Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi
Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi
复制标题
DOI：
10.1186/s12884-017-1523-1
复制
发表时间：
2017-09-25
影响因子：
3.1
通讯作者：
Byrne, Elaine
中科院分区：
文献类型：
--
作者：
Manda-Taylor, Lucinda;Mwale, Daniel;Byrne, Elaine
背景：多年来，马拉维在孕产妇、新生儿和儿童健康排名中一直垫底。虽然孕产妇死亡率有所下降，在降低新生儿死亡率方面也取得了重大进展，但马拉维在实现孕产妇、新生儿和儿童保健普及方面仍然存在许多挑战。在马拉维，男性参与产前护理/防止母婴传播/孕产妇和新生儿保健服务的人数虽然在增加，但仍然很少，但对为什么会出现这种情况知之甚少。本文的目的是探讨的作用和参与的男子在MNCH服务，作为更广泛的理解，这些社区系统factors.Methods的一部分：本文借鉴了在马拉维的两个区收集的定性数据，探讨的作用和参与的男子在MNCH连续的护理，重点是了解社区系统的障碍和使能因素，男性参与。2014年8月至2015年1月，共进行了85次IDI和20次FGD。半结构访谈指南被用来指导讨论和主题分析方法被用于dataanalysis.Results：政策变化和社区和卫生保健提供者的举措刺激男子参与他们的女性伴侣和子女的健康。非正式细则、保健提供者战略和非政府组织倡议创造了一个有利的环境，以支持马拉维的产前护理和分娩服务的利用。然而，传统的性别角色在家里和男性“不友好”的卫生设施环境仍然提出挑战，男性involvement.Conclusion：传统观念的男性作为决策者和社会文化的观点，孕产妇健康提出挑战，男性参与MNCH方案。卫生保健提供者的举措需要敏感并注意性别角色和关系，例如，创建性别包容性方案和空间，旨在减少对男性参与孕产妇和新生儿保健服务的障碍的看法，以便旨在让男性参与的方案和空间旨在欢迎男性作为改善孕产妇、新生儿和儿童健康结果的总体目标的全面合作伙伴。
Background: For years, Malawi remained at the bottom of league tables on maternal, neonatal and child health. Although maternal mortality ratios have reduced and significant progress has been made in reducing neonatal morality, many challenges in achieving universal access to maternal, newborn and child health care still exist in Malawi. In Malawi, there is still minimal, though increasing, male involvement in ANC/PMTCT/MNCH services, but little understanding of why this is the case. The aim of this paper is to explore the role and involvement of men in MNCH services, as part of the broader understanding of those community system factors.Methods: This paper draws on the qualitative data collected in two districts in Malawi to explore the role and involvement of men across the MNCH continuum of care, with a focus on understanding the community systems barriers and enablers to male involvement. A total of 85 IDIs and 20 FGDs were conducted from August 2014 to January 2015. Semi-structure interview guides were used to guide the discussion and a thematic analysis approach was used for data analysis.Results: Policy changes and community and health care provider initiatives stimulated men to get involved in the health of their female partners and children. The informal bylaws, the health care provider strategies and NGO initiatives created an enabling environment to support ANC and delivery service utilisation in Malawi. However, traditional gender roles in the home and the male ` unfriendly' health facility environments still present challenges to male involvement.Conclusion: Traditional notions of men as decision makers and socio-cultural views on maternal health present challenges to male involvement in MNCH programs. Health care provider initiatives need to be sensitive and mindful of gender roles and relations by, for example, creating gender inclusive programs and spaces that aim at reducing perceptions of barriers to male involvement in MNCH services so that programs and spaces that are aimed at involving men are designed to welcome men as full partners in the overall goals for improving maternal, neonatal and child health outcomes.