Male partner attendance at antenatal care and adherence to antenatal care guidelines: secondary analysis of 2011 Ethiopian demographic and health survey data

Forbes, Faye; Wynter, Karen; Wade, Catherine; Zeleke, Berihun Megabiaw; Fisher, Jane

doi:10.1186/s12884-018-1775-4

Cited by 44 publications

(51 citation statements)

References 32 publications

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“…In our study, both rural and urban women who were PDs for the uptake of skilled care were more likely to have partners with at least primary education. These findings are in line with findings of studies from Ethiopia and elsewhere suggesting that husband's education may lead to greater involvement in maternity care utilization, as it is men who generally have an upper hand in decision-making at the household level in a patriarchal society like Ethiopia [51][52][53][54][55][56]. Similarly, we demonstrated that all PDs for the uptake of skilled care were more likely to report exposure to media compared to non-deviants in both surveys, irrespective of their location.…”

Section: Discussionsupporting

confidence: 86%

Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach

Ousman

Magnus

Sundby

et al. 2020

IJERPH

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Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant (PD) mothers for the uptake of skilled maternal services and to explore their characteristics. Data for the study came from two waves of the Ethiopian Demographic and Health Surveys conducted in 2011 and in 2016. PD mothers were defined as those reporting no formal education but with adequate use of antenatal care (ANC) and/or institutional delivery services. Two-level multilevel regression analysis was used to analyze the data. Factors associated with PD for the use of ANC services were: partner’s education status, involvement in household decision making, exposure to media, and distance to the health facility. Factors associated with PD for health facility delivery were: partner’s education, woman’s employment status, ANC visit during index pregnancy, exposure to media, and perceived challenge to reach health facility. Rural-urban and time-related differences were also identified. The positive deviance approach provides a means for local policy makers and program managers to identify factors facilitating improved health behaviour and ultimately better health outcomes while acknowledging adverse risk profiles.

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Section: Discussionsupporting

confidence: 86%

Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach

Ousman

Magnus

Sundby

et al. 2020

IJERPH

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“…Whilst it was showed within Ethiopia women who reported at least one ANC visit with their husbands were 6.27 times more likely to use skilled birth attendants in comparison to their counterparts who attended ANC alone [39]. Likewise, a separate study showed a signi cance for women whose partners attended ANC in receiving urine and blood tests and counselling regarding pregnancy complications compared to those who attended alone [40]. As previously established, husbands can play a pivotal role in decision making within a home, and therefore participation in ANC is vital if pregnant women are to fully utilise and bene t from the offered services.…”

Section: Cultural and Social Dynamicsmentioning

confidence: 97%

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

Jones

Damayanti²,

Wiseman

et al. 2020

Preprint

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Background: Antenatal Care (ANC) is a central plank in reducing maternal mortality in low and middle income countries. ANC provides pivotal education to all individuals involved and can be utilised as a preventative tool in avoiding complications during childbirth. Within Indonesia, the maternal mortality ratio (MMR) remains unacceptably high in comparison to high income country counterparts, with an ANC coverage of 77% for a minimum of 4 visits. Few studies within Indonesia have explored the experiences of pregnant women accessing ANC and the impact this has on uptake of ANC services.Methods:  Five focus group discussions (FGDs) with pregnant women were conducted at community health facilities within the city and urban areas of Surabaya, Indonesia, along with five semi-structured interviews with midwives employed at these health facilities. Results: Findings suggest individual circumstances, social and cultural dynamics and community and health care conditions shaping the uptake of ANC services. Fears of negative diagnosis prior to initial ANC appointment, personal beliefs and myths surrounding pregnancy, influence of husbands, family and friends and long waiting times with overcrowding leading to limited seating were shaping timely access and achieving 4 ANC visits. In addition, feeling comfortable with the quality of the service and receiving a friendly service from the practitioners was a theme across all FGDs. Finally, it was acknowledged feeling afraid of being referred to a hospital if deemed a high-risk pregnancy shaped return ANC visits. Conclusions:  Efforts to decrease maternal and infant mortality rates in Surabaya have largely centred on increasing ANC coverage. The findings of this study highlight several factors shaping the uptake of ANC services by mothers. However, with ANC coverage (minimum 4 visits) now at 77% of the population, findings suggest that future research should be directed towards the standard of quality of ANC services being delivered.

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“…In many low-income countries, the involvement of men in maternal services is increasingly recognised as an important element of women's access to needed care [6][7][8]. Men involvement could be considered also a disadvantageous to their partner in some circumstances, because it may reinforce their role and promote men control over women's decision [9,10]. Male partner involvement is not a well-de ned concept and currently there is no single widely used indicator to measure it.…”

Section: Introductionmentioning

confidence: 99%

Social determinants of male partner involvement in women's Prevention of Mother to Child Transmission care Program in Malawi

Triulzi

Keiser

Somerville

et al. 2020

Preprint

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Background Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Men’s involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. Methods We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables. Results We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women’s unemployment and possession of a vehicle are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.13-0.83] and 0.23 [95% CI, 0.07-0.77]), whereas high women’s level of knowledge of HIV is positively associated with male attendance (adjusted OR 2.33 [95% CI, 1.01-5.40]). Level of attitude and practice toward HIV were not significantly associated to our study variable. Conclusions Our study shows a high male involvement in Malawi compared to other studies performed in SSA. This study highlights the factors affecting male attendance which are women’s level of knowledge on HIV, economic condition (employment and means of transport) and healthcare system inequality including geographical accessibility. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

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Male partner attendance at antenatal care and adherence to antenatal care guidelines: secondary analysis of 2011 Ethiopian demographic and health survey data

Cited by 44 publications

References 32 publications

Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach

Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

Social determinants of male partner involvement in women's Prevention of Mother to Child Transmission care Program in Malawi

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