Development of behaviour change communication model for improving male participation in maternal and child health services among Saharia Tribes in Gwalior district of Madhya Pradesh: a mixed method approach

Authors

  • Tulsi Adhikari Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India
  • Bal Kishan Gulati Scientist D, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India
  • Atul Juneja Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India
  • Saritha Nair Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India
  • M. V. Vardhana Rao Director, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India
  • Ravendra Kumar Sharma Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India
  • Kalyan B. Saha Scientist F, ICMR-National Institute for Research in Tribal Health, Jabalpur, Madhya Pradesh, India
  • Shalini Singh Director, ICMR-National Institute of Cancer Prevention and Research, NOIDA, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20205197

Keywords:

Behaviour change communication model, MCH, Male involvement, Saharia Tribe

Abstract

Background: Behaviour of men, their beliefs and attitudes affect the maternal health outcomes of women and their babies. The exclusion of men from maternal health care services could lead to few women seeking maternal health services. A study was conducted for development of a Behaviour change communication (BCC) model for improving the male participation in utilization of maternal and child health services among Saharia tribes of Gwalior district of Madhya Pradesh and to assess its feasibility.

Methods: Mixed method approach, both quantitative and qualitative, were used in the study.  Couple interviews were conducted to assess the level of maternity care services utilization and level of male participation in maternity care.  Focused Group Discussions (FGDs) and Key informants’ Interviews (KIIs) were conducted to assess the community perspective and barriers of male participation.  In the exploratory phase, there were couple interviews, key informant interviews and focus group discussions and data analysis, followed by development of a Behavior Change Communication (BCC).  Feasibility of the model was assessed through three principles, i.e., acceptance, integration with the current programme and short term impact of BCC.

Results: Based on the findings of couple interviews, FGDs and KIIs, a BCC model was developed to improve the male involvement in maternal and child health and its feasibility was assessed.

Conclusions: The developed BCC model went successfully through the three principles of the feasibility and therefore it can be implemented in Saharias for improving the male participation in maternity care and for improving the utilization of maternity care services.

Author Biographies

Tulsi Adhikari, Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India

Scientist E

Bal Kishan Gulati, Scientist D, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India

Scientist D

Atul Juneja, Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India

Scientist E

Saritha Nair, Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India

Scientist E

M. V. Vardhana Rao, Director, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India

Director

Ravendra Kumar Sharma, Scientist E, ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, India

Scientist E

Kalyan B. Saha, Scientist F, ICMR-National Institute for Research in Tribal Health, Jabalpur, Madhya Pradesh, India

Scientist F

Shalini Singh, Director, ICMR-National Institute of Cancer Prevention and Research, NOIDA, Uttar Pradesh, India

Director

References

Chakma T, Rao PV, Meshram PK, Singh SB. Health and nutrition profile of tribals of Madhya Pradesh and Chhattisgarh. InProceedings of national symposium on tribal health [Internet]. Available from: https://pdfs. semanticscholar. org/bf40/e514257eed2baf35a4bedf04edde28d6e0c9. pdf 2006.

Drennan M, Robey B. Reproductive health. New perspectives on men’s participation. Popul Rep J. 1998;46:1-35.

Helzner JF. Mens involvement in family planning. Reprod Health Matters. 1996;4(7):146-54.

Kroelinger CD, Oths KS. Partner support and pregnancy wantedness. Birth. 2000;27(2):112-9.

Early R. Men as consumers of maternity services: a contradiction in terms. Inter J Consumer Studies. 2001;25(2):160-7.

Dudgeon MR, Inhorn MC. Men's influences on women's reproductive health: medical anthropological perspectives. Social Sci Med. 2004;59(7):1379-95.

Alemi S, Nakamura K, Rahman M, Seino K. Male participation in antenatal care and its influence on their pregnant partners’ reproductive health care utilization: insight from the 2015 Afghanistan Demographic and Health Survey. J Biosocial Sci. 2020;1-23.

Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Child. 2013;13(1):70.

Tokhi M, Comrie-Thomson L, Davis J, Portela A, Chersich M, Luchters S. Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions. PloS one. 2018;13(1):e0191620.

van der Gaag N, Heilman B, Gupta T, Nembhard C, Barker G. State of the world’s fathers: Unlocking the power of men’s care. Washington, DC: Promundo-US; 2019.

Assaf S, Davis LM. Does Men's Involvement Improve the Health Outcomes of Their Partners and Children?. ICF. 2018.

Mohammed BH, Johnston JM, Vackova D, Hassen SM and Yi H. The role of male partner in utilization of maternal health care services in Ethiopia: a community-based couple study. BMC Preg Child. 2019;19(1):28.

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

Mangeni JN, Nwangi A, Mbugua S, Mukthar VK. Male involvement in maternal healthcare as a determinant of utilisation of skilled birth attendants in Kenya. East African Med J. 2012;89(11):372-83.

Aguiar C, Jennings L. Impact of male partner antenatal accompaniment on perinatal health outcomes in developing countries: a systematic literature review. Maternal Child Heal J. 2015;19(9):2012-9.

Tokhi M, Comrie-Thomson L, Davis J, Portela A, Chersich M, Luchters S. Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions. PloS one. 2018;13(1):e0191620.

Saha KB, Singh N, Saha UC, Roy J. Male involvement in reproductive health among scheduled tribe: experience from Khairwars of central India. Rural Remote Health. 2007;7:605.

Kapoor S, Tyagi R, Saluja K, Chaturvedi A, Kapoor AK. Nutritional profile and socio-economic status of Saharia, a primitive Tribe of India. The Open Anthropol J. 2009;2(1).

Saha KB, Sharma RK, Mishra R, Verma A, Tiwari BK, Singh N. Establishing communication mechanism for malaria prevention in Baiga tribal villages in Baiga Chak area of Dindori district, Madhya Pradesh. The Indian J Med Res. 2015;141(5):576.

IIPS (2007-08) District Level Household and Facility Survey (DLHS-3) Madhya Pradesh. International Institute of Population Sciences, Mumbai, India, 2010. Available at: http://rchiips.org/pdf/india_report_dlhs-3.pdf.

Biswas RK, Kapoor AK. A Study on Mortality Among Saharia – A Primitive Tribe of Madhya Pradesh. Anthropol. 2003;5(4):283-90.

Naomi W. Challenges and opportunities for male involvement in reproductive health in Cambodia, Policy Project Paper presented for review by the United Agency for International Development (USAID), 2005.

Bhatta DN. Involvement of males in antenatal care, birth preparedness, exclusive breast feeding and immunizations for children in Kathmandu, Nepal. BMC Preg Childbirth. 2013;13(1):14.

Matiang'i M, Aloo M, Margaret G. Male involvement in antenatal care redefined: A cross-sectional survey of married men in Lang'ata district, Kenya. Afr J Midwifery Women's Health. 2013;7(3):117-22.

Jungari S, Paswan B. Supported motherhood? An examination of the cultural context of male participation in maternal health care among tribal communities in India. J Bio Sci. 2020;52(3):452-71.

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Published

2020-11-25

How to Cite

Adhikari, T., Gulati, B. K., Juneja, A., Nair, S., Rao, M. V. V., Sharma, R. K., Saha, K. B., & Singh, S. (2020). Development of behaviour change communication model for improving male participation in maternal and child health services among Saharia Tribes in Gwalior district of Madhya Pradesh: a mixed method approach. International Journal Of Community Medicine And Public Health, 7(12), 5134–5143. https://doi.org/10.18203/2394-6040.ijcmph20205197

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Original Research Articles