Gross Karin, Mayumana Iddy, Obrist Brigit
Swiss Tropical and Public Health Institute, Basel, Switzerland.
Anthropol Med. 2013 Apr;20(1):98-108. doi: 10.1080/13648470.2012.747594. Epub 2013 Mar 25.
Men as sexual partners, fathers and household heads have a direct bearing on women's reproductive health. However, little is known about the influence of changing norms and values on men's role in ensuring women's health during pregnancy and childbirth. This study from rural south-eastern Tanzania explores men's and women's discussions on men's roles and responsibilities in prenatal care and links them to an analysis of norms and values at the household level and beyond. Data from eight focus group discussions with men and women were consensually coded and analysed using a qualitative content analysis. Four dimensions of norms and values, which emerged from analysis, bear upon men's support towards pregnant women: changing gender identities; changing family and marriage structures; biomedical values disseminated in health education; and government regulations. The findings suggest that Tanzanian men are exposed to a contradictory and changing landscape of norms and values in relation to maternal health.
男性作为性伴侣、父亲和一家之主，对女性的生殖健康有着直接影响。然而，关于规范和价值观的变化对男性在确保女性孕期和分娩期间健康方面所起作用的影响，我们却知之甚少。这项来自坦桑尼亚东南部农村的研究，探讨了男性和女性关于男性在产前护理中的角色和责任的讨论，并将其与对家庭层面及更广泛层面的规范和价值观的分析联系起来。来自与男性和女性进行的八次焦点小组讨论的数据，经协商一致进行编码，并采用定性内容分析法进行分析。分析得出的规范和价值观的四个维度，影响着男性对孕妇的支持：不断变化的性别身份；不断变化的家庭和婚姻结构；健康教育中传播的生物医学价值观；以及政府法规。研究结果表明，在孕产妇健康方面，坦桑尼亚男性面临着规范和价值观相互矛盾且不断变化的局面。
