Factors affecting male involvement in the uptake of maternal and child health services in Ndorwa County West, Kabale district
Keywords:Male Involvement, Uptake, Maternal, Child Health
Background: Maternal and Child Health care involves reproductive goals of; preventing unwanted pregnancies, decreasing high risk pregnancies, reducing morbidity and mortality and increasing accessibility to family planning services
Methods: It was cross-sectional study employing both qualitative and quantitative approaches. Information was captured from 288 men and women aged 18-45 involved in maternal and child health services.
Results: Data was analysed using SPSS version 21 to generate both descriptive and regression statistics. The study found out prevalence of male involvement in MCH services low at only 35.8%. Factors such as; level of education [AOR=2.331; (95% CI: 1.011–5.376); p=0.047], marital status [AOR=1.999; (95% CI: 1.026–3.893); p=0.042], cultural beliefs [AOR=0.561; (95% CI: 0.316–0.998); p=0.049], distance to the facility [AOR=0.416; (95% CI: 0.205–0.841); p=0.015] and rudeness of the health workers [AOR=1.942; (95% CI: 0.231–0.955); p=0.037] were significantly associated with low male involvement in MCH services. Shortage of financial resources, poor communication, and harassment by health workers were some of the challenges faced by men who accompanied their spouses for MCH services.
Conclusions: The study confirmed the prevalence of male involvement in MCH services low due to various factors such as cultural beliefs, shortage of finance and poor perceptions.
Yargawa J, Leonardi-Bee J. Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Community Health. 2015;69(6):604-12.
Sharma S, Bhuvan KC, Khatri A. Factors influencing male participation in reproductive health: a qualitative study. J Multidiscip Healthc. 2018;11:601.
World Health Organization (WHO) (2017). WHO recommendations on health promotion interventions for maternal and newborn health, 2015. Available at: http://apps.who.int/iris/bitstream/10665/172427/ 1/9789241508742_report_eng.pdf. Accessed on 30 November 2017.
Hogan MC, Foreman KJ, Naghavi M. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet. 2010;5(9726):1609-23.
Aborigo RA, Reidpath DD, Oduro AR, Allotey P. Male involvement in maternal health: perspectives of opinion leaders. BMC Pregnancy Childbirth. 2018;18(1):3.
Muheirwe F, Nuhu S. Are health care facilities and programs in Western Uganda encouraging or discouraging men's participation in maternal and child health care? Int J Health Plann Manag. 2018;1-14.
Kariuki FK, Seruwagi GK. Determinants of male partner involvement in antenatal care in Wakiso district, Uganda. Br J Med Med Res. 2016;18(7):1-5.
Byamugisha R, Tumwine JK, Semiyaga N, Tylleskär 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(1):12.
Byamugisha JK, Tumwine N Semiyaga, Tyllesk¨ar T. Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey. Reproductive Health. 2010;7(1):12.
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.
Singh D, Lample M, Earnest J. The involvement of men in maternal health care: cross-sectional, pilot case studies from Maligita and Kibibi, Uganda. Reprod Health. 2014;11(1):68.
Shrestha S, Bell JS, Marais D. An analysis of factors linked to the decline in maternal mortality in Nepal. PLoS One. 2014;9(4):e93029.