Odimegwu Clifford, Adewuyi Alfred, Odebiyi Tanwa, Aina Bisi, Adesina Yinka, Olatubara Olu, Eniola Femi
School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Afr J Reprod Health. 2005 Dec;9(3):59-71.
This study was conducted among the Yoruba of South-West Nigeria to examine the role of men in emergency obstetric care, as men determine whether and when their spouses visit health clinics in most cultures. Simple random sampling was used to select 900 households from three communities in Osun State, south-west Nigeria. Separate interviewers interviewed the man and his wife in each of the households. In polygamous families, two wives of reproductive age were also interviewed. The quantitative survey was complemented with a number of focus group discussions, in-depth interviews and key informant interviews. There was high level of awareness of emergency obstetric conditions by men, particularly in relation to pregnancy signs and labour pains (53.2%). Respondents reported that men play useful roles during their partner's obstetric conditions (89.2%). Women take decisions on health-seeking behaviour during emergency obstetric conditions in the absence of the male partner. Education is found to be the major determinant of this change in male knowledge and behaviour. There is a need to further promote universal basic education in the country especially in areas where the observable change in this study has not been noted. There is also a need to extend the study to other zones in Nigeria in order to have a national picture.
本研究在尼日利亚西南部的约鲁巴人中开展，旨在探讨男性在紧急产科护理中的作用，因为在大多数文化中，男性决定其配偶是否以及何时前往健康诊所。采用简单随机抽样方法，从尼日利亚西南部奥孙州的三个社区中选取了900户家庭。由不同的访谈员对每户家庭中的男性及其妻子进行访谈。在一夫多妻制家庭中，还对两名育龄期妻子进行了访谈。定量调查辅以若干焦点小组讨论、深入访谈和关键 informant 访谈。男性对紧急产科情况的知晓程度较高，尤其是在怀孕体征和分娩疼痛方面（53.2%）。受访者报告称，男性在其伴侣的产科情况中发挥着有益作用（89.2%）。在没有男性伴侣的情况下，女性在紧急产科情况下决定寻求医疗行为。研究发现，教育是男性知识和行为发生这种变化的主要决定因素。有必要在该国进一步推广普及基础教育，特别是在尚未注意到本研究中可观察到的变化的地区。还需要将该研究扩展到尼日利亚的其他地区，以便了解全国情况。
