DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20193445

Awareness, attitude, participation and use of technology in birth preparedness and complication readiness among husbands of women availing obstetric care at a rural maternity hospital in South Karnataka

Jacob Davies Kalliath, Avita R. Johnson, Priya Pinto, Nidhi James, Victoria Sebastian

Abstract


Background: Birth preparedness and complication readiness (BPCR) is an evidence-based strategy to reduce maternal mortality. Husbands have an important role to play in birth preparedness. There is paucity of data regarding husband’s participation and the use of technology in BPCR. The objective is to assess awareness, attitudes and the use of mass media and technology in BPCR among husbands of women availing obstetric care at a rural maternity hospital.

Methods: A cross-sectional study was conducted in a rural maternity hospital in Ramanagara district, Karnataka. Husbands of women of more than 28 weeks of gestation, or postnatal mothers up to 6 weeks after delivery were included in the study.

Results: Of the 133 participants, only 37.6% of the husbands had adequate awareness of BPCR, 62.4% had adequate participation in BPCR. Husbands’ participation was highest in saving money for delivery (75.9%), and lowest for arranging a blood donor (27.8%). Commonest source of information regarding BPCR was mobile phone (30.8%). Husbands awareness of BPCR was associate with reading MCP card OR=5.36 (2.47-11.63), seeing BPCR- related posters in hospital OR=6.59 (1.32-33.13) and using mobile phone for accessing BPCR-related information OR=2.28 (1.07-4.85). Husbands participation in BPCR was associated with awareness of BPCR OR=3.72 (1.65-8.41) and accompanying wife for antenatal visits OR=2.84 (2.25-3.59). Only one third of husbands felt it necessary to accompany their wife for antenatal visits or delivery.

Conclusions: The MCP card and mobile phone technology may be further tapped to improve husband’s awareness and participation in BPCR, besides encouraging men to accompany their wife for antenatal visits. 


Keywords


Awareness, Participation, Birth preparedness, BPCR, Husband, Male involvement

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References


Sample Registration System (Registrar General of India), Special Bulletin on Maternal Mortality in India 2014-16. New Delhi: Office of the Registrar General of India; 2018. Available: http://www. censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR%. Last Accessed on 18 July 2019.

Sankar MJ, Neogi SB, Sharma J, State of newborn health in India. J Perinatol. 2016;36:S3–S8.

Merdad L, Ali M. Timing of maternal death: levels, trends, and ecological correlates using sibling data from 34 sub-Saharan African countries. PLoS One. 2018;13.

Moran AC, Sangli G, Dineen R, Rawlins B, Yaméogo M, Baya B. Birth-preparedness for maternal Health: findings from Koupéla District. Burkina Faso. J health Population Nutr. 2006;24(4):489–97. Available from: https://www. ncbi.nlm.nih.gov/pmc/articles/PMC3001153/.

Essendi H, Mills S, Fotso JC. Barriers to formal emergency obstetric care services’ utilization. J Urban Health. 2011;88(2):S356-69.

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

Kumar K. Birth Preparedness and Complication Readiness in Uttar Pradesh, India. Health. 2016;8:605-614.

JHPIEGO Monitoring birth preparedness and complication readiness: Tools and Indicators for maternal and newborn health. Available from: http://reprolineplus.org/system/files/resources/bpcr_monitoringtools.pdf. Last Accessed on 18 July 2019.

Gebrehiwot H. Determinant factors of male involvement in birth preparedness and complication readiness at Mekelle town; a community-based study. Sci J Public Health. 2015;3(2):175-180.

Chattopadhyay A. Men in maternal care: evidence from India; J Biosoc Sci. 2012;44(2):129-53.

Mullany BC, Becker S, Hindin MJ. The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ Res. 2007;22(2):166-76.

Tweheyo R, Kondelule J, Tumwesigye NM, Sekandi J. Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Preg Childbirth. 2010;10:53.

Tadesse M, Boltena AT, Asamoah BO. Husbands’ participation in birth preparedness and complication readiness and associated factors in Wolaita Sodo town, Southern Ethiopia. Afr J Prm Health Care Fam Med. 2018;10(1):147.

August F, Pembe AB, Mpembeni R, Axemo P, Darj E. Men’s Knowledge of Obstetric Danger Signs, Birth Preparedness and Complication Readiness in Rural Tanzania. PLoS ONE. 2015;10(5):1-12.

Gebrehiwot H, Gebregziabher W, Gidey G. Assessment of Husbands’ Participation on Birth Preparedness in Enderta Woreda, Tigray Region, Ethiopia. J Women’s Health Care. 2013;3:1.

Chajhlana SP, Prathyusha TV, Bhumi MA, Mahabhashyam RK, Varaprasada MM. Status of birth preparedness and complication readiness among pregnant women in rural areas. Int J Community Med Public Health. 2018;5(1):284-8.

Kalisa R, Malande O. Birth preparedness and male partner involvement for obstetric emergencies in rural Rwanda. Pan Afr Med J. 2016;25:9.

Global Gender Gap Report 2016. World Economic Forum. Available from: http://reports.weforum. org/global-gender-gap-report-2016/rankings/. Last Accessed on 18 July 2019.

Kher J, Aggrawal S, Punhani G. Quantifying status of women and men in India at the subnational level. Indian J Human Develop. 2018.

Banerjee A. Status of women and gender discrimination in India: A statewise analysis. Int J Develop Res. 2013;3(12):57-64.

Jena D, Sabat S, Tripathy RM, Mahapatra DK. Utilization of MCP card for enrichment of knowledge on antenatal care by mothers attending immunization clinic: a hospital based cross-sectional study. Int J Adv Med. 2017;4(5):1466-72.