Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study.
Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study.
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DOI：
10.1186/1471-2393-13-134
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发表时间：
2013-06-21
影响因子：
3.1
通讯作者：
Ter Kuile FO
中科院分区：
文献类型：
--
作者：
Kwambai TK;Dellicour S;Desai M;Ameh CA;Person B;Achieng F;Mason L;Laserson KF;Ter Kuile FO
在肯尼亚，基于设施的产前和分娩护理服务利用率低，阻碍了孕产妇死亡率的降低。研究表明，男子参与产前和分娩护理与更好的寻求保健的行为有关，但许多生殖健康方案并没有促进他们的参与。这项定性研究在肯尼亚西部农村进行，探讨了男子对产前和分娩护理服务的看法，并确定了促进或限制他们参与的因素。2011年5月，与68名年龄在20-65岁之间的已婚男子进行了8次焦点小组讨论。参加者是居住在肯尼亚西部阿森博的卢奥族。该地区艾滋病毒流行率很高，一夫多妻制很普遍。使用专题指南指导讨论，并使用专题框架方法进行数据分析。总体而言，男子对产前和分娩护理持积极态度，作为决策者，他们经常鼓励、有些甚至“强迫"妻子接受产前或分娩护理。人们提出了许多理由来说明陪伴妻子是有益的，但实际上很少有人这样做，除非有临床并发症。查明的与文化规范有关的三个主要障碍是：1）怀孕支助被认为是女性的角色;男性的角色是提供者; 2）保健工作者对男子参与的消极态度; 3）夫妇不友好的产前和分娩单位基础设施。尽管男性报告称会为妻子利用产前和分娩护理服务提供便利，但这并没有转化为实践，因为产前护理时间表和基于设施的分娩的遵守情况通常很差。同样，她们提出的为什么应该陪伴妻子的理由也没有付诸实施，障碍超过了促进者。关于提高男子参与和可能增加服务利用率的建议包括：针对男子的提高认识运动，探讨促进联合艾滋病毒检测和咨询，工作人员培训，以及设计夫妇友好的产前和分娩单位。
Poor utilisation of facility-based antenatal and delivery care services in Kenya hampers reduction of maternal mortality. Studies suggest that the participation of men in antenatal and delivery care is associated with better health care seeking behaviour, yet many reproductive health programs do not facilitate their involvement. This qualitative study conducted in rural Western Kenya, explored men’s perceptions of antenatal and delivery care services and identified factors that facilitated or constrained their involvement. Eight focus group discussions were conducted with 68 married men between 20-65 years of age in May 2011. Participants were of the Luo ethnic group residing in Asembo, western Kenya. The area has a high HIV-prevalence and polygamy is common. A topic guide was used to guide the discussions and a thematic framework approach for data analysis. Overall, men were positive in their views of antenatal and delivery care, as decision makers they often encouraged, some even ‘forced’, their wives to attend for antenatal or delivery care. Many reasons why it was beneficial to accompany their wives were provided, yet few did this in practice unless there was a clinical complication. The three main barriers relating to cultural norms identified were: 1) pregnancy support was considered a female role; and the male role that of provider; 2) negative health care worker attitudes towards men’s participation, and 3) couple unfriendly antenatal and delivery unit infrastructure. Although men reported to facilitate their wives’ utilisation of antenatal and delivery care services, this does not translate to practice as adherence to antenatal-care schedules and facility based delivery is generally poor. Equally, reasons proffered why they should accompany their wives are not carried through into practice, with barriers outweighing facilitators. Recommendations to improve men involvement and potentially increase services utilisation include awareness campaigns targeting men, exploring promotion of joint HIV testing and counselling, staff training, and design of couple friendly antenatal and delivery units.
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影响因子：
3.1
作者：
Mpembeni RN;Killewo JZ;Leshabari MT;Massawe SN;Jahn A;Mushi D;Mwakipa H
通讯作者：
Mwakipa H
影响因子：
5.4
作者：
Mullany, BC
通讯作者：
Mullany, BC
影响因子：
5.4
作者：
Mullany, BC;Hindin, MJ;Becker, S
通讯作者：
Becker, S
影响因子：
3.4
作者：
Kululanga, Lucy I.;Sundby, Johanne;Chirwa, Ellen
通讯作者：
Chirwa, Ellen
影响因子：
5.4
作者：
Amooti-Kaguna, B;Nuwaha, F
通讯作者：
Nuwaha, F