Male involvement in birth preparedness and complication readiness for emergency referral at Sodo town of Wolaita zone, South Ethiopia: a cross sectional study

Abstract

Background: Preventable maternal mortality remains a huge burden more especially in sub-Saharan Africa. The involvement of male partner during pregnancy and its complication helps an expectant mother to make timely decisions to avoid delays that brings about complications that could result in morbidity or mortality. Methods: Institution based cross sectional study was conducted in 2017, at Sodo Town of Wolaita Zone among mothers who came to hospital and admitted to MCH department due to emergency obstetric referral. Data were collected using pre-tested and structured questionnaire. The collected data entered by Epi data, cleaned and analyzed by using SPSS for windows version 23.0. A descriptive analysis was done using frequency, mean, quartile and standard deviation. Bivariate and multivariable logistic regression was carried out to identify the associated factors. Level of statistical significance was declared at p value < 0.05. Finally the results of Bivariate and multivariable logistic regression analysis were presented in crude and adjusted odds ratio with 95% confidence intervals. Result: Data were obtained from 233 women, with a response rate of 100%. The prevalence of male partner's involvement in birth preparedness and complication redness for emergency referral in this study was 30.9%. After adjusting for the effect of confounding variables using multivariable logistic regression, variables like distance of health facility (AOR = 0.29, 95%CI = 0.12, 0.72), having ANC follow-up (AOR = 2.9, 95%CI = 1.52-5.51) and experience of obstetric complication (AOR = 1.79, 95%CI = 1.06-3.04) have statistically significant association with male partner's involvement in birth preparedness and complication readiness for obstetric referral. Conclusion: In general, male partner's involvement in birth preparedness and complication readiness for obstetric referral in the study area was low. Antenatal care attending and experiencing of obstetric complication were factors determining male partner's involvement in complication readiness. Health care professionals should involve male partners to attend ANC clinic at each stage and arrange special antenatal care conferences which may increase awareness and practice about complication readiness and plan.

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

“…We included a total of 8 crossectional observational studies with 3413 participants in the nal systematic review and meta-analysis. The smallest sample size was 233 in the study conducted from Southern Nations and nationalities region of Ethiopia [24]. Whereas, the largest sample size, was 824 from the study conducted in the Amhara region, Ethiopia.…”

“…However, the pooled odds ratio found to be borderline statistically signi cant with [OR=1.27, 95% CI (0.26-6.30)] (Fig.15). The distance from health facilities was also statistically signi cant in three primary studies [24,29,32]. But, it was also borderline signi cant [OR=0.75, 95%CI (0.10-5.83)] (Fig.16).…”

“…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.…”

“…Descriptive summary of eight studies included in the nal systematic review and meta-analysis overall male involvement in birth preparedness and complication readiness in EthiopiaMale involvement in birth preparedness and complication readinessOverall involvement in birth preparedness and complication readiness From a total of 8 studies[24][25][26][28][29][30][31][32] crossectional observational studies, all studies provided information on overall involvement of males in birth preparedness and complication readiness. As stated in the forest plot(Fig.2), the pooled estimate of overall male involvement was 40.17% [95%CI (24.01-…”

Male involvement in birth preparedness and complication readiness in Ethiopia: A Systematic review and Meta-analysis

“…We included a total of 8 crossectional observational studies with 3413 participants in the nal systematic review and meta-analysis. The smallest sample size was 233 in the study conducted from Southern Nations and nationalities region of Ethiopia [26]. Whereas, the largest sample size, was 824 from the study conducted in the Amhara region, Ethiopia.…”