Male involvement in maternal health: perspectives of opinion leaders.
Male involvement in maternal health: perspectives of opinion leaders.
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DOI：
10.1186/s12884-017-1641-9
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发表时间：
2018-01-02
影响因子：
3.1
通讯作者：
Allotey P
中科院分区：
文献类型：
--
作者：
Aborigo RA;Reidpath DD;Oduro AR;Allotey P
在认识到共同责任和男性参与孕产妇保健计划的重要性20年后，低收入国家的大多数卫生保健系统在让男性参与方面继续面临挑战。我们探讨的原因，男性的阻力，通过一个更积极的作用，在怀孕护理和持久的影响，在决策过程中的紧急情况。与舆论领袖（酋长、长老、议员、妇女团体领导人）举行了10次重点小组讨论，并与保健工作者（区卫生主任、负责保健中心的医疗助理、区公共卫生护士和助产士）进行了16次深入访谈。访谈和讨论进行了录音，转录成英文，并导入NVivo 10进行内容分析。作为一家之长，男子掌握资源，咨询占卜师以确定孕妇的保健或治疗，并作为孕妇何时何地就医的最后权威。除此之外，她们在产前护理期间不期望发挥任何进一步的作用，因此认为没有必要与其伴侣一起去诊所。关于男性是否需要在家中为怀孕的伴侣提供任何额外支持，存在相互矛盾的观点。卫生工作者普遍认为，男子很少或根本不支持其伴侣。虽然保健工作者促进了父亲支助小组的形成，但几乎没有证据表明对产前支助产生了任何影响。在重男轻女的环境中，男子的作用可能很复杂，社会和文化传统可能与公共卫生建议相冲突。促进男子参与的倡议应侧重于青年男子，并利用酋长和舆论领袖作为倡导者，重新引导男子更积极主动地参与确保其伴侣的健康。本文的在线版本（doi：10.1186/s12884-017-1641-9）包含补充材料，可供授权用户使用。
Twenty years after acknowledging the importance of joint responsibilities and male participation in maternal health programs, most health care systems in low income countries continue to face challenges in involving men. We explored the reasons for men’s resistance to the adoption of a more proactive role in pregnancy care and their enduring influence in the decision making process during emergencies. Ten focus group discussions were held with opinion leaders (chiefs, elders, assemblymen, leaders of women groups) and 16 in-depth interviews were conducted with healthcare workers (District Directors of Health, Medical Assistants in-charge of health centres, and district Public Health Nurses and Midwives). The interviews and discussions were audio recorded, transcribed into English and imported into NVivo 10 for content analysis. As heads of the family, men control resources, consult soothsayers to determine the health seeking or treatment for pregnant women, and serve as the final authority on where and when pregnant women should seek medical care. Beyond that, they have no expectation of any further role during antenatal care and therefore find it unnecessary to attend clinics with their partners. There were conflicting views about whether men needed to provide any extra support to their pregnant partners within the home. Health workers generally agreed that men provided little or no support to their partners. Although health workers had facilitated the formation of father support groups, there was little evidence of any impact on antenatal support. In patriarchal settings, the role of men can be complex and social and cultural traditions may conflict with public health recommendations. Initiatives to promote male involvement should focus on young men and use chiefs and opinion leaders as advocates to re-orient men towards more proactive involvement in ensuring the health of their partners. The online version of this article (doi:10.1186/s12884-017-1641-9) contains supplementary material, which is available to authorized users.
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影响因子：
3.1
作者：
Kwambai TK;Dellicour S;Desai M;Ameh CA;Person B;Achieng F;Mason L;Laserson KF;Ter Kuile FO
通讯作者：
Ter Kuile FO
影响因子：
5.4
作者：
Adongo, PB;Phillips, JF;Binka, FN
通讯作者：
Binka, FN
DOI：
10.1097/01.qai.0000225032.52766.c2
发表时间：
2006-06-01
影响因子：
3.6
作者：
Homsy, Jaco;Kalamya, Julius N.;Mermin, Jonathan
通讯作者：
Mermin, Jonathan
影响因子：
3.2
作者：
Nyonator, FK;Awoonor-Williams, JK;Miller, RA
通讯作者：
Miller, RA
影响因子：
3.4
作者：
Adongo, Philip Baba;Tapsoba, Placide;Akweongo, Patricia
通讯作者：
Akweongo, Patricia