Associated Factors of Male Participation in Antenatal Care in Muaro Jambi District, Indonesia

Determinants of male involvement in postnatal care service utilization among men whose wives gave birth in the last year

Background

Both maternal and neonatal mortality were high in the immediate postnatal period. Men's involvement is essential to improve maternal, neonatal as well as the health of their children in the postpartum period. However, reproductive health has long been seen as a woman's concern, and as such, it continues to be a significant difficulty, particularly in developing countries including Ethiopia. Despite this, Limited studies were done to assess the predictors of male involvement in postnatal care in Ethiopia. Therefore, this study aimed to assess male partner involvement in postnatal care service in the South Gondar zone, North West Ethiopia in 2024.

Objective

This study assessed male involvement in Postnatal care services of their partners and its predictors in South Gondar Zone, Ethiopia.

Method

A community-based cross-sectional study was conducted from October -November 30/2023. Four hundred seventeen participants were recruited by using the multistage sampling technique. The data were collected through face-to-face interviews using a pretested and semi-structured questionnaire. Multivariable logistic regression analyses were computed to identify factors associated with the outcome variable. Adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance.

Results

The overall magnitude of male partner involvement in postnatal care service was 23.7%. Urban residence, College and above education, men whose wives' occupations were students, Good knowledge about PNC, and, joint health care decisions were the main predictors of male involvement in postnatal care service.

Conclusion and Recommendation

The magnitude of male involvement in postnatal care was low. The finding highlights the importance of women's empowerment, awareness creation joint decision-making, and increasing men's educational levels are essential to increase the involvement of male partners in postnatal care service.

Involvement of Husband During Antenatal Care Follow up of Pregnant Women in Ethiopia: A Systematic Review and Meta-Analysis

Background

Involving husbands in pregnancy, childbirth, and postpartum care improves the outcomes for mothers and babies. In most developing countries involvement of husbands towards antenatal care follow up is influenced by different socio-cultural and traditional factors. In Ethiopia, the degree of husband involvement as indicated by several research varied greatly.

Objective

The aim of this study is to measure the overall prevalence of husband involvement during antenatal care follow up of pregnant women in Ethiopia.

Methods

Five databases including PubMed, Scopus, EMBASE, SAGE and Google Scholar were reviewed for relevant articles retrieved from 2011 to 2023. Literature search used keywords, including "male partner involvement," "husband involvement," "spouse involvement" "antenatal care," and "perinatal care" and "Ethiopia". The Joanna Briggs Institute guidelines were used for appraisal review of journals. Thirteen articles were included in the final systematic review and meta-analysis and random effect model was used to analyze. The presence of statistical heterogeneity was tested using I2, and publication bias was examined by various factors.

Result

Thirteen studies were finally identified and included in this systematic review and meta-analysis. The pooled estimated proportion of husband involvement during antenatal care follow up in Ethiopia was found to be 39.3[95%-CI (38.2, 40.4)]. Cochran Q test indicates that there is heterogeneity since I2 is 98.6%. Egger's and Begg's tests were conducted to check possible publication bias and p-value = 0.679 and 0.807 respectively, which indicates that there is no possible publication bias.

Conclusion

It was discovered that the total pooled proportion of Ethiopian husbands' involvement towards antenatal care follow up was low. This demands that the nation take action to evaluate the health care policy in order to encourage husbands to participate in antenatal care and yield positive outcomes for the health of mothers and children.

Male partner involvement in delivery care service and associated factors in Ethiopia: a systematic review and meta-analysis

INTRODUCTION

Promoting the involvement of male partners in skilled delivery care is a strategy supported by the World Health Organization (WHO) to improve maternal and infant health outcomes. This systematic review and meta-analysis aimed to estimate the pooled prevalence of male partner involvement in delivery care service in Ethiopia and its contributing factors.

METHODS

We retrieved observational studies conducted in Ethiopia from PubMed, Google Scholar, Embase, Cochrane Library, Hinari, and Mednar using Boolean search terms. The Newcastle Ottawa 2016 Critical Appraisal Checklist assessed the methodological quality of the studies. Publication bias was evaluated with a funnel plot and Egger's test, and heterogeneity was checked using the I-squared test. Data were extracted into Microsoft Excel and analyzed using Stata 11 software.

RESULTS

10 articles with 5,307 participants were included for analysis. The pooled prevalence of male partner involvement in delivery care service was 52.99% (95% CI: 40.63-65.35). Paternal secondary education and above (OR 1.99, 95% CI: 1.69, 2.30), paternal knowledge (OR 3.129, 95% CI: 1.901, 4.356), partner attitude (OR 2.39, 95% CI: 1.45-3.34), having ANC accompanying experience (OR 8.09, 95% CI: 3.14, 19.32), and urban residence (OR 2.12, 95% CI: 1.61, 2.64) were significantly associated with male partner involvement in delivery care service in Ethiopia.

CONCLUSION

This study found that more than half of male partners in Ethiopia were involved in delivery care services. The key contributing factors for male partner involvement in delivery care services were paternal secondary education and above, paternal knowledge, partner attitude, ANC accompanying experience, and urban residence. Campaigns should be organized to improve knowledge, attitude, and effectively recognize men's involvement in skilled birth care.

Male involvement in antenatal care and associated factors among married men with wives who recently gave birth in Debre Tabor town, North West Ethiopia

BACKGROUND

Globally, maternal mortality remains a critical issue, with male involvement during antenatal care (ANC) recognized as pivotal in reducing maternal deaths. Limited evidence on male involvement exists in low and middle-income countries, including Ethiopia. This study aimed to assess male involvement during antenatal care and associated factors among married men whose wives gave birth within the last 6 months in Debretabor town, North West Ethiopia in 2023.

OBJECTIVE

Evaluate the level of male involvement during antenatal care and identify associated factors in the specified study area.

METHODS

A community-based cross-sectional study involved 404 married men, whose wives had given birth within the past 6 months in Debretabor town. Data were collected using face-to-face interviews, entered into EpiData version 4.6, and analyzed using SPSS version 25. Logistic regression analyses determined associations.

RESULTS

Male involvement during antenatal care in the study area was 46.8% (CI: 41.6, 51.5). Factors influencing involvement included men's attitude (AOR = 2.365), lack of male invitation to the examination room (AOR = 0.370), couples' living status (AOR = 4.461), men with secondary education (AOR = 4.052), men with diploma and above (AOR = 4.276), and complications during pregnancy (AOR = 6.976).

CONCLUSION AND RECOMMENDATION

The observed low level of male involvement underscores the need for targeted interventions. Stakeholders should promote male participation through counseling, community mobilization, and awareness campaigns.

Men's involvement in maternal health in sub-Saharan Africa: A scoping review of enablers and barriers

BACKGROUND

Globally, there are about 800 maternal deaths every day, with low-to-middle-income countries accounting for most of these deaths. A lack of access to maternal healthcare services is one of the main causes of these deaths. In sub-Saharan Africa (SSA), one of the barriers to accessing maternal healthcare services by women is a lack of their male partners' involvement. This scoping review aimed to assess the enablers and barriers to men's involvement in maternal healthcare services.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) checklist was used as a guide for this review. We searched for peer-reviewed articles published between 2013 and 2023 in the English language from SCOPUS, ScienceDirect, PubMed, Africa Journals Online (AJOL), and Google Scholar databases. Two reviewers independently conducted the data extraction and article selection. All of the authors discussed and decided on the codes and categories for enablers and barriers after using NVivo to generate them.

RESULTS

Twenty-seven articles were used in this review. Of these, seventeen were qualitative studies, six were quantitative studies, and four were mixed-methods studies. The enablers of men's involvement in maternal healthcare were grouped into sociodemographic factors, health system factors, and policy factors, while barriers were grouped into sociodemographic, cultural, economic, and health system barriers. The lack of maternal health knowledge, insufficient economic resources, and unfriendly staff at healthcare facilities all contributed to a lack of involvement by men.

CONCLUSION

To improve men's involvement in maternal healthcare in SSA, there should be economic empowerment of both men and women, health education, and the provision of adequate infrastructure in healthcare facilities to accommodate men.

Scoping review of sexual and reproductive healthcare for men in the MENA (Middle East and North Africa) region: a handful of paradoxes?

BACKGROUND

No study appraised the knowledge gaps and factors impacting men's sexual and reproductive health (SRH) in MENA (Middle East and North Africa). The current scoping review undertook this task.

METHODS

We searched PubMed and Web of Science (WoS) electronic databases for original articles on men's SRH published from MENA. Data was extracted from the selected articles and mapped out employing the WHO framework for operationalising SRH. Analyses and data synthesis identified the factors impacting on men's experiences of and access to SRH.

RESULTS

A total of 98 articles met the inclusion criteria and were included in the analysis. The majority of studies focused on HIV and other sexually transmissible infections (67%); followed by comprehensive education and information (10%); contraception counselling/provision (9%); sexual function and psychosexual counselling (5%); fertility care (8%); and gender-based violence prevention, support/care (1%). There were no studies on antenatal/intrapartum/postnatal care and on safe abortion care (0% for both). Conceptually, there was lack of knowledge of the different domains of men's SRH, with negative attitudes, and many misconceptions; as well as a deficiency of health system policies, strategies and interventions for SRH.

CONCLUSION

Men's SRH is not sufficiently prioritized. We observed five 'paradoxes': strong focus on HIV/AIDS, when MENA has low prevalence of HIV; weak focus on both fertility and sexual dysfunctions, despite their high prevalence in MENA; no publications on men's involvement in sexual gender-based violence, despite its frequency across MENA; no studies of men's involvement in antenatal/intrapartum/postnatal care, despite the international literature valuing such involvement; and, many studies identifying lack of SRH knowledge, but no publications on policies and strategies addressing such shortcoming. These 'mismatches' suggest the necessity for efforts to enhance the education of the general population and healthcare workers, as well as improvements across MENA health systems, with future research examining their effects on men's SRH.