The involvement of men in maternal health care: cross-sectional, pilot case studies from Maligita and Kibibi, Uganda

详细信息    查看全文

• 作者：Debra Singh ; May Lample ; Jaya Earnest
• 关键词：Antenatal care ; Male involvement ; Maternal health outcomes ; Uganda
• 刊名：Reproductive Health
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：11
• 期：1
• 全文大小：276 KB
• 参考文献：1. Dudgeon, MR, Inhorn, MC (2004) Men’s influence on women’s reproductive health: medical anthropological perspectives. Soc Sci Med 59: pp. 1379-1395 CrossRef
  2. Roth, D, Mbizvo, MT (2001) Promoting safe motherhood in the community: the case for strategies that include men. Afr J Reprod Health 5: pp. 10-21 CrossRef
  3. Kakaire, O, Kaye, DK, Osinde, MO (2011) Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health 8: pp. 1-7
  4. Plantin, L, Olukoya, A, Pernilla, N (2011) Positive health outcomes of fathers-involvement in pregnancy and childbirth paternal support: a scope study literature review. Fathering: A Journal Of Theory, Research, & Practice About Men As Fathers 9: pp. 87-102 CrossRef
  5. Mangeni JN, Mwangi A, Mbugua S, Mukthar V: / Male involvement in maternal health as a determinant of utilization of skilled birth attendants in Kenya. DHS Working Papers; 2013. Published by USAID; Extracted from https://www.dhsprogram.com/publications/publication-WP93-Working-Papers.cfm
  6. Barua, A, Pande, RP, MacQuarrie, K, Walia, S (2004) Caring Men? Husbands-involvement in maternal care of young wives. Economic & Political Weekly 39: pp. 5661-5668
  7. Clark, MW (2002) ‘Because he loves me- husbands-involvement in maternal health in Guatemala. Culture, Health & Sexuality: An International Journal for Research Intervention and Care 4: pp. 259-279 CrossRef
  8. Katz, D, Kiarie, J, John-Stewart, G, Richardson, B, Carey, F (2009) Male perspectives on incorporating Men into antenatal HIV counseling and testing. PLoS ONE.
  9. Kululanga, L, Sundby, J, Malata, A, Chirwa, E (2011) Striving to promote male involvement in maternal health care in rural and urban settings in Malawi -a qualitative study. Reprod Health 8: pp. 36 CrossRef
  10. Mullany, BC (2006) Barriers to and attitudes towards promoting husbands-involvement in maternal health in Katmandu. Nepal. Soc Sci Med 62: pp. 2798-2809 CrossRef
  11. Nwakwuo, GC, Oshonwoh, FE (2013) Assessment of the level of male involvement in safe motherhood in southern Nigeria. J Community Health 38: pp. 349-356 CrossRef
  12. Bhatta, DN (2013) Involvement of males in antenatal care, birth preparedness, exclusive breastfeeding and immunizations for children in Kathmandu, Nepal. BMC Pregnancy Childbirth 13: pp. 14 CrossRef
  13. Tweheyo R, Konde-Lude J, Tumwesigye NM, Sekandi JN: Male partner attendance of skilled antenatal care in peri-urban gulu district, northern uganda. / BMC Pregnancy and Childbirth 2010.,10(23): Retrieved from http://www.biomedcentral.com/1471-2393/10/53/
  14. Waiswa, P, Kallander, K, Peterson, S, Tomson, G, Pariyo, GW (2010) Using the three delays model to understand why newborn babies die in eastern uganda. Tropical Med Int Health 15: pp. 962-972 CrossRef
  15. Sternberg, P, Hubley, J (2004) Evaluating men's involvement as a strategy in sexual and reproductive health promotion. Health Promot Int 19: pp. 389-396 CrossRef
  16. Blanc, AK, Wolff, B (2001) Gender and decision-making over condom use in two districts in uganda. Afr J Reprod Health 5: pp. 15-28 CrossRef
  17. Kinaane, J, Ezekiel-Hart, J (2009) Men as partners in maternal health: implications for reproductive health counseling in river state, Nigeria. Journal of Psycholog
• 刊物主题：Reproductive Medicine; Public Health;
• 出版者：BioMed Central
• ISSN：1742-4755

文摘

Background The International Conference on Population Development held in Cairo in 1994 identified the importance of male involvement in reproductive health programs. Since then, there has been an increase in reproductive health initiatives that target both men and women in an attempt to fulfill the 5th Millenium Development Goal. Yet, while the benefits of male involvement have been acknowledged, there continues to be a challenge in creating a space for and engaging men in maternal health. This is problematic due to the role of men as the head of the household in many countries, especially developing countries, which suffer from higher rates of maternal mortality. Furthermore, men are important as partners, fathers and health care professionals and as such it is important to involve and engage with men in maternal health education, and antenatal care. Methods The purpose of this study undertaken in two rural villages in southeastern Uganda, was twofold: firstly to understand men’s current participation in antenatal, pregnancy care and childbirth and secondly to gain insight into both men and women’s attitudes toward increased male involvement. Focus group discussions and semi-structured questionnaires were used to collect information from 35 men and women. The women were either pregnant or had been involved in a birth experience in the past 3 years and the men had wives who were pregnant or had given birth recently. Results Men interviewed in the two villages believed that issues related to pregnancy and childbirth were the domain of women. Involvement tended to be confined (to removed) strictly to traditional gender roles, with men’s main responsibility being provision of funds. The women, on the other hand, were interested in receiving more support from their husband through planning, attendance to antenatal care and physical presence in the vicinity of where the birth was taking place. Conclusion This cross-sectional study has highlighted the space for increased male involvement and participation in maternal health, proposed recommendations and the need for community health education directed at men that engages them in this important area.