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孕产妇健康:对尼日利亚拉各斯男性伴侣参与情况的定性研究

Maternal Health: a Qualitative Study of Male Partners' Participation in Lagos, Nigeria.

作者信息

Adejoh Samuel Ojima, Olorunlana Adetayo, Olaosebikan Olatunji

机构信息

Department of Sociology, University of Lagos, Lagos, Nigeria.

Department of Sociology and Anthropology, Igbinedion University, Okada, Edo, Nigeria.

出版信息

Int J Behav Med. 2018 Feb;25(1):112-122. doi: 10.1007/s12529-017-9659-y.

Abstract

PURPOSE

Male involvement in maternal healthcare has been described as a key factor to reducing maternal mortality globally. Hence, this study investigated the choice of facility to be used during pregnancy and examined factors that influence male participation in maternal healthcare issues of their spouses as these factors may sometimes influence the choice of health care services for pregnant women.

METHOD

The study was cross-sectional in design; the setting was at Badagry, Lagos, Nigeria. Thirty married men with at least the experience of birth of baby, who consented to participate, were purposively recruited for the study. Data were transcribed and content analysed using free narrative.

RESULT

The results show that orthodox health care, traditional birth attendance (TBA), and faith healing were utilised by the respondents. The majority of the participants identified cost of health care services, economic recession, and their job demand as the reasons for their non-active participation in accompanying their spouses for antenatal clinic visit.

CONCLUSION

However, to increase the level of men's participation in maternal healthcare, especially visiting antenatal clinic with spouses, antenatal services should be free of any monetary charges so as to encourage men to be involved and not look for excuses of financial needs. Utilisation of skilled birth attendance should be reinvigorated.

摘要

目的

男性参与孕产妇保健被认为是全球降低孕产妇死亡率的关键因素。因此,本研究调查了孕期使用的医疗机构选择,并探讨了影响男性参与其配偶孕产妇保健问题的因素,因为这些因素有时可能会影响孕妇对医疗服务的选择。

方法

本研究采用横断面设计;研究地点在尼日利亚拉各斯的巴达格里。本研究通过目的抽样法招募了30名至少有过一次生育经历且同意参与的已婚男性。数据采用自由叙述的方式进行转录和内容分析。

结果

结果显示,受访者使用了正统医疗保健、传统助产士(TBA)和信仰疗法。大多数参与者认为医疗服务费用、经济衰退和工作需求是他们不积极陪同配偶进行产前检查的原因。

结论

然而,为了提高男性参与孕产妇保健的程度,特别是陪同配偶前往产前诊所,产前服务应免除任何费用,以鼓励男性参与,而不是寻找经济需求的借口。应恢复使用熟练的助产服务。

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