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Background The Gambia is a male-dominant society in which the cultural norms empower husbands to decide when and where their wives seek care, yet they are not always involved in maternal health care services. Therefore, the purpose of this study was to design and measure the effects of antenatal health education on spousal participation in birth preparedness in Farafenni and satellite villages. Methods The study used a quasi-experimental design, and the participants were 300 spouses of pregnant women attending their antenatal care booking at Farafenni Hospital. A multistage sampling method was used to select the study participants who were then equally distributed to the intervention and comparison groups. Pre-test data were collected from both groups. Thereafter, the intervention group was exposed to two health education sessions on obstetric danger signs and birth preparedness. The post-test data were collected immediately before discharge of the participants’ wives after institutional delivery or within 2 weeks post-delivery for those who did not accompany their wives to the health care institution, or whose wives delivered at home. IBM SPSS version 21 software was used to analyze the data. Results The differences between the demographic characteristics of participants in the intervention and comparison groups were not statistically significant except for the highest level of education achieved. After controlling for the demographic variables, the health education administered to the intervention group effectively increased knowledge on birth preparedness among them (F (1, 255) = 376.108, p < .001). Every unit increase in the intervention led to a unit increase in the spouses’ knowledge on birth preparedness (β = 0.789, p <  0.001). Furthermore, the participants in the intervention group had higher mean score (M = 4.4; SD = 0.8) on participation in birth preparedness than those in the comparison group (M = 0.9; SD = 0.8). The spouses in the intervention group were four times more likely to be prepared for the delivery of their wives after being exposed to the health education than those in the comparison group (F (1, 255) = 522.414, p < .001). Conclusion The study provides evidence that educating men on maternal health care can improve their level of participation in birth preparedness. Trial registration Name of Registry: Pan African Clinical Trial Registry (www.pactr.org). Registry Number:PACTR202004752273171. Date of Registration: 19th April 2020. Retrospectively Registered.

Empowering women and the promotion of children’s health are key components of the Sustainable Development Goals targeted for achievement by 2030. The survival of young children, which depends on their nutrition, is influenced by an interaction of factors at the household level. This study aims to investigate the association between women’s empowerment and undernutrition among children under age 5 using The Gambia Demographic Health Survey (GDHS) 2019–20.Children’s undernutrition was measured with two indicators: stunting and underweight. The women’s empowerment indicators were educational status, employment, decision making, age at first sex and age at first birth, and acceptance of wife beating. StataSE software Version 17 was used for data analysis. Analyses were cluster-adjusted, sample-weighted, with confounding/moderating variables. Descriptive statistics and cross-tabulations were computed for all variables. Bivariate and multivariate analysis of the outcomes and women’s empowerment were conducted.The prevalence of stunting and underweight among the children under age 5 was 17% and 12%, respectively. The results of the multiple logistic regression show that women with no education had 51% (OR = 1.51; 95% CI = 1.11–2.07; p = 0.009), and 52% (OR = 1.52; 95% CI = 1.06–2.14; p = 0.022) greater odds of having children under age 5 who were stunted or underweight compared to those women with primary and higher level of education, respectively. Mothers with a body mass index classified as thin were associated with an increased odds of having stunted (OR = 1.44; 95% CI 1.01–2.05; p = 0.033) and underweight (OR = 1.69; 95% CI = 1.58–3.52; P < 0.001) children. In addition, women who reported accepting wife beating had 69% (OR = 1.69; 95% CI 1.22–2.35; p = 0.002) and 66% (OR = 1.66; 95% CI 1.15–2.40; p = 0.006) greater odds of having stunted and underweight children respectively compared to those who did not accept wife beating.In conclusion, the result of this study shows that women’s empowerment is associated with undernutrition among children under age 5 in The Gambia. This is suggesting that implementing policies and interventions that increase the empowerment of women will contribute to the improvement of child nutrition in the country.

The de-institutionalization of mentally-ill persons has led to many patients residing in the communities with family members and shifting the burden of care and caregiving from hospitals to homes The aim of the study was to determine the burden on caregivers of schizophrenic patients at of Edward Francis Small Teaching Hospital (EFSTH). The study sample consisted of 161 randomly selected schizophrenic patients’ caregivers. The GHQ-12 questionnaire was used to determine the general health status of the caregivers. The caregivers’ burden was assessed using the Zarit Burden Scale. The data was collected using the researcher-administered method. The collected data was analyzed with IBM SPSS Version 20 using descriptive, mean differences and General Linear Model (GLM). The main findings of this study showed a significant high level of burden on the caregivers. Most of them experienced a high level of physical (70%), psychological (93.2%), social (78.3%) and financial (55.3%) burden. Employment status, specifically unemployed and belonging to the Wolof ethnic group were significant predictors of the level of financial burden on the caregivers. Similarly, the total score of social burden was also significantly higher among the unemployed caregivers. Educational level was a significant predictor of the total score on psychological and physical burden. The caregivers of schizophrenic patients at EFSTH are experiencing a high level of burden as a result of their care giving role which is affecting their health and this call for an urgent intervention.