Sahip Yusuf, Turan Janet Molzan
Family Health Department, Institute of Child Health, Istanbul University, Turkey.
J Biosoc Sci. 2007 Nov;39(6):843-60. doi: 10.1017/S0021932007002088. Epub 2007 May 31.
Worldwide, there is increasing recognition that if family and reproductive health programmes are to be successful, the involvement of men is essential. As part of the problem, men also have to be seen as part of the solution. The reality is that in many countries, including Turkey, men generally do not accompany their partners to health facilities for family planning, antenatal and postnatal services and are not expected to attend the labour or birth of their child. Workplace programmes are a potential strategy for meeting the reproductive health education needs of men in industrial cities such as Istanbul. This intervention study was developed to test the feasibility and effects of expanding a special programme for expectant fathers to large workplaces in Istanbul, with the aim of improving the health of Turkish families during the pregnancy, birth and newborn periods. The findings indicate that it is possible to train workplace physicians in Istanbul to conduct regular educational programmes for expectant fathers on reproductive health, and that such programmes may have beneficial effects, especially in the areas of pregnancy nutrition, exclusive breast-feeding, and support behaviours. Considering the difficulty of getting men to attend hospital or clinic-based educational programmes in large urban areas, bringing such training programmes to men at their places of work has the potential to be an important strategy. Given that large workplaces in Turkey already have full-time physicians charged with the duty of health education for employees, this is also a feasible strategy.
在全球范围内，人们越来越认识到，如果家庭和生殖健康项目要取得成功，男性的参与至关重要。作为问题的一部分，男性也必须被视为解决问题的一部分。现实情况是，在包括土耳其在内的许多国家，男性通常不会陪同伴侣前往医疗机构接受计划生育、产前和产后服务，也不被期望参与孩子的分娩过程。工作场所项目是满足伊斯坦布尔等工业城市男性生殖健康教育需求的一种潜在策略。这项干预性研究旨在测试将一项为准爸爸开展的特别项目扩展到伊斯坦布尔大型工作场所的可行性和效果，目的是在孕期、分娩期和新生儿期改善土耳其家庭的健康状况。研究结果表明，在伊斯坦布尔培训工作场所的医生为准爸爸开展定期的生殖健康教育项目是可行的，而且这些项目可能会产生有益的影响，尤其是在孕期营养、纯母乳喂养和支持行为等方面。考虑到在大城市让男性参加医院或诊所的教育项目存在困难，将此类培训项目带到男性的工作场所可能是一项重要策略。鉴于土耳其的大型工作场所已经有全职医生负责为员工开展健康教育，这也是一项可行的策略。
