Engaging men in an mHealth approach to support postpartum family planning among couples in Kenya: a qualitative study

Harrington, Elizabeth K.; McCoy, Erin; Drake, Alison L.; Matemo, Daniel; John‐Stewart, Grace; Kinuthia, John; Unger, Jennifer A.

doi:10.1186/s12978-019-0669-x

Cited by 39 publications

(71 citation statements)

References 48 publications

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“…However, interview results show that misconceptions and prejudices about the side effects of contraceptive methods are major obstacles that men cite when denying their wives access to FP. In Kenya, Harrington et al 25 identified the side effects and potential harms of contraceptive methods as limiting factors in men's engagement in FP programmes. Previous studies have also shown that husbands' lack of approval and religious beliefs are determining factors for FP.…”

Section: Discussionmentioning

confidence: 99%

“…8 The lack of communication among couples regarding reproductive health and FP issues has long been considered a contributing factor to the unmet need for contraception in SSA. 6,25 Effective FP requires mutual agreement between spouses. This is only possible if both partners understand the concept of FP and the methods available to prevent unintended pregnancies.…”

Section: Discussionmentioning

confidence: 99%

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<p>Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions?</p>

Bado¹,

Badolo²,

Zoma

2020

OAJC

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Introduction: In Burkina Faso, despite several efforts to improve contraceptive uptake, contraceptive prevalence remains low. Studies suggest that the low levels of family planning (FP) practices can be partially attributed to the low participation of men in reproductive health programmes. Involving men in FP programmes in Burkina Faso is thus imperative, but the obstacles to this are poorly documented. This study has two objectives to explore the perspectives of men and women on barriers to contraceptive use and to identify the strategies to increase male involvement in family planning. Methods: It is a qualitative study using 20 focus groups and 52 in-depth individual interviews in two regions (North Central Region and Central East Region) with a sample of 29 adult men and 23 women who were married and had children or not. Interviews were conducted in Moore (the national language commonly spoken in both regions). All interviews were recorded and transcribed into French using Microsoft Word. Then, content analysis was carried out using the constant comparison method to identify the major themes. Results: The results show that men's attitudes are still a significant barrier to women's use of modern contraceptives. The reasons women do not use contraception and men do not adhere to FP programmes include lack of method knowledge, negative beliefs and perceptions about modern contraceptive methods, and the side effects of contraceptives. Cultural norms and preferences for large families are also common barriers to FP. However, the results showed that men's awareness of FP, communication between spouses, and access to FP services can promote men's adherence to FP programmes in the Centre-East and Centre-North regions of Burkina Faso. Conclusion: Efforts should be made to improve educational standards, especially for men, and reorient FP services to make them more accessible to men.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

<p>Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions?</p>

Bado¹,

Badolo²,

Zoma

2020

OAJC

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“…This is due to poor access to affordable interventions and maternal health inequities that are still observed in these countries [11][12][13]. As such, there is a great need to look at varying ways to involve an even wider range of actors in new initiatives, including men's active involvement at different stages of pregnancy to promote positive maternal health outcomes [14,15].…”

Section: Introductionmentioning

confidence: 99%

“He lets me go although he does not go with me.”: Rwandan women’s perceptions of men’s roles in maternal health

Tuyisenge

Crooks

Berry

2021

glob health res policy

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Background Increasing men’s involvement in their pregnant partners’ wellness has been reported as one of the ways to improve access to and utilization of maternal health services, including birth preparedness and complication readiness. Men can play meaningful roles in the support systems that pregnant women need to achieve better maternal health outcomes. In Rwanda, the roles that men take vary, resulting in diverse expectations and responsibilities to support the health of women during this critical time. In this study, we aimed to examine the views, perspectives, and experiences of women on men’s involvement in maternal health and how this impacts access and utilization of maternal health services. Methods We conducted 21 interviews with pregnant and recently-pregnant women to gain an understanding of their views on men’s involvement in facilitating their partners’ health during pregnancy. Interviews were conducted across five Rwandan districts in both rural and urban settings of the country. Data analysis was guided by a thematic analysis approach. This started with independent transcript review by the investigators, after which a meeting was held to discuss emergent themes and to identify potential codes. A coding scheme was created and transcripts were coded in NVIVO™ software according to conceptual and practical topics that formed an understanding of men’s involvement in maternal care. Results Three key themes emerged during the analytic process that categorize the specific roles that men play in maternal health: 1) facilitating access to maternal health services, which involves assisting women with getting and or attending appointments jointly with men; 2) supporting women’s decisions, wherein men can support the decisions women make with regard to their maternal healthcare in a number of ways; and 3) evaluating information, including gathering information from multiple sources, especially from community health workers, to assist women with making informed decisions. Conclusion Rwandan men take on three types of roles in supporting women’s maternal health, and their responsibilities are experienced differently by women. Interventions involving men are encouraged to increase their understanding of the implications of their involvement in maternal health without compromising women’s autonomy in decision-making and to promote positive maternal health outcomes.

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“…Nevertheless, the study on postpartum women associated with mHealth apps seems insufficient. Postpartum-related mHealth intervention has been investigated and was related to postpartum family planning amongst couples [ 14 , 15 , 16 ] and HIV prevention [ 17 ]. Moreover, globally, one-third of adult women suffer from obesity [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

mHealth Apps Assessment among Postpartum Women with Obesity and Depression

2020

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Background: Pregnancy has become the main constituent for women to become overweight or obese during the postpartum phase. This could lead women to suffer from postpartum depression as well. Information technology (IT) has become more prevalent in the healthcare industry. It offers patients the opportunity to manage their health conditions via the use of several applications, one being the mHealth applications. Objective: The main purpose of this study is to experiment and understand the effects the mHealth applications (i.e., fitness and nutrition applications) have on the body mass index (BMI) and depression levels amongst postpartum women. Methods: Online questionnaires were sent to postpartum women within one year after their pregnancy, of which 819 completed questionnaires were returned. The frequency of the mHealth applications usage was categorized into daily, weekly, rarely and never streams. Therefore, the frequency of use of the mHealth applications for BMI and depression levels was analyzed based on the available statistical data. Descriptive statistics, ANOVA, and Dunnet tests were applied to analyze the experimental data. Results: Out of 819 respondents, 37.9% and 42.1% of them were overweight and obese, respectively. Almost 32.9% of the respondents were likely depressed, and 45.6% were at an increased risk. This study reports that only 23.4% and 28.6% of respondents never used the fitness and nutrition applications. The impact of the frequency of using the fitness applications on BMI and depression levels was obvious. This means that with the increased use of the fitness applications, there was also a significant effect in maintaining and decreasing the BMI and depression levels amongst Malaysians postpartum women. However, from the data of weekly and daily use of fitness applications, we found that the contribution toward the BMI and depression levels was high (p = 0.000). However, nutrition applications amongst the users were not significant within the main variables (p > 0.05). From the Dunnet test, the significance of using the fitness applications within the depression levels started from daily usage, whereas for BMI, it started from weekly usage. Conclusion: The efficiency of the fitness applications toward the BMI and depression levels has been proven in this research work. While nutrition applications did not affect the BMI and depression levels, some of the respondents were still categorized as weekly and daily users. Thus, the improvements in BMI and depression levels are associated with the types of mHealth app that had been used.

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Engaging men in an mHealth approach to support postpartum family planning among couples in Kenya: a qualitative study

Cited by 39 publications

References 48 publications

<p>Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions?</p>

<p>Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions?</p>

“He lets me go although he does not go with me.”: Rwandan women’s perceptions of men’s roles in maternal health

mHealth Apps Assessment among Postpartum Women with Obesity and Depression

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