Women’s modern contraceptive use in sub-Saharan Africa: does men’s involvement matter?

Assaf, Shireen; Davis, Lwendo Moonzwe

doi:10.29392/joghr.3.e2019013

Cited by 10 publications

(7 citation statements)

References 22 publications

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Section: Discussionmentioning

confidence: 99%

“…Second, the overall high levels of intermediate behavioral determinants may be partially a function of social desirability bias, where some respondents may have responded more favorably than their actual opinions based on their expectations of what they think is the "correct" answer. Third, while this study examines partner communication, it does not factor in the importance of men's actions or determinants, which have been shown to influence their wives' health behaviors [37,38]. Furthermore, while LCA is a rigorous statistical procedure, proper class assignment using this technique is not guaranteed and researchers can fall prey to "naming fallacy" where the class name does not accurately reflect class membership [39].…”

Section: Limitationsmentioning

confidence: 99%

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Creating Reproductive Health Behavioral Profiles for Women of Reproductive Age in Niger Using Cross-Sectional Survey Data: A Latent Class Analysis

Dougherty

Bellows

Dadi

2023

Int J Public Health

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Objectives: To identify health behavioral profiles for women of reproductive age in Niger.Methods: We interviewed married women of reproductive age in Niger in April 2021 (N = 2,709). Latent class analysis based on sociodemographic and behavioral determinants was used to identify classes of women related to use of antenatal care, facility delivery, and modern family planning (FP) use.Results: We found similar classes between the use of antenatal care and facility-based delivery classes with the first class composed of less educated and poor women with weaker behavioral determinants while the second class was more educated and had stronger behavioral determinants. In the facility-based delivery class was the presence of a third class that was poor and uneducated with low levels of knowledge and social norms, but in contrast had much higher levels of positive attitudes, self-efficacy, and partner communication than the first class. A fourth class of younger, more educated women with strong behavioral determinants emerged related to FP.Conclusion: The application of empirical subgrouping analysis permits an informed approach to targeted interventions and resource allocation for optimizing maternal and reproductive health.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Creating Reproductive Health Behavioral Profiles for Women of Reproductive Age in Niger Using Cross-Sectional Survey Data: A Latent Class Analysis

Dougherty

Bellows

Dadi

2023

Int J Public Health

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“…Second, this study does not contain any measures of spousal communication or power dynamics, which have been the focus of other studies on women’s empowerment in Burundi [ 69 ]. Such factors are often the target of SBC interventions and are seen as one possible pathway that influences modern contraceptive use [ 23 , 27 , 46 , 70 ]. However, measures of spousal communication around family planning are not available in the 2016–17 Burundi DHS.…”

Section: Discussionmentioning

confidence: 99%

Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

2022

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Reproductive health program managers seek information about existing and potential clients’ motivations, behaviors, and barriers to services. Using sequence and cluster analysis of contraceptive calendar data from the 2016–17 Burundi Demographic and Health Survey, we identified discrete clusters characterizing patterns in women’s contraceptive and pregnancy behaviors over the previous 5 years. This study pairs these clusters with data on factors typically targeted in social behavior change interventions: knowledge, attitudes, and women’s interactions with media and health services, to create composite profiles of women in these clusters. Of six clusters, three are characterized by contraceptive use and three are characterized by its absence. Media exposure and attitudes regarding sex preference, wife beating, and self-efficacy largely do not explain cluster membership. Contraceptive knowledge is positively associated with two clusters (Family Builder 1 and Traditional Mother) and negatively associated with a third (Quiet Calendar). Clusters also differ in their members’ fertility desires, contraceptive intentions, and interactions with health services. Two “Family Builder” clusters are both characterized by the presence (but not timing) of multiple pregnancies in their calendar histories, but differ in that women with high contraceptive knowledge, intentions to use contraception, and well-articulated family size ideals are characteristic of one cluster (Family Builder 1), and low contraceptive knowledge, no use of contraception, and vague family size preferences are characteristic of the other (Family Builder 2). These results can guide reproductive health programs as they target social and behavioral change and other interventions to the unique subpopulations they seek to serve.

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“…A number of studies have suggested that male involvement in ANC is associated with benefits such as increased likelihood of adherence to HIV advice during pregnancy hence reduction of Mother to Child Transmission (MTCT) rates of HIV, improved utilization of maternal health services and reduced delays in the decision to seek health care (6)(7)(8)(9)(10).Despite its benefits, studies have also indicated that male involvement in ANC is affected by different individual, relational, institutional and societal related factors (11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Determinants of male involvement in antenatal care at Palabek Refugee Settlement, Lamwo district, Northern Uganda

Auma

Nabaweesi

Orech

et al. 2023

Preprint

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Background: In 2014, Uganda launched the National Male Involvement Strategy in Maternal and Child Health. In 2020, the District Health Management Information System report for Lamwo district, where Palabek Refugee Settlement is located, indicated a 10% male involvement in antenatal care (ANC). We investigated determinants of male involvement in ANC in Palabek Refugee Settlement to inform programs on improvement of male involvement in ANC in a refugee setting. Methodology: We conducted a community-based cross-sectional analytical study among a proportionate sample of mothers in Palabek Refugee Settlement from October-December 2021. Using a standardized questionnaire, we collected information on demographics and the constructs of the socio-ecological model where consent was given. We summarized data in tables and figures. We used Pearson chi-square test to determine significance of independent variables at bivariate level. A multivariable logistic regression model was run for all variables found significant at bivariate analysis to determine association between the different independent variables and male involvement in ANC. Results: We interviewed 423 mothers. The mean age of their male partners was 31 years, SD 7. Eighty-one percent (343/423) of male partners had formal education, with 13% (55/423) having a source of income and 61% (257/423) having access to ANC information during their pregnancy. The level of male involvement in ANC in Palabek Refugee Settlement was 39% (164/423). Male involvement in ANC was positively associated with access to information on ANC (AOR 3.0; 95%Cl: 1.7-5.4) and frequent couple discussion on ANC (AOR 10.1; 95%Cl: 5.6-18.0). However, it was negatively associated with distance < 3km to the health facility (AOR 0.6 ;95%Cl: 0.4-1.0). Conclusions: Approximately one in three male partners in Palabek Refugee Settlement were involved in ANC. Male partners who had access to information during ANC and those who had frequent discussions were more likely to get involved in ANC. Men who lived ≥3 kilometres from the health facility were less likely to be involved in ANC. We recommend intensified awareness creation on importance of male involvement in ANC and implementation of integrated community outreaches to reduce distance to the health facility. Key words: Male involvement, antenatal care, Palabek Refugee Settlement, Northern Uganda. Word count: 340 Abstract, 4201 main text

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Women’s modern contraceptive use in sub-Saharan Africa: does men’s involvement matter?

Cited by 10 publications

References 22 publications

Creating Reproductive Health Behavioral Profiles for Women of Reproductive Age in Niger Using Cross-Sectional Survey Data: A Latent Class Analysis

Creating Reproductive Health Behavioral Profiles for Women of Reproductive Age in Niger Using Cross-Sectional Survey Data: A Latent Class Analysis

Women’s contraceptive profiles in Burundi: Knowledge, attitudes, and interactions with media and health services

Determinants of male involvement in antenatal care at Palabek Refugee Settlement, Lamwo district, Northern Uganda

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