'Unless you come with your partner you will be sent back home': strategies used to promote male involvement in antenatal care in Southern Tanzania.
'Unless you come with your partner you will be sent back home': strategies used to promote male involvement in antenatal care in Southern Tanzania.
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DOI：
10.1080/16549716.2018.1449724
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发表时间：
2018
影响因子：
2.6
通讯作者：
Maluka SO
中科院分区：
文献类型：
--
作者：
Peneza AK;Maluka SO
背景：男性参与怀孕和分娩已被证明可以改善孕产妇和儿童健康。许多国家采用不同的战略来促进男子参与产前保健服务。虽然已经采用了许多战略来促进男性参与产前护理，但很少有战略得到评价，以提供急需的经验教训，支持更广泛的采用。 目的：本研究旨在描述卫生服务提供者和社区为促进男性参与产前保健服务所采用的战略，以及在坦桑尼亚南部实施这些干预措施所面临的挑战。 方法：采用定性资料和分析方法回答研究问题。这项研究依赖于对保健提供者、男子和妇女、村庄和社区领导人以及传统助产士的半结构化访谈。采用专题方法对数据进行分析。 结果如下：研究结果显示，医疗服务提供者及社会人士在推动男性参与产前护理服务方面，采用了不同的策略。这些战略包括：保健服务提供者拒绝向没有伴侣参加产前护理的妇女提供服务，向有伴侣参加产前护理的男子提供快速跟踪服务，并提供教育和社区宣传。据报告，这些战略的实施产生了积极和意外的后果。 结论：这项研究的结论是，尽管男性参与怀孕和分娩相关服务的重要性，男性陪同政策的使用和推广不应无意中影响孕妇获得产前保健服务。此外，旨在促进男子参与的方案应以尊重、促进和便利妇女的选择和自主并确保其安全的方式执行。此外，还需要提高保健提供者和决策者的认识，使他们了解什么最有利于男子参与怀孕和分娩。
Background: Male involvement in pregnancy and childbirth has been shown to improve maternal and child health. Many countries have used different strategies to promote participation of men in antenatal care services. While many strategies have been employed to promote male participation in antenatal care, few have been evaluated to provide much-needed lessons to support wider adoption. Objective: This study aimed at describing strategies that were used by health providers and the community to promote male participation in antenatal care services and challenges associated with the implementation of these interventions in Southern Tanzania. Methods: We used qualitative data and analytical methods to answer the research questions. The study relied on semi-structured interviews with health providers, men and women, village and community leaders and traditional birth attendants. Data were analysed using a thematic approach. Results: The findings of this study revealed that different strategies were employed by health providers and the community in promoting participation of men in antenatal care services. These strategies included: health providers denying services to women attending antenatal care without their partners, fast-tracking service to men attending antenatal care with their partners, and providing education and community sensitisation. The implementation of these strategies was reported to have both positive and unintended consequences. Conclusions: This study concludes that despite the importance of male involvement in pregnancy and childbirth-related services, the use and promotion of the male escort policy should not inadvertently affect access to antenatal care services by pregnant women. In addition, programmes aiming for men’s involvement should be implemented in ways that respect, promote and facilitate women’s choices and autonomy and ensure their safety. Furthermore, there is a need for sensitisation of health providers and policymakers on what works best for involving men in pregnancy and childbirth.
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DOI：
10.1080/09540120701687059
发表时间：
2008-01-01
影响因子：
1.7
作者：
Msuya, S. E.;Mbizvo, E. M.;Stray-Pedersen, B.
通讯作者：
Stray-Pedersen, B.
影响因子：
3.1
作者：
Manda-Taylor, Lucinda;Mwale, Daniel;Byrne, Elaine
通讯作者：
Byrne, Elaine
影响因子：
3.4
作者：
Byamugisha R;Tumwine JK;Semiyaga N;Tylleskär T
通讯作者：
Tylleskär T
影响因子：
2.7
作者：
Maman, Suzanne;Moodley, Dhayendre;Groves, Allison K.
通讯作者：
Groves, Allison K.
影响因子：
3.4
作者：
Kululanga, Lucy I.;Sundby, Johanne;Chirwa, Ellen
通讯作者：
Chirwa, Ellen