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The role of male partner in utilization of maternal health care services in Ethiopia: a community-based couple study.
BMC Pregnancy Childbirth. 2019 Jan 14; 19(1):28.BP

Abstract

BACKGROUND

Ethiopia has recorded substantial progress in maternal health recently. However, poor utilization of maternal health care services is challenging further improvement. Although male partners are decision-makers in households, the impact of their involvement on maternal health care services has not been well studied. Thus, the objective of this study was to examine the association between male partners' involvement in maternal health care on utilization of maternal health care services.

METHODS

A community-based cross-sectional study was conducted on male/female couples with a baby less than 6 months old (N = 210) in Addis Ababa, Ethiopia. The main independent variable of the study was male partners' involvement in maternal health care. Two structured questionnaires were used to collect the data from men and women. Bivariate and multivariate logistic regression models were used to examine the relationship between the dependent and independent variables.

RESULTS

Mean age in years was 28.7 (SD = 5.4) for women and 36.2 (SD = 8.8) for men. Half of the men (51.4%) have accompanied their partner to antenatal care (ANC) at least once. However, only 23.1% of them have physically entered the ANC room together. Overall involvement of male partners was poor in 34.8% of the couples (involved in two or fewer activities). After controlling for other covariates, the odds of having 1st ANC visit within the first trimester of pregnancy and skilled delivery attendant at birth were higher in women whose male partners took time to know what happened during ANC visits (AOR = 1.93; 95%CI = 1.04-3.60; AOR = 2.93; 95%CI = 1.24-5.6.90, respectively). Similarly, the odds of having at least one ANC visit, first ANC visit within twelve weeks, HIV testing, skilled birth attendant, and birth in a health facility were higher in couples with higher overall male partner involvement.

CONCLUSION

The study demonstrated significant associations between male partners' involvement in maternal health care and utilization of some maternal health care services by female partners.

Authors+Show Affiliations

School of Public Health, The University of Hong Kong, Hong Kong, Hong Kong SAR. bedredin4444@yahoo.com.School of Public Health, The University of Hong Kong, Hong Kong, Hong Kong SAR.School of Public Health, The University of Hong Kong, Hong Kong, Hong Kong SAR.School of Nursing, The University of Hong Kong, Hong Kong, Hong Kong SAR.The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30642280

Citation

Mohammed, Bedru Hussen, et al. "The Role of Male Partner in Utilization of Maternal Health Care Services in Ethiopia: a Community-based Couple Study." BMC Pregnancy and Childbirth, vol. 19, no. 1, 2019, p. 28.
Mohammed BH, Johnston JM, Vackova D, et al. The role of male partner in utilization of maternal health care services in Ethiopia: a community-based couple study. BMC Pregnancy Childbirth. 2019;19(1):28.
Mohammed, B. H., Johnston, J. M., Vackova, D., Hassen, S. M., & Yi, H. (2019). The role of male partner in utilization of maternal health care services in Ethiopia: a community-based couple study. BMC Pregnancy and Childbirth, 19(1), 28. https://doi.org/10.1186/s12884-019-2176-z
Mohammed BH, et al. The Role of Male Partner in Utilization of Maternal Health Care Services in Ethiopia: a Community-based Couple Study. BMC Pregnancy Childbirth. 2019 Jan 14;19(1):28. PubMed PMID: 30642280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of male partner in utilization of maternal health care services in Ethiopia: a community-based couple study. AU - Mohammed,Bedru Hussen, AU - Johnston,Janice Mary, AU - Vackova,Dana, AU - Hassen,Semira Mehammed, AU - Yi,Huso, Y1 - 2019/01/14/ PY - 2017/08/07/received PY - 2019/01/03/accepted PY - 2019/1/16/entrez PY - 2019/1/16/pubmed PY - 2019/5/7/medline KW - Addis Ababa KW - Antenatal care KW - Ethiopia KW - Male partner involvement KW - Maternal health care services KW - Prevention of mother-to-child transmission of HIV SP - 28 EP - 28 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 19 IS - 1 N2 - BACKGROUND: Ethiopia has recorded substantial progress in maternal health recently. However, poor utilization of maternal health care services is challenging further improvement. Although male partners are decision-makers in households, the impact of their involvement on maternal health care services has not been well studied. Thus, the objective of this study was to examine the association between male partners' involvement in maternal health care on utilization of maternal health care services. METHODS: A community-based cross-sectional study was conducted on male/female couples with a baby less than 6 months old (N = 210) in Addis Ababa, Ethiopia. The main independent variable of the study was male partners' involvement in maternal health care. Two structured questionnaires were used to collect the data from men and women. Bivariate and multivariate logistic regression models were used to examine the relationship between the dependent and independent variables. RESULTS: Mean age in years was 28.7 (SD = 5.4) for women and 36.2 (SD = 8.8) for men. Half of the men (51.4%) have accompanied their partner to antenatal care (ANC) at least once. However, only 23.1% of them have physically entered the ANC room together. Overall involvement of male partners was poor in 34.8% of the couples (involved in two or fewer activities). After controlling for other covariates, the odds of having 1st ANC visit within the first trimester of pregnancy and skilled delivery attendant at birth were higher in women whose male partners took time to know what happened during ANC visits (AOR = 1.93; 95%CI = 1.04-3.60; AOR = 2.93; 95%CI = 1.24-5.6.90, respectively). Similarly, the odds of having at least one ANC visit, first ANC visit within twelve weeks, HIV testing, skilled birth attendant, and birth in a health facility were higher in couples with higher overall male partner involvement. CONCLUSION: The study demonstrated significant associations between male partners' involvement in maternal health care and utilization of some maternal health care services by female partners. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/30642280/The_role_of_male_partner_in_utilization_of_maternal_health_care_services_in_Ethiopia:_a_community_based_couple_study_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2176-z DB - PRIME DP - Unbound Medicine ER -