Husbands involvement in birth preparedness and complication readiness in Axum town, Tigray region, Ethiopia, 2017

Abstract

Background Worldwide, around 289,000 maternal mortalities occur each year from complications related to pregnancy and childbirth. In Ethiopia, the maternal mortality rate is among the highest in the world. This is mainly contributed by the three delays. Husbands’ involvement in birth preparedness and complication readiness can significantly reduce these delays. Therefore, it is important to know what, currently, is the husbands view regarding knowledge of key danger sign and involvement about birth preparedness and complication readiness. The investigation of husband’s involvement in birth preparedness and complication readiness was sounded throughout much of the developed world. However, despite the putative assumption that the problem exists in Ethiopia at large and Axum in particular, there is no article related to the problem as yet. For this reason, the study intended to assess husband’s involvement in birth preparedness and complication readiness. Method A community based cross-sectional study was conducted in Axum Town from September–June 2017. Data were collected from a randomly selected sample of 406 husbands using the lottery method and interviewer administered structured questionnaires. Data were entered into Epi info version 7 and analyzed using SPSS version 20. The statistical analysis was made at the 95% confidence level. The data were summarized and described using descriptive statistics. Result Four hundred six husbands were participating in the study with a response rate of 98%. Out of total respondents 258(64.7%) were in the age range of ‘18 - 39’ years and the mean age was 36.55 years. Three hundred forty-three (86%) of the respondents has attended primary education or above and 187(46.9%) fulfilled five or more variables of parameter for husband’s involvement in birth preparedness and complication readiness and leveled as having good involvement. One hundred sixteen (29.1%) respondents had gotten health service problems that prohibited from going to the health facility. Conclusion Based on the findings, the overall involvements by husbands in birth preparedness and complication readiness were low. Most of the respondents have low knowledge. Knowledge of husbands, health service issues, facility and quality of care are reported factors that affect husband’s involvement in birth preparedness and complication readiness. Electronic supplementary material The online version of this article (10.1186/s12884-019-2338-z) contains supplementary material, which is available to authorized users.

Regional Disparities of Antenatal Care Utilization in Indonesia

“…This is in line with the conclusions in several studies that show the role of husband/partner in providing support for a woman's health behavior [30--33]. Some other studies actually involve a husband to be able to improve a woman's health status through actively better health behaviors [34][35].…”

Male involvement in Birth Preparedness and Complication Readiness in Ethiopia: A Systematic Review and Meta-analysis

“…In this systematic review and meta-analysis, we measure male involvement using three domains such as involvement during antenatal care (ANC), during delivery, and post-partum period. Accordingly, eight studies [24][25][26][28][29][30][31][32] which reported antenatal care involvement were included in the pooled analysis of male involvement during ANC. In this meta-analysis, the proportions of pooled male involvement during antenatal care were found to be 41.14% [95% CI (23.68-58.60)] (Fig.7).Whereas, male involvement during delivery and post-partum period was found unfortunately similar with the pooled proportion of 45.…”

“…We found Six studies [25,26,28,29,31,32] that describe about male involvement during delivery and post-partum periods from three regions of Ethiopia(Oromia, Amhara, and Tigray). Similarly there was high heterogeneity for delivery and post-partum involvements (I-squared= 98.9%, p≤ 0.0001).…”

Male partners' participation in birth preparedness and complication readiness in global south: systematic review and meta-analysis

“…The total sample size of the included studies in this review were 4210, ranging among studies included from 125 in Nepal [42] to 592 in Ethiopia [43]. Five of the included studies were from Asia [10,42,[44][45][46], seven studies from Africa with the majority from Ethiopia [43,[47][48][49][50][51][52]. Additionally, all studies included in the review were cross-sectional study designs (Table 1).…”

“…The I 2 test result showed heterogeneity (I 2 = 94.95%, p<0.001) and Egger's test (p-value < 0.01). Clean clothes being made ready for both the baby and the mother observed to be the lowest 45.6% in Nepal [42] and the highest 86.5% in Ethiopia [47] (Table 1). In the sub-analysis the heterogeneity test showed the presence of heterogeneity (I 2 = 94.4%, p<0.001) and publication bias (Egger's test p-value < 0.001).…”