Barriers to men’s involvement in antenatal and postnatal care in Butula, western Kenya

Ongolly, Fernandos; Bukachi, Salome A.

doi:10.4102/phcfm.v11i1.1911

Cited by 51 publications

(63 citation statements)

References 22 publications

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“…a traditional birth attendant) over a public/private hospital, because of costs. Similar findings were reported in a study in Kenya, in which fathers with low income were also concerned about costs [70]. These men were discouraged by the additional costs of transportation to the clinics and the unexpected costs associated with antenatal and postnatal care services [70].…”

Section: Discussionsupporting

confidence: 70%

Experiences, views and needs of first-time fathers in pregnancy-related care: a qualitative study in south-East Nigeria

Onyeze-Joe¹,

Godin²

2020

BMC Pregnancy Childbirth

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Background: Given the relevance of paternal involvement in maternal care, there is a need to prepare first-time fathers to participate in pregnancy and childbirth actively. This study explores the experiences and needs of firsttime fathers; and how these influences their involvement during pregnancy and childbirth in Nigeria. Methods: A descriptive qualitative study was conducted. Semi-structured interviews with 50 men recruited from rural and urban workplaces, hospitals, and markets, generated data used to explore the experiences, views and needs of first-time fathers' in pregnancy-related care in south-east Nigeria. All data were transcribed and analysed using thematic analysis.Results: Six major themes were identified: gender roles, antenatal involvement, care costs and delivery choices, need to be informed, dealing with emotions, and dealing with the delivery day. The key finding reveals that inexperience and perceptions of gender roles greatly influenced the support provided by first-time fathers to their spouses and the support they received from their social support networks. Two primary needs were identified: need to be informed and the need to know about the cost of care in health settings. First-time fathers acknowledged the role of information on their decision making and final choices.Conclusion: Findings reveal the influence of gender norms, beliefs, and social support on first-time fathers' involvement in pregnancy and childbirth. This study also highlights the urgent need to provide informational support for first-time fathers and presents insights into what hospitals can do to achieve this need.

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Section: Discussionsupporting

confidence: 70%

Experiences, views and needs of first-time fathers in pregnancy-related care: a qualitative study in south-East Nigeria

Onyeze-Joe¹,

Godin²

2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…a traditional birth attendant) over a public/private hospital, because of costs. Similar findings were reported in a study in Kenya, in which fathers with low income were also concerned about costs (72). These men were discouraged by the additional costs of transportation to the clinics and the unexpected costs associated with antenatal and postnatal care services (72).…”

Section: Discussionsupporting

confidence: 70%

Experiences, views and needs of first-time fathers in pregnancy related care: a qualitative study in south-east Nigeria.

Onyeze-Joe

Godin

2020

Preprint

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Background Given the relevance of paternal involvement in maternal care, there is a need to prepare first-time fathers to participate in pregnancy and childbirth actively. This study explores the experiences and needs of first-time fathers; and how these influences their involvement during pregnancy and childbirth in Nigeria. Methods A descriptive qualitative study was conducted. Semi-structured interviews with 50 men recruited from rural and urban workplaces, hospitals, and markets, generated data used to explore the experiences, views and needs of first-time fathers' in pregnancyrelated care in south-east Nigeria. All data were transcribed and analysed using thematic analysis. Results Six major themes were identified: gender roles, antenatal involvement, care costs and delivery choices, need to be informed, dealing with emotions, and dealing with the delivery day. The key finding reveals that inexperience and perceptions of gender roles greatly influenced the support provided by first-time fathers to their spouses and the support they received from their social support networks. Two primary needs were identified: need to be informed and the need to know about the cost of care in health settings. First-time fathers acknowledged the role of information on their decision making and final choices. Conclusion Findings reveal the influence of gender norms, beliefs, and social support on first-time fathers' involvement in pregnancy and childbirth. This study also highlights the urgent need to provide informational support for first-time fathers and presents insights into what hospitals can do to achieve this need.

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“…This may contribute to their lack of commitment at the clinics for PMTCT service. 31 In this study, having consult of male partner by pregnant women also involves males nine times as those who do not in PMTCT service. If the couples discuss the need for HIV testing, that means they are ready to accept the test result and they are more likely to adhere to the PMTCT treatment.…”

Section: Discussionmentioning

confidence: 88%

<p>Determinants of Male Partner Involvement Towards Prevention of Mother to Child Transmission Service Utilization Among Pregnant Women Who Attended Focused Antenatal Care in Southern Ethiopia</p>

Ayalew

Gebrie

Geja

et al. 2020

HIV

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Background: Male partner involvement is an important and crucial determinant of prevention of mother to child transmission (PMTCT) of HIV. It creates an opportunity to reverse the transmission of HIV during pregnancy, labor, and breastfeeding. Thus, involving male partners during HIV screening of pregnant mothers at ANC is the key to fight against MTCT of HIV. Objective: This study was designed to assess the magnitude and factors associated with male partner's involvement on PMTCT service utilization among pregnant women who attended focused antenatal care (FANC) in Southern Ethiopia. Methods: An institutional-based cross-sectional study was conducted among 420 randomly selected pregnant women who enrolled in PMTCT service at ANC clinics. Pretested and structured self-administered questionnaires were used to collect the data. Multiple logistic regression analysis was used to determine the presence of statistically significant associations between the outcome variable and the independent variables with a p-value less than 0.05. Results: A total of 409 pregnant women who had ANC follow-up have participated in this study. The majority 160 (39.1%) of the participants were in the age group of 25-29 years. The magnitude of male involvement in PMTCT service was 129 (29.8%). Number of ANC visits (3rd visit (AOR=2.36, CI=1.09, 5.10), 4th visit (AOR=3.49, CI=1.65, 7.38), birthplace interest (AOR=3.01, CI=1.16, 7.84), awareness about partner monthly income (AOR=2.17, CI=1.15, 4.11), source of family saving scheme (partner (AOR=2.99, CI=1.39, 6.43), self (AOR=8.59, CI=3.92, 18.82), both (AOR=5.13, CI=2.21, 11.92), maternal perception about the importance of consulting partner before HIV testing (AOR=9.30, CI=2.65, 32.64), and kinds of partner support (psychological (AOR=0.08, CI=0.02, 0.29), financial (AOR=0.33, CI=0.17, 0.68) were found to be significantly associated with male involvement in PMTCT. Conclusion: This study found out that male partner involvement in PMTCT is low. Therefore, improving male partner involvement in PMTCT is recommended for improving maternal FANC service utilization and adherence with notification of their partner and provision of psychological and financial support.

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Barriers to men’s involvement in antenatal and postnatal care in Butula, western Kenya

Cited by 51 publications

References 22 publications

Experiences, views and needs of first-time fathers in pregnancy-related care: a qualitative study in south-East Nigeria

Experiences, views and needs of first-time fathers in pregnancy-related care: a qualitative study in south-East Nigeria

Experiences, views and needs of first-time fathers in pregnancy related care: a qualitative study in south-east Nigeria.

<p>Determinants of Male Partner Involvement Towards Prevention of Mother to Child Transmission Service Utilization Among Pregnant Women Who Attended Focused Antenatal Care in Southern Ethiopia</p>

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