support anti-TB medication adherence in Uganda. However, access to mobile phones, inability to charge mobile phones, and concerns about stigma should be considered and addressed as part of programmatic implementation to maximize uptake among all people with TB, particularly women and those with fewer financial resources.

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“…From south central Uganda 22 we have a paper on “Socio-demographic predictors of gender inequality among heterosexual couples expecting a child”. They found “that 31.1% of men had high acceptance of IPV, and 15.9% of women had low decision-making power.…”

Section: Sexual and Reproductive Healthmentioning

confidence: 99%

Twenty years of African Health Sciences as infections continue to plague our continent

Tumwine¹

2020

Afr H. Sci.

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Socio-demographic predictors of gender inequality among heterosexual couples expecting a child in south-central Uganda

Cited by 4 publications

References 24 publications

Women’s experiences of maternal and newborn health care services and support systems in Buikwe District, Uganda: A qualitative study

Women’s experiences of maternal and newborn health care services and support systems in Buikwe District, Uganda: A qualitative study

Barriers and Facilitators to Implementing a Digital Adherence Technology for Tuberculosis Treatment Supervision in Uganda: Qualitative Study

Twenty years of African Health Sciences as infections continue to plague our continent

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