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Maternal Health: a Qualitative Study of Male Partners’ Participation in Lagos, Nigeria

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Abstract

Purpose

Male involvement in maternal healthcare has been described as a key factor to reducing maternal mortality globally. Hence, this study investigated the choice of facility to be used during pregnancy and examined factors that influence male participation in maternal healthcare issues of their spouses as these factors may sometimes influence the choice of health care services for pregnant women.

Method

The study was cross-sectional in design; the setting was at Badagry, Lagos, Nigeria. Thirty married men with at least the experience of birth of baby, who consented to participate, were purposively recruited for the study. Data were transcribed and content analysed using free narrative.

Result

The results show that orthodox health care, traditional birth attendance (TBA), and faith healing were utilised by the respondents. The majority of the participants identified cost of health care services, economic recession, and their job demand as the reasons for their non-active participation in accompanying their spouses for antenatal clinic visit.

Conclusion

However, to increase the level of men’s participation in maternal healthcare, especially visiting antenatal clinic with spouses, antenatal services should be free of any monetary charges so as to encourage men to be involved and not look for excuses of financial needs. Utilisation of skilled birth attendance should be reinvigorated.

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References

  1. Somefun OD, Ibisomi L. Determinants of postnatal care non-utilization among women in Nigeria. BMC Res Notes. 2016;9:21, 11. doi:10.1186/s13104-015-1823-3.

    Article  PubMed  PubMed Central  Google Scholar 

  2. WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division. Trends in maternal mortality: 1990–2013. Geneva, Switzerland: World Health Organization. 2014. (http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality 2013/en/).

  3. Lawn JE, Blencowe H, Oza S, You D, Lee ACC, Waiswa P, Christian P. Progress, priorities, and potential beyond survival. Lancet. 2014;383(9938):189–205. doi:10.1016/S0140-6736(14)60496-7.

    Article  Google Scholar 

  4. WHO UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Maternal deaths fell 44% since 1990. 2015. Press release available at: http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/.

  5. WHO, UNICEF. Every newborn progress report Geneva: World Health Organization. 2015 http://www.everynewborn.org/.

  6. Lilungulu AG, Matovelo D, Gesase A. Reported knowledge, attitude and practice of antenatal care services among women in Dodoma municipal, Tanzania. Journal of Pediatrics and Neonatal Care. 2016;4(1):8. 00125. doi:10.15406/jpnc.2016.04.00125.

    Article  Google Scholar 

  7. Dahiru T and Oche OM. Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria. Pan Africa Medical Journal. 2015. 21 ISSN 1937–8688.DOI: 10.14303/JRNM.2016.012.

  8. Al-Mujtaba M, Cornelius LJ, Galadanci H, Erekaha S, Okundaye JN, Adeyemi OA, Sam-Agudu NA. Evaluating religious influences on the utilization of maternal health services among Muslim and Christian women in North-Central Nigeria. Biomed Res Int. 2016;8 doi:10.1155/2016/3645415.

  9. UNFPA. Population and development, program of action adopted at the International Conference on Population and Development (ICPD), Cairo, 5–13 September 1994, 1. New York, United Nations, 1995: paragraph 4.27 (ST/ESA/SER.AS/149).

  10. Mullick S, Kunene B, Wanjiru M. Involving men in maternity care: health service delivery issues. Agenda Special Focus. 2005:124–35.

  11. Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH. Birth preparedness, complication readiness and fathers’ participation in maternity care in a northern Nigerian community. African Journal of Reproductive Health / La Revue Africaine de la SantéReproductive. 2010;14(1):21–32.

    Google Scholar 

  12. Jejeebhoy SJ. Empower women, ensure choices: key to enhancing reproductive health. Paper presented at the Safe Motherhood Technical Consultation in Sri Lanka, 18–23 October 1997.

  13. Kululanga IL, Sundby J, Chirwa E. Barriers to husbands’ involvement in maternal health care in a rural setting in Malawi: a qualitative study. Journal of Research in Nursing and Midwifery. 2012;1(1):1–10. Available online http://www.interesjournals.org/JRNM.

    Google Scholar 

  14. Kunene B, Beksinska M, Zondi S, Mthembu N, Mullick S, Ottolenghi E, Kleinschmidt I, Adamchak SE, Janowitz B, Cuthbertson C. Involving men in maternity care: South Africa Durban, South Africa. 2004. Accessed: http://www.k4health.org/toolkits/igwggender/ involving-men-maternity-care-south-africa.

  15. Mullany BC, Lakhey B, Shrestha D, Hindin MJ, Becker S. Impact of husbands' participation in antenatal health education services on maternal health knowledge. J NepalMedAssoc. 2009;48:28–34.

    CAS  Google Scholar 

  16. USAID. Country health statistical report: Nigeria; 2009.

  17. Martin LT, McNamara MJ, Milot AS, et al. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Maternal Child Health J. 2007;11:595–602.

    Article  Google Scholar 

  18. Mekonnen W, Worku A. Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reprod Health. 2011;8:1–8.

    Article  Google Scholar 

  19. Helzner JF. Men’s involvement in family planning. Reprod Health Matters. 1996;7:146–54.

    Article  Google Scholar 

  20. Aarnio P, Olsson P, Chimbiri A, Kulmala T. Male involvement in antenatal HIV counseling and testing: exploring men’s perceptions in rural Malawi. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV. 2009;21:1537–46. At www.popcouncil.org/frontier/frontiersfinalrpts.html.

    Article  Google Scholar 

  21. Farquhar C, Kiarie JN, Richardson BA, Kabura MN, John FN, Nduati RW, Mbori-Ngacha DA, John-Stewart GC. Antenatal couple counseling increases uptake of interventions to prevent HIV-1 transmission. J Acquir Immune Defic Syndr. 2004;37:1620–6.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Semrau K, Kuhn L, Vwalika C, Kasonde P, Sinkala M, Kankasa C, Shutes E, Aldrovandi G, Thea DM. Women in couples antenatal HIV counseling and testing are not more likely to report adverse social events. AIDS. 2005;19:603–9.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Byamugisha R, Tumwine JK, Semiyaga N, Tylleskar T. Determinants of male involvement in the prevention of mother-to child transmission of HIV programme in Eastern Uganda: a cross sectional survey. Reprod Health. 2010;7:12.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Carter MW. ‘Because he loves me’: husbands’ involvement in maternal health in Guatemala. Cult Health Sex. 2002, 4(3):259–79.

  25. Mullany BC, Hindin MJ, Becker S. Can women’s autonomy impede male involvement in pregnancy health in Katmandu, Nepal? Soc Sci Med. 2005;61:1993–2006.

    Article  PubMed  Google Scholar 

  26. Mullany BC. Barriers to and attitudes towards promoting husbands’ involvement in maternal health in Katmandu. Nepal Social Science and Medicine. 2006;62:2798–809.

    Article  PubMed  Google Scholar 

  27. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38:1091–110.

    Article  CAS  PubMed  Google Scholar 

  28. Santow G. Social roles and physical health: the case of female disadvantage in poor countries. Soc Sci Med. 1995;40:147–61.

    Article  CAS  PubMed  Google Scholar 

  29. Jirojwong S, Dunt D, Goldsworthy D. Social support and antenatal clinic attendance among Thai pregnant women in Hatyai, a City in southern Thailand. J Adv Nurs. 1996;29:395–406.

    Article  Google Scholar 

  30. Hurtado, E. Percepciones de Debilidad en el Embarazo y Los Factores que Influyen el Comporta-miento de las Mujeres en Comunidades Indzgenas de Guatemala (Guatemala City, Guatemala: El Proyecto MotherCare/Guatemala and John Snow International). 1996.

  31. Akinpelu AO and Oluwaseyi, OI. Attitude and practice of males towards antenatal care in Saki West Local Government Area of Oyo State, Nigeria. Advances in Life Science and Technology. 2014;22 ISSN 2224–7181 (Paper) ISSN 2225-062X (Online).

  32. Ezeama MC, Ezeamah I. Attitude and socio-cultural practice during pregnancy among women in Akinyele L. G. A. of Oyo State, Nigeria. Journal of Research in Nursing and Midwifery. 2014;3:14–20. doi:10.14303/JRNM.2013.063.

    Google Scholar 

  33. Umar AS, Bawa SB. Determinants of institutional in delivery in Yobe State, Nigeria. American Journal of Public Health Research. 2016;4(1):1–7. doi:10.12691/ajphr-4-1-1.

    Article  Google Scholar 

  34. Kashitala J, Nyambe N, Mwalo S, Musamba J, Chishinga N, Kasonde P, Lilja MA, Mwiche A, Welsh M. Is male involvement in ANC and PMTCT associated with increased facility-based obstetric delivery in pregnant women? Afr J Reprod Health. 2015;19(2):118.

    Google Scholar 

  35. Egbuniwe MC, Egboka OL, Nwankwo UC. Health seeking behaviour amongst pregnant women attending antenatal clinic in primary health care centres in rural communities of Nnewi North L.G.A Anambra State. Journal of Research in Nursing and Midwifery. 2016;5(1):001–10.

    Google Scholar 

  36. Addai I. Determinants of use of maternal-child health services in Ghana. J Biosoc Sci. 2000;32:1–5.

    CAS  PubMed  Google Scholar 

  37. Aryeetey RNO, Aikins M, Dako-Gyeke P and Adongo PB. Pathways utilized for antenatal health seeking among women in the Ga east district, Ghana. Ghana Medical Journal. 2015; 49(1):44–49.

  38. Becker S, Robinson JC. Reproductive health care: services oriented to couples. Int J Gynecol Obstet. 1998;61(3):275–81.

    Article  CAS  Google Scholar 

  39. Beegle K, et al. Bargaining power within couples and use of prenatal and delivery care in Indonesia. Stud Fam Plan. 2001;32(2):130–46.

    Article  CAS  Google Scholar 

  40. Ransom E. What role do men have in making motherhood safer? Questions researchers can ask. PAA. 2000;18

  41. Singh K, et al. Husbands’ reproductive health knowledge, attitudes, and behaviour in Uttar Pradesh, India. Stud Fam Plan. 1998;29(4):388–99.

    Article  CAS  Google Scholar 

  42. Blumer H. Symbolic interactionism: perspective and method. Berkeley: University of California Press; 1969.

    Google Scholar 

  43. Charmaz K. Qualitative interviewing and grounded theory analysis. In: Gubrium J, Holstein J, editors. Handbook of interview research: context and method. Thousand Oaks: Sage; 2002. p. 675–94.

    Google Scholar 

  44. Connelly FM, Clandinin DJ. Stories of experience and narrative inquiry. American Educational Research Association. 1990;19:5,2–14.

    Google Scholar 

  45. Salami KK, Dumbili E, Ezeah P. Determinants of maternal and child healthcare service utilization among recently pregnant mothers in Ubulu-Okiti, Delta state Nigeria. Int J Sociol Fam. 2013;39(1):2. 115-127

    Google Scholar 

  46. Sialubanje C, Masser K, Hamer DH, Ruiter AC. Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC Pregnancy and Childbirth. 2015;15:216. 12 pp. doi:10.1186/s12884-015-0652-7.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Inyang MP, Anucha OU. Traditional birth attendants and maternal mortality. IOSR Journal of Dental and Medical Sciences. 2015;14(2):21–6.

    Google Scholar 

  48. Sarker BK, Rahman M, Rahman T, Hossain J, Reichenbach L, Mitra DK. Reasons for preference of home delivery with traditional birth attendants (TBAs) in rural Bangladesh: a qualitative exploration. PLoS One. 2016;11(1):e014616. doi:10.1371/journal.pone.0146161.

    Article  Google Scholar 

  49. Egbe TO, Ketchen SA, Egbe E, Ekane GEH, Balley-Priso E. Risk factors and barriers to male involvement in the choice of family planning methods in the Buea health district, south west region, Cameroon: a cross-sectional study in a semi-urban area. Women Health Open Journal. 2016;1(3):82–90.

    Article  Google Scholar 

  50. Awungafac G, Njukeng PA, Ndasi JA and Mbuagbaw LT. Prevention of mother-to-child transmission of the human immunodeficiency virus: investigating the uptake and utilization of maternal and child health service in Tiko health district, Cameroon. Pan Africa Medical Journal. 2015; ISSN 1937-8688.

  51. Kabagenyi A, Jennings L, Reid A, Nalwadda G, Ntozi J, Atuyambe L. Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reprod Health. 2014;11:21. doi:10.1186/1742-4755-11-21.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Samuel Ojima Adejoh.

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Adejoh, S.O., Olorunlana, A. & Olaosebikan, O. Maternal Health: a Qualitative Study of Male Partners’ Participation in Lagos, Nigeria. Int.J. Behav. Med. 25, 112–122 (2018). https://doi.org/10.1007/s12529-017-9659-y

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  • DOI: https://doi.org/10.1007/s12529-017-9659-y

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