Barriers to and attitudes towards promoting husbands' involvement in maternal health in Katmandu, Nepal
Barriers to and attitudes towards promoting husbands' involvement in maternal health in Katmandu, Nepal
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DOI：
10.1016/j.socscimed.2005.11.013
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发表时间：
2006-06-01
影响因子：
5.4
通讯作者：
Mullany, BC
中科院分区：
文献类型：
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作者：
Mullany, BC
对夫妻友好的生殖健康服务和男性伴侣参与妇女生殖健康最近引起了相当大的关注。鉴于许多文化中性别角色和关系的敏感性质，了解特定环境的背景、潜在障碍和对新干预措施的态度是设计包括男性在内的服务的必要的第一步。在为男性参与产前保健干预做准备的过程中，这项定性研究的具体目的是：(A)了解男性参与孕产妇健康的障碍；(B)探讨男性、女性和提供者对促进男性参与产前护理和孕产妇健康的态度。在尼泊尔加德满都的一家公立妇产科医院，对14对夫妇和8名产妇保健提供者进行了深入访谈。此外，17对夫妇参加了焦点小组讨论。男性参与产妇保健的最突出障碍包括知识水平低、社会耻辱、害羞/尴尬和工作责任。尽管服务提供者也预见到一些障碍，主要是医院政策、人力和空间问题，但提供者一致认为，选择对夫妇友好的孕产妇保健服务将提高向孕妇提供的护理质量和对健康信息的了解，这与大多数孕妇及其丈夫表达的态度相呼应。因此，医院政策的重大转变被视为引入夫妇友好的产前或分娩服务的重要第一步。在这项研究中，孕妇、丈夫和提供者对鼓励男性更多地参与孕产妇健康的主要有利态度表明，引入此类服务的选项是可行的，也是被广泛接受的。(C)2005爱思唯尔有限公司。保留所有权利。
Couple-friendly reproductive health services and male partner involvement in women's reproductive health have recently garnered considerable attention. Given the sensitive nature of gender roles and relations in many cultures, understanding the context of a particular setting, potential barriers, and attitudes towards a new intervention are necessary first steps in designing services that include men. In preparation for a male involvement in antenatal care intervention, this qualitative study specifically aims to: (a) understand the barriers to male involvement in maternal health and (b) explore men's, women's, and providers' attitudes towards the promotion of male involvement in antenatal care and maternal health. In-depth interviews were conducted with fourteen couples and eight maternal health care providers at a public maternity hospital in Katmandu, Nepal. Additionally, seventeen couples participated in focus group discussions. The most prominent barriers to male involvement in maternal health included low levels of knowledge, social stigma, shyness/embarrassment and job responsibilities. Though providers also foresaw some obstacles, primarily in the forms of hospital policy, manpower and space problems, providers unanimously felt the option of couples-friendly maternal health services would enhance the quality of care and understanding of health information given to pregnant women, echoing attitudes expressed by most pregnant women and their husbands. Accordingly, a major shift in hospital policy was seen as an important first step in introducing couple-friendly antenatal or delivery services. The predominantly favorable attitudes of pregnant women, husbands, and providers towards encouraging greater male involvement in maternal health in this study imply that the introduction of an option for such services would be both feasible and well accepted. (c) 2005 Elsevier Ltd. All rights reserved.