Male Partner Involvement in Promoting Antenatal Care and Skilled Delivery Attendance in Bumula Sub-County, Kenya
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Globally, male partner involvement in antenatal care and skilled delivery services remains a challenge to effective management of maternal health. Maternal morbidities and mortalities have been increasing due to the underutilization of antenatal care and skilled delivery attendance at a global level. However, developed countries have had a different story on male partner involvement in antenatal care and skilled delivery attendance – most male partners are involved in the process. But sub-Saharan Africa in the global south records the highest percentage of male partners who are never active in accompanying their female counterparts to visit antenatal care and skilled delivery. In Kenya male involvement in maternal services remains low despite it being recognized as one of the pillars of safe motherhood. Therefore, this study was conducted to investigate male partner involvement in promoting antenatal care and skilled delivery attendance in Bumula Sub-County of Bungoma County in Kenya. It focused on the level of male partners involvement in maternal health. The study adopted a cross-sectional design. The target populations were married men and community health volunteers. The study had a sample size of 427 persons. Data was collected using a pre-tested semi-structured questionnaire, key in-depth interview guides, focused group discussion guides and observation checklist. Data were analysed using descriptive statistics with the aid of the Statistical Package for Social Scientist version 25. Data were presented using tables, figures, narratives and direct quotes. The study found a low level of male involvement (18%) in promoting antenatal care and skilled delivery attendance. Most of the male partners (83.1%) did not plan with their partners for ANC and skilled delivery services, however, (54.1%) accompanied their partners to the clinics. The study concluded There was a low level of male partner involvement in ANC and skilled delivery attendance. About 18% of male partners were involvement in ANC and skilled delivery attendance. There was an improvement of male partner involvement in accompaniment and provision of support. The study recommended that the two levels of government through the Ministry of Health should create awareness campaigns and public education with a targeted massage on negative cultural practices/mindset that hinder male partner involvement in maternal health services in the Bumula sub-county.
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References
-
E. Andersson, A. Norman, C. Kanlinder and L. Plantin, “What do expectant fathers expect of antenatal care in Sweden? A cross-sectional study,” Sexual & Reproductive Healthcare 1;9:27-34, 2016.
Google Scholar
1
-
M. Mackert, M. Guadagno, A. Lazard, E. Donovan, A. Rochlen, A. Garcia, M. J. Damásio and B. Crook, “Engaging men in prenatal health via eHealth: findings from a national survey,” JMIR Pediatrics and Parenting 1(2):e7, 2018.
Google Scholar
2
-
G. Bishwajit, S. Tang, S. Yaya, S. Ide, H. Fu, M. Wang, Z. He, F. Da and Z. Feng, “Factors associated with male involvement in reproductive care in Bangladesh,” BMC Public Health 17(1):1-8, 2017.
Google Scholar
3
-
C. K. Bhusal and S. Bhattarai, “Social Factors Associated with Involvement of Husband in Birth Preparedness Plan and Complication Readiness in Dang District, Nepal,” Journal of Community Medicine & Health Education 8(06), 2018.
Google Scholar
4
-
S. Lewis, A. Lee and P. Simkhada, “The role of husbands in maternal health and safe childbirth in rural Nepal: a qualitative study,” BMC Pregnancy and Childbirth 15(1):1-0, 2015.
Google Scholar
5
-
A. Ghimire and K. Pun, “Male Involvement in Maternal and Infant Health Care, Banke, Nepal,” International Journal of Nursing Research and Practice 4, 2017.
Google Scholar
6
-
A. E. Rahman, J. Perkins, S. Islam, A. B. Siddique, M. Moinuddin, M. R. Anwar, T. Mazumder, A. Ansar, M. M. Rahman, S. Raihana and C. Capello, “Knowledge and involvement of husbands in maternal and newborn health in rural Bangladesh,” BMC Pregnancy and Childbirth 18(1):1-2, 2018.
Google Scholar
7
-
R. R. Marzo, A. Ahmad, G. V. Xit, N. C. Ming, M. T. Win, T. Talukder and J. R. Naidu, “A study of involvement in maternal health by male counter-part in the family in Muar district,” 2018.
Google Scholar
8
-
S. Sharma, K. C. Bhuvan and A. Khatri, “Factors influencing male participation in reproductive health: a qualitative study,” Journal of Multidisciplinary Healthcare 11:601, 2018.
Google Scholar
9
-
M. Younas, Y. Parpio, T. Saeed Ali and S. Awan, “Male partners' knowledge and practices of antenatal care in district Swat, Khyber Pakhtunkhwa, Pakistan: A cross-sectional study,” Journal of Midwifery and Reproductive Health 1;8(1):2005-15, 2020.
Google Scholar
10
-
M. Zakaria, A. K. Khan, M. Ahmad, F. Cheng and Xu J. “Women’s Perception of Male Involvement in Antenatal, Childbirth and Postnatal Care in Urban Slum Areas in Bangladesh: A Community-Based Cross-Sectional Study,” Healthcare 9(4):473,2021.
Google Scholar
11
-
K. Nesane, S. M. Maputle and H.Shilubane, “Male partners' views of involvement in maternal healthcare services at Makhado Municipality clinics, Limpopo Province, South Africa,” African Journal of Primary Health Care and Family Medicine. 1;8(2):1-5, 2016.
Google Scholar
12
-
J. A. Greenspan, J. J. Chebet, R. Mpembeni, I. Mosha, M. Mpunga, P. J. Winch, J. Killewo, A. H. Baqui and S. A. McMahon, “Men’s roles in care seeking for maternal and newborn health: a qualitative study applying the three delays model to male involvement in Morogoro Region, Tanzania,” BMC Pregnancy and Childbirth 19(1):1-2, 2019.
Google Scholar
13
-
M. G. Matseke, R. A. Ruiter, V. J. Rodriguez, K. Peltzer, G. Setswe, S. Sifunda, “Factors associated with male partner involvement in programs for the prevention of mother-to-child transmission of HIV in rural South Africa,” International Journal of Environmental Research and Public Health 14(11):1333, 2017.
Google Scholar
14
-
J. P. Craymah, R. K. Oppong and D. A. Tuoyire, “Male involvement in maternal health care at Anomabo, central region, Ghana,” International Journal of Reproductive Medicine 2017.
Google Scholar
15
-
R. A. Aborigo, D. D. Reidpath, A. R. Oduro and P. Allotey, “Male involvement in maternal health: perspectives of opinion leaders,” BMC Pregnancy and Childbirth 18(1):1-0, 2018.
Google Scholar
16
-
F. Kassahun, C. Worku, A. Nigussie and G. Ganfurie, “Prevalence of male attendance and associated factors at their partners antenatal visits among antenatal care attendees in Bale Zone, South East Ethiopia,” International Journal of Nursing and Midwifery 10(9):109-20, 2018.
Google Scholar
17
-
M. T. Kumbeni, F. A. Ziba, J. N. Alem and S. A. Nborah, “Factors Influencing Male Involvement in Antenatal Care in the Kassena Nankana Municipal in the Upper East Region, Ghana,” European Scientific Journal 15:21, 2019.
Google Scholar
18
-
C. J. Mbadugha, C. J. Anetekhai, A. L. Obiekwu, I. Okonkwo, J. A. Ingwu, “Adult male involvement in maternity care in Enugu State, Nigeria: A cross-sectional study,” European Journal of Midwifery 3, 2019.
Google Scholar
19
-
N. S. Gibore, M. J. Ezekiel, A. Meremo, M. J. Munyogwa and S. M. Kibusi, “Determinants of men’s involvement in maternity care in Dodoma Region, Central Tanzania,” Journal of Pregnancy. 2;2019.
Google Scholar
20
-
N. Shiyagaya Karolina, S. K. Kuna and A. H. Justus, “Level of male involvement and factors influencing involvement in the prevention of mother-to-child transmission of HIV in the Oshakati, Oshana Region (Doctoral dissertation, University of Namibia)” 2016.
Google Scholar
21
-
B. H. Mohammed, J. M. Johnston, D. Vackova, S. M. Hassen and H. Yi, “The role of the male partner in the utilization of maternal health care services in Ethiopia: a community-based couple study,” BMC Pregnancy and Childbirth. 19(1):1-9, 2019.
Google Scholar
22
-
O. Falade-Fatila and A. M. Adebayo, “Male partners’ involvement in pregnancy-related care among married men in Ibadan, Nigeria,” Reproductive Health 17(1):1-2, 2020.
Google Scholar
23
-
A. Nigusie, T. Azale and M. Yitayal, “Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis,” BMC Pregnancy and Childbirth 20(1):1-25, 2020.
Google Scholar
24
-
P. Alupo, E. R. Atim, H. Kaggwa, C. Mudondo, C. Ogallo, J. Ogwang, B. Wanume, R. Nekaka and J. Nteziyaremye, “Male Partner Involvement in The Utilization of Antenatal Care Services in Kidera, Buyende District, Uganda: Cross-Sectional Mixed Methods Study,” 2020.
Google Scholar
25
-
J. M. Onchong’a, T. Were and J. O. Osero, “Knowledge, perception and level of male partner involvement in the choice of the delivery site among couples at coast level five hospital, Mombasa County, Kenya,” African Journal of Reproductive Health 20(1):71-9, 2016.
Google Scholar
26
-
L. N. Nyandieka, M. K. Njeru, Z. Ng’ang’a, E. Echoka and Y. Kombe, “Male involvement in maternal health planning key to utilization of skilled birth services in Malindi Subcounty, Kenya,” Advances in Public Health, 2016.
Google Scholar
27
-
S. Kiptoo, C. Mutai and M. Kipmerewo, “Male partner involvement on maternal care services during the perinatal period in Mumias east and west sub-counties, Kakamega County, Kenya,” International Journal of Advanced Research 4(11):1219-32, 2016.
Google Scholar
28
-
B. F. Rotich, R. A. Aura-Odhiambo and S. Muthoka, “The Influence of Male Spouse Participation in Maternal Utilisation of Antenatal Care in Njoro Town, Nakuru County, Kenya,” 2019.
Google Scholar
29
-
F. K. Ongolly and S. A. Bukachi, “Barriers to men's involvement in antenatal and postnatal care in Butula, western Kenya,” African Journal of Primary Health Care & Family Medicine 11(1):1-7, 2019.
Google Scholar
30
-
B. Odeny, C. J. McGrath, A. Langat, J. Pintye, B. Singa, J. Kinuthia, A. Katana and G. John-Stewart, “Male partner antenatal clinic attendance is associated with increased uptake of maternal health services and infant BCG immunization: a national survey in Kenya,” BMC Pregnancy and Childbirth 19(1):1-9, 2019.
Google Scholar
31
-
Kenya Demographic Health Survey (KDHS), Kenya National Bureau of Statistics (KNBS) and ICF Macro, Kenya Demographic and Health Survey, 2014.
Google Scholar
32
-
The Republic of Kenya, National Survey on male involvement in family planning and reproductive health in Kenya, National Council of Population and Development 2014, Government Printers 2014.
Google Scholar
33
-
Ministry of Health of Bungoma County, County Health Records and Information Office, 2016.
Google Scholar
34
-
World Health Organization, A practical guide to implementing safe motherhood in countries. WHO/FHE/MSM/2012.11. Safe motherhood programme. Geneva. UNICEF. Maternal mortality in 2013: Estimates developed by WHO, UNICEF, UNFPA, and the World Bank. Geneva.
Google Scholar
35
-
L. Jennings, M. Na, M. Cherewick, M. Hindin, B. Mullany, S. Ahmed, “Women’s empowerment and male involvement in antenatal care: analyses of Demographic and Health Surveys (DHS) in selected African countries,” BMC Pregnancy and Childbirth 14(1):1-1, 2014.
Google Scholar
36
-
D. M. Nyangena, “Infleunce of provision of free maternal health care program on maternal mortality rates in Kisii County, Kenya,” International Journal of Research and Innovation in Social Science (IJRISS) |Volume IV,2020.
Google Scholar
37
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