Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study

Kwambai, Titus K.; Dellicour, Stephanie; Desai, Meghna; Ameh, Charles; Person, Bobbie; Achieng, Florence; Mason, Linda; Laserson, Kayla F.; Kuile, Feiko O. ter

doi:10.1186/1471-2393-13-134

Cited by 144 publications

(201 citation statements)

References 34 publications

(41 reference statements)

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“…Engagement of male partners is particularly important in this setting where men have strong fertility desires and influence over reproductive decision-making (Crankshaw et al, 2012). Moreover, the participation of men in antenatal care is associated with better health seeking behavior (Kwambai et al, 2013) and better reproductive health outcomes (Aluisio et al, 2011; Mullany, Becker, & Hindin, 2007). …”

Section: Discussionmentioning

confidence: 99%

A Novel Safer Conception Counseling Toolkit for the Prevention of HIV: A Mixed-Methods Evaluation in Kisumu, Kenya

Brown

Njoroge

Akama

et al. 2016

AIDS Education and Prevention

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Safer conception strategies can prevent HIV transmission between HIV-discordant partners while allowing them to conceive. However, HIV care providers in sub-Saharan Africa report they are not trained in safer conception, and patients are not routinely offered safer conception services. This mixed-methods pilot study evaluated the impact, acceptability, and feasibility of a novel Safer Conception Counseling Toolkit among providers and patients in Kenya. We enrolled 20 HIV-positive women, 10 HIV-discordant couples, and 10 providers from HIV care and treatment clinics. Providers completed questionnaires before/after training, and then counseled HIV-affected patients. Change in patient knowledge was assessed before/after counseling. Qualitative interviews were conducted among providers and patients. The Toolkit was associated with large, significant increases in patient knowledge, and provider confidence, knowledge, and favorable attitudes toward safer conception counseling; 20% felt confident before versus 100% after training (p < 0.01).

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Section: Discussionmentioning

confidence: 99%

A Novel Safer Conception Counseling Toolkit for the Prevention of HIV: A Mixed-Methods Evaluation in Kisumu, Kenya

Brown

Njoroge

Akama

et al. 2016

AIDS Education and Prevention

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“…As shown in a study in Asembo Kenya some men view male involvement in delivery issues as less important compared to striving to achieve economic wellbeing of the family 12 . Women perceiving child birth as a women affair that does not require male partner involvement may contribute to low male partner involvement as established by 18 .…”

Section: Discussionmentioning

confidence: 99%

“…However, in Nyandarua Kenya, 58.4% of the women interviewed had their place of delivery decided by their husbands 11 . While a study at Asembo Kenya revealed that majority of the women (87%) made decisions on delivery site on their own 12 . Despite the positive contributions of male involvement in tackling maternal mortality and morbidity, little is known on their level of involvement in this study area.…”

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confidence: 99%

Knowledge, Perception and Level of Male Partner Involvement in Choice of Delivery Site among Couples at Coast Level Five Hospital, Mombasa County, Kenya

Onchong’a¹,

Were

Osero

2016

Afr J Reprod Health

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Involvement of males in reproductive health is an important step in reducing maternal and newborn deaths. A number of pregnant women attending Coast Level Five Hospital report waiting for their male partner to discuss and choose the delivery site. Although some do this when already in labour , there are no records on how many practice this and the influence of the couple knowledge and perception on male partner involvement in choice of delivery site. This descriptive cross-sectional study aimed at establishing the level of male partner involvement and influence of couple knowledge and perception on male involvement in choice of delivery site among women who delivered at this facility. Systematic sampling was used to select the participants. A semi-structured questionnaire and focus group discussion guide were used to collect data. Chi-square and binary logistic regression were used for statistical analysis. 40.6% of male partners were involved in choice of delivery site, women knowled ge (χ2-19.256; df-1; p<0.001), women (χ2-11.347; df-1; p=0.001) and male partners' perception (χ2-10.909; df-1; p=0.001) influenced male partner involvement. However, women knowledge was the only predictor of male involvement (OR-3.843; 95% CI, 2.082-7.092; P<0.001). Male partner involvement was low, empowering women and encouraging positive perception among women and male partners will enhance male partner involvement in choice of delivery site. The health workers in Mombasa should come up with health education and communication strategies to improve public knowledge and perception towards male involvement and ultimately improve the level of male partner involvement in choice of delivery site. RésuméLa participation des hommes à la santé de la reproduction est une étape importante dans la réduction de la mortalité maternelle et néonatale. Un certain nombre des femmes enceintes fréquentant l'Hôpital Coast Level Five signalent avoir attendu leur partenaire masculin pour discuter et pour choisir le lieu d'accouchement. Bien que certaines ne le fassent que quand elles sont déjà en travail, il n'y a pas de dossiers sur le nombre des femmes qui la pratique, et l'influence de la connaissance du couple et la perception sur la participation des partenaires de sexe masculin dans le choix du de lieu d'accouchement. Cette étude transversale descriptive s'est donnée comme objectif d'établir le niveau de la participation des partenaires de sexe masculin et l'influence de la connaissance chez les couples et la perception sur la participation des hommes au choix du lieu d'accouchement au sein des femmes qui ont accouché dans cet établissement. L'échantillonnage systématique a été utilisé pour sélectionner les participants. Nous nous sommes servi d'un questionnaire semi-structuré et un guide de groupe de discussion cible pour recueillir des données. Le Chi-carré et la régression logistique binaire ont été utilisés pour l'analyse statistique. 40,6% des partenaires masculins ont participé au choix du lieu d'accouchement, la connaissance che...

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“…1 Men cite numerous barriers for partner HIV testing at antenatal clinics, including the belief that antenatal care is a woman's activity and that it is not culturally appropriate as a man to be involved in these visits, as well as not feeling welcome in the clinic. 15–22 …”

Section: Introductionmentioning

confidence: 99%

Home-Based HIV Testing Among Pregnant Couples Increases Partner Testing and Identification of Serodiscordant Partnerships

Krakowiak

Kinuthia

Osoti

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction:Male partner HIV testing has been recognized as an important component of prevention of mother-to-child HIV transmission. Scheduled home-based couple HIV testing may be an effective strategy to reach men.Methods:Women attending their first antenatal visit at Kisumu County Hospital in Kenya were randomized to home-based education and HIV testing within 2 weeks of enrollment (HOPE) or to written invitations for male partners to attend clinic (INVITE). Male partner HIV testing and maternal child health outcomes were compared at 6 months postpartum.Results:Of 1101 women screened, 620 were eligible and 601 were randomized to HOPE (n = 306) or INVITE (n = 295). At 6 months postpartum, male partners were more than twice as likely [relative risk (RR) = 2.10; 95% CI (CI): 1.81 to 2.42] to have been HIV tested in the HOPE arm [233 (87%)] compared with the INVITE arm [108 (39%)]. Couples in the HOPE arm [192 (77%)] were 3 times as likely (RR = 3.17; 95% CI: 2.53 to 3.98) to have been tested as a couple as the INVITE arm [62 (24%)] and women in the HOPE arm [217 (88%)] were also twice as likely (RR = 2.27; 95% CI: 1.93 to 2.67) to know their partner's HIV status as the INVITE arm [98 (39%)]. More serodiscordant couples were identified in the HOPE arm [33 (13%)] than in the INVITE arm [10 (4%)] (RR = 3.38; 95% CI: 1.70 to 6.71). Maternal child health outcomes of facility delivery, postpartum family planning, and exclusive breastfeeding did not vary by arm.Conclusions:Home-based HIV testing for pregnant couples resulted in higher uptake of male partner and couple testing, as well as higher rates of HIV status disclosure and identification of serodiscordant couples. However, the intervention did not result in higher uptake of maternal child health outcomes, because facility delivery and postpartum family planning were high in both arms, whereas exclusive breastfeeding was low. The HOPE intervention was successful at its primary aim to increase HIV testing and disclosure among pregnant couples and was able to find more serodiscordant couples compared with the invitation-only strategy.Trial Registration:Clinicaltrials.gov registry: NCT01784783.

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Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study

Cited by 144 publications

References 34 publications

A Novel Safer Conception Counseling Toolkit for the Prevention of HIV: A Mixed-Methods Evaluation in Kisumu, Kenya

A Novel Safer Conception Counseling Toolkit for the Prevention of HIV: A Mixed-Methods Evaluation in Kisumu, Kenya

Knowledge, Perception and Level of Male Partner Involvement in Choice of Delivery Site among Couples at Coast Level Five Hospital, Mombasa County, Kenya

Home-Based HIV Testing Among Pregnant Couples Increases Partner Testing and Identification of Serodiscordant Partnerships

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