Striving to promote male involvement in maternal health care in rural and urban settings in Malawi - a qualitative study
Striving to promote male involvement in maternal health care in rural and urban settings in Malawi - a qualitative study
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DOI：
10.1186/1742-4755-8-36
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发表时间：
2011-01-01
影响因子：
3.4
通讯作者：
Chirwa, Ellen
中科院分区：
文献类型：
--
作者：
Kululanga, Lucy I.;Sundby, Johanne;Chirwa, Ellen
背景资料：了解保健提供者为邀请男子参与产妇保健而采用的战略是非常重要的，特别是在当今充满活力的文化环境中。有效利用这些战略取决于发现促进男性参与孕产妇保健的突出问题。本文探讨和描述了不同的卫生保健设施，邀请丈夫参加孕产妇保健在农村和城市环境南部Malawi.Methods的战略：收集的数据是通过深入访谈从20个卫生保健提供者从5个不同的卫生设施在农村和城市环境的马拉维16。保健设施包括两个保健中心、一个地区医院、一个使命医院、一个私立医院和一个中央医院。一个半结构化的采访指南被用来收集数据，从卫生保健提供者的目的是了解他们用来邀请男性参与孕产妇healthcare.Results的策略：四个主要的策略被用来邀请男性参与孕产妇healthcare。这些战略是：保健提供者倡议、伴侣通知、夫妇倡议和社区动员。保健提供者倡议和伴侣通知是在保健设施一级，而夫妇倡议是在家庭一级，社区动员是在村（社区）一级。社区动员有三个次主题，即：男性同伴倡议、使用奖励措施和社区宣传。每个战略的可持续性，以显着影响男性参与孕产妇healthcare.Conclusion的行为变化的男性参与的可持续性：战略，邀请男性参与孕产妇保健是在卫生设施，家庭和社区层面。夫妇策略是最合适的，但主要是由受过教育的和城市居民使用。男性同伴战略在社区一级是有效和可持续的。有必要提高男子的认识，使他们即使在没有奖励、强迫或邀请的情况下也能继续参与其女性伴侣的产妇保健活动。
Background: Understanding the strategies that health care providers employ in order to invite men to participate in maternal health care is very vital especially in today's dynamic cultural environment. Effective utilization of such strategies is dependent on uncovering the salient issues that facilitate male participation in maternal health care. This paper examines and describes the strategies that were used by different health care facilities to invite husbands to participate in maternal health care in rural and urban settings of southern Malawi.Methods: The data was collected through in-depth interviews from sixteen of the twenty health care providers from five different health facilities in rural and urban settings of Malawi. The health facilities comprised two health centres, one district hospital, one mission hospital, one private hospital and one central hospital. A semi-structured interview guide was used to collect data from health care providers with the aim of understanding strategies they used to invite men to participate in maternal health care.Results: Four main strategies were used to invite men to participate in maternal health care. The strategies were; health care provider initiative, partner notification, couple initiative and community mobilization. The health care provider initiative and partner notification were at health facility level, while the couple initiative was at family level and community mobilization was at village (community) level. The community mobilization had three sub-themes namely; male peer initiative, use of incentives and community sensitization. The sustainability of each strategy to significantly influence behaviour change for male participation in maternal health care is discussed.Conclusion: Strategies to invite men to participate in maternal health care were at health facility, family and community levels. The couple strategy was most appropriate but was mostly used by educated and city residents. The male peer strategy was effective and sustainable at community level. There is need for creation of awareness in men so that they sustain their participation in maternal health care activities of their female partners even in the absence of incentives, coercion or invitation.