Greener Journal of Epidemiology and Public Health, Vol. 4 (2), pp. 027-039, October 2016.
ISSN: 2354-2381 © 2016 Greener Journals
Manuscript Number: 082216132
Male Involvement in Maternal Health Care in Jimeta Metropolis, Adamawa State, Nigeria
Mfuh Anita Yafeh1*, Lukong Christopher Suiye2,
Olokoba Opeyemi Eunice3, Zubema Hyadita Janet4
1PhD, FWACN, Lecturer, Department of Nursing Sciences, Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria.
2FWACS, FACS, Department of Surgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria
3BNSc Department of Nursing Sciences, Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria.
4BNSc Department of Nursing Sciences, Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria.
This study was aimed to examine men’s knowledge and perception in Maternal Health care at Jimeta Metropolis of Adamawa State, Nigeria. Male involvement in maternal health care, factors affecting male involvement in maternal health care and perceived effects of male involvement in maternal health care were explored. This was a cross sectional descriptive study. A multistage cluster sampling technique was adopted for the study. A total of 370 respondents were included with a response rate of 92.7%. Included participants were men of reproductive age residing in Jimeta Metropolis. Data was collected using a structured questionnaire and analyzed using Statistical Package for Social Sciences Version 21. Result of the study showed poor knowledge about maternal health care as majority (70.8%) of the respondents were not aware of the number of times a woman should attend antenatal clinic, 60.5% did not know the services offered for women and 58.9% did not know the danger signs of pregnancy. Result on male involvement showed that, more than half (56.8%) of the men gave consent to their wives to attend antenatal clinic, 76.5% gave consent for their wives to go for delivery in a health facility, 43.4% allowed their wives to attend post-natal clinic and 52.1% provided fund for delivery for their wives. Religious/cultural factors (28.2%) and ignorance (25.9%) were found to be the most likely reasons for men not participating in maternal health care. Although their overall knowledge of the type of maternal health services was above average (58%), no association was found between knowledge and male involvement in maternal health care (P=0.062). ). A significant difference was observed between educational attainment, ethnicity with male involvement in maternal health care (x2 =26.43, p value <0.0001 and ethnicity X2=47.24 , p value <0.0001 respectively. Health workers attitude towards male involvement in maternal health care was not statistically significant with x2 =1,477, p-value = 0.224. There was an association between couples joint decision making and male involvement in maternal health care, x2=63.3, p value=0.0001. Joint decision made by couples was discovered to be a positive factor in male involvement in maternal healthcare. It was therefore recommended that, male involvement should be encouraged at all levels of healthcare. Invitation letters should be given to women attending maternal health service centres to invite their partners for more enlightenment and effective communication between couples, thereby encouraging joint decision making.
Key words: Male, Involvement, Maternal, Health, Care, Jimeta.
Abodunrin OL, Akande TM, Musa IO, Aderibigbe SA (2010). Determinants of referral practices of clients by traditional birth attendants in Ilorin, north central Nigeria. Afr. J. Rep. Health, 2010, 14: p. http://www.ajrh.info. [accessed September 23, 2016]
Adenike IO, Asekun EO, Adewole O, Adeomi AA and Olarewaju SO (2013). Perception, attitude and involvement of men in maternal health care in a Nigerian community. J. of public health and epid 5(6): 262-270 available online at http://ww.academicjournals.org/JPHE. http://www.academicjournals.org. [accessed March 12, 2014]
Awasthi S, Nandan D, Mehrotra AK and Shankar R (2008). Male participation in maternal care in urban slums of district Agra. Indian J. of preventive Social medicine; 39(3&4). http://www.sci-rep.com. [accessed June 4, 2015]
Barua A (2005) Husbands involvement in maternal care: young couples in Mahashtra. International centre for research and women
Becker S, Costenbader E (2001). Husbands and wives report of contraceptive use. Studies in family planning 32(2), 130-146. https://www.guttmacher.org/ [accessed March 15, 2014]
Bustamante-Forest R, Giarratano G (2004). Changing men's involvement in reproductive health and family planning. Nurs Clin North Am., 39 (2): 301-318. 10.1016/j.cnur.2004.02.001.View ArticlePubMedGoogle Scholar. https://reproductive-health-journal.biomedcentral.com. [accessed May 5, 2013
Davis J, Luchters S, Holmes W (2012). Men and maternal and newborn health: benefits, harms, challenges and potential strategies for engaging men. Compass: Women's and Children's Health Knowledge Hub. Melbourne, Australia. www.wchknowledgehub.com. [accessed March 1, 2015]
Doctor HV, Dahiru T (2010). Utilization of non-skilled birth attendants in northern Nigeria: A rough terrain to the health-related MDGs. African. J. Rep Health, p. 14. www.ncbi.nlm.nih.gov/pubmed. 2012 [accessed January 6, 2015]
Ezeanochie MC, Olagbuji BN, Agholor KN, Okonofua FE(2010). Attaining MDG 5 in northern Nigeria: Need to focus on skilled birth attendance, African J. of Reproductive Health, June 2010; 14: 9-11. [Accessed 7/10/2016], ISSN -- e:2141-3606 ,1118-4841. African J of Reproductive Health, June 2010; 14: 9-11. www.mamaye.org.ng Accessed 7/10/2016.
Heaton TB, Forste R (2008). Domestic Violence, Couple Interaction and Children’s Health in Latin America. Journal of Family Violence, 23 (3): 183-193. 10.1007/s10896-007-9142-7.View ArticleGoogle Scholar. link.springer.com/article [accessed April 6, 2013]
Hogan MC, Foreman K J, Naghavi M(2010). Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5,” The Lance, 375( 9726), 1609–1623, 2010. View at Publisher · View at Google Scholar · View at Scopus. https://www.ncbi.nlm.nih.gov/pubmed. [accessed June 3, 2014].
International Conference on population and development (ICPD) (1994). Cairo, Eygpt. URL: http://www.un.org/popin/icpd2.htm . www.un.org/popin/icpd2.htm [accessed Mya 5, 2014].
Iliyasu Z, Abubakar IS, Galadanci HS and Aliyu MH (2010). Birth preparedness, Complication readiness and fathers' participation in Maternity care in a Northern Nigerian Community. African J of Rep health 2010; 14(1): 21-32. www.bioline.org.br/ [accessed August 3, 2012].
Lucas AO, Gilles HM (2003). Family health. Short textbook of public health medicine for the tropics, 4th Edition, Arnold publishers pp. 319-335. www.abebooks.com. [accessed June 6, 2014].
Marion W, Carter1 and Ilene Speizer (2005). Salvadoran fathers’ attendance at prenatal care, delivery, and postpartum care. Rev Panam Salud Publica/Pan American J. of Public Health, 18(3), 149 [accessed March 1, 2014].
Martin MT, Mcnamara MJ, Millot AS, Halleh T and Hair EC (2007). The Effect of Father Involvement during Pregnancy and Receipt of Prenatal Care and Maternal Smoking’’, Maternal and Child Journal 11: 595-602. www.iiste.org/Journals [accessed March 7, 2014].
Millennium Development Goals (MDGs) Fact sheet N°290 Updated May 2015 [accessed September 16, 2016]
Mullany BC, Becker S, Hindin M. J. (2007). The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health education and research, 22(2): 166-76. www.ncbi.nlm.nih.gov/pubmed [accessed October 15, 2015].
Mullick S, Busi, K and Wanjiru M (2005). Involving men in maternity care; Health service delivery issues: available at www.who.int accessed 20 October 2008. https://www.k4health.org/sites [accessed August 11, 2014].
Nanjala M and Wamalwa D (2011). Determinants of male partner involvement in promoting deliveries by skilled attendants in Busia, Kenya. Global J of Health sciences 4 (2), [accessed March 23, 2014]
Nantamu DP (2011). Factors associated with male involvement in maternal health care services in Jinja district, Uganda. Unpublished thesis at Makerere University School of Public Health. www.ncbi.nlm.nih.gov [accesed July 2, 2016].
Nigeria Demographic and Health Survey (2013). National Population Commission (NPC) [Nigeria] and ICF International. Abuja, Nigeria and Rockville, Maryland, USA: NPC and ICF International. https://dhsprogram.com/pubs [accessed March 28, 2014].
Nigeria Federal Ministry of Health (2011). Concept Note on Health System Strengthening Initiative, [accessed September 16, 2016].
Nigeria Millennium Development Goals 2013 Report. www.sparc-nigeria.com, [accessed September 23, 2016]
Nigeria Millenium Development Goal End Report (2015), Abridged version. www.mdgs.gov.ng. [accessed October 12, 2016].
Odimegwu C, adewuyi A, Odebiyi T, Aina B , Adesina Y, Olatubara O and Eniola F (2005). Men's Role in Emergency Obstetric Care in Osun State of Nigeria. Afr. J. Reprod. Health 9(3):59-71. www.ncbi.nlm.nih.gov/ 2013.
Omokhoa AA, Chukwunwendu AO (2016). Changes in men`s knowledge and attitudefollowing health Education on their role in Preventing Maternal deaths: An Exploratory Survey in a Nigerian Community. Sociaal Medicine, Vol 10, No 2.[accessed October 4, 2016].
Pulerwitz J, Wulf DA, Singh S. Involving men in reproductive Health. Contributions to development, Millenium Project. Background Paper to the Report. Public Choices, Private decisions, Sexual and Reproductive Health and the Millenium Development Goals. www.unmillenniumproject.org/documents/ [accessed October 7, 2016].
Sen, Gita, PiroskaÖstlin, Asha G (2007). Unequal, Unfair, Ineffective and Inefficient Gender Inequity in Health: Why it exists and how we can change it. Final Report to the WHO Commission on Social Determinants of Health. Women and Gender Equity Knowledge Network. www.who.int/social_determinants. .[accessed September 5, 2015].
Singha P (2002). An introductory text in biostatics. 3rd edition p145. Gadza, Nigerian Limited. Kaduna Nigeria.
Stycos JM (1996). Men, Couples and Family Planning: a Retrospective Look. Working paper No. 96-12. Cornell University Population and Development Program, Ithaca, NY. www.academicjournals.org, [accessed September 6, 2014].
Sustainable Development Goals. Before the Sustainable Development Goals how did Nigeria really do with the Millenium Development Goals? http://nigeriahealthwatch.com.[accessed October 14, 2016]
Thaddeus S and Maine D (1994). Too far to walk; Maternal mortality in context, Soc Sci and Med, 38:1091-1110. www.ncbi.nlm.nih.gov.[accessed October 44, 2016].
Varkey LC, Mishra A, Das A, Ottolenghi E, Huntington D, Adamchak S, Khan ME, Homan F (2004).: Involving Men in Maternity Care in India. Frontiers in Reproductive Health Programme, Population Council, New DelhiGoogle Scholar, eldis.org/vfile/upload .[accessed September 4, 2014]
Were N (2009). Rural finance should target women. The New Vision newspaper , Tuesday December 2009 Pg 13. www.afdb.org.[accessed May 12, 2014].
White V, Greene M and Murphy E (2003) Men and reproductive health programs influencing gender norms. The synergy project. US Agency for International Development. URL: http://pdf.usaid.gov/pdf_docs/PNACU969.pdf. pdf.usaid.gov. [accessed July 4, 2014].
World Health Organization (2006), Women's Health in the WHO Africa Region: A call for action. Report of Regional Director. Fifth-eight session Yaounde, Cameroon 1-5 September 2008. http://apps.who.int .[accessed May 6, 2014].
World Health Organization. Causes of Maternal and Child deaths. Taking Stock of Maternal, Newborn and Child Survival 2000-1012 Decade Report. Preliminary data of a WHO systematic review of causes of maternal deaths, http://www.who.int/pmnch/topics/child/countdownreportpages11-21.pdf.[accessed August 7, 2015].
World Health Organization (2012). Every woman, every child: From commitment to actions: the first report of the Independent Expert Review Group on information and accountability of women`s and children`s health. Geneva. www.who.int/woman_child_accountability [accessed September 8, 2016].
WHO, UNICEF, UNFPA,The World Bank (2012). Trends in maternal mortality: 1990 to 2010. Geneva: World Health Organization. whqlibdoc.who.int/publications .[accessed August 9, 2016].
World Health Organization (2013). Maternal and Newborn Health. Available at http://www.womendeliver.org/knowledge-center/facts-figures/maternal-health/. World Health Organization (2013). Maternal and Newborn Health. Available at http://www.womendeliver.org/knowledge-center/facts-figures/maternal-health .[accessed August 5, 2016].
World Bank (2014). Maternal Health. Available at http://www.womendeliver.org/knowledge-center/facts-figures/maternal-health .[accessed October 14, 2015].
World Health Organization (2014). Global Causes of maternal death: a WHO systemic analysis. The Lancet Global Health. 2(6): 323, doi:1016, Open acess:[accessed October 4, 2016].
World Health Organization (2015). Trends in maternal mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. http://apps.who.int/iris/bitstream .[accessed September 9, 2016].
Yahaya MK (2002). Analysis of women's reproductive health situation in Bida Emirate of Niger State, Nigeria. African. J. Rep Health 6(1):5064. www.ncbi.nlm.nih.gov/pubmed. .[accessed October 12, 2016].