Iliyasu Zubairu, Abubakar Isa S, Galadanci Hadiza S, Aliyu Muktar H
Department of Community Medicine, Aminu Kano Teaching Hospital and Bayero University Kano, Nigeria.
Afr J Reprod Health. 2010 Mar;14(1):21-32.
The role of men in maternity care in Africa is understudied, despite their economic dominance and decision making power. In a patriarchal society like northern Nigeria, pregnancy and childbirth are often regarded as exclusively women's affairs. Using data from interviewer administered questionnaires and in-depth interviews; we assessed birth preparedness, complication readiness and male participation in maternity care in Ungogo, a northern Nigerian community. Majority of pregnancies were unplanned (96%). Only 32.1% of men ever accompanied their spouses for maternity care. There was very little preparation for skilled assistance during delivery (6.2%), savings for emergencies (19.5%) or transportation during labour (24.2%). Young paternal age (adjusted odds ratio [AOR] = 1.5, 95% confidence interval [CI] = 1.2-2.6), formal education (AOR = 1.9, 95% CI=1.1-3.4) and non-Hausa Fulani ethnicity (AOR=2.3, 95% CI = 1.4-3.3) were independent predictors of male participation in maternity care. There is a need to increase involvement of men in their partner's maternity care through peer-led, culturally-sensitive community education and appropriate health system reforms.
尽管男性在非洲的经济领域占据主导地位且拥有决策权，但他们在孕产妇护理中的作用却鲜有研究。在像尼日利亚北部这样的父权制社会中，怀孕和分娩通常被视为完全是女性的事情。我们使用访谈员管理的问卷数据和深入访谈，评估了尼日利亚北部一个社区昂戈戈地区的生育准备情况、并发症应对准备情况以及男性在孕产妇护理中的参与情况。大多数怀孕都是意外怀孕（96%）。只有32.1%的男性曾陪同配偶接受孕产妇护理。分娩时对熟练助产的准备非常少（6.2%），为紧急情况储蓄的比例为19.5%，分娩时交通准备的比例为24.2%。父亲年龄较小（调整后的优势比[AOR]=1.5，95%置信区间[CI]=1.2 - 2.6）、接受过正规教育（AOR = 1.9，95% CI = 1.1 - 3.4）以及非豪萨富拉尼族裔（AOR = 2.3，95% CI = 1.4 - 3.3）是男性参与孕产妇护理的独立预测因素。有必要通过同伴主导、具有文化敏感性的社区教育和适当的卫生系统改革，增加男性对其伴侣孕产妇护理的参与度。
