Saah Farrukh Ishaque, Tarkang Elvis Enowbeyang, Komesuor Joyce, Osei Eric, Acquah Evelyn, Amu Hubert
Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Int J Reprod Med. 2019 Jul 1;2019:2852861. doi: 10.1155/2019/2852861. eCollection 2019.
With more than half of the global maternal deaths occurring in sub-Saharan Africa, skilled attendance during childbirth is essential in achieving safer births and lower maternal mortalities. Given that societal ascriptions of gender roles strongly influence the utilisation of skilled care by women, male partner involvement in skilled birth is essential. We explored male partner involvement in skilled birth at the North Dayi District of Ghana.
This qualitative study interviewed 14 mothers and their male partners, together with two health professionals. The participants were purposively recruited using in-depth interviews. Data collected were analysed manually, but thematically.
Male partners had inadequate knowledge of childbirth and the skilled birth process as well as possible complications arising during delivery. Even though the male partners demonstrated positive perception towards skilled birth and their involvement in the process, their actual involvement in skilled birth care was generally low. Factors which inhibited most of the male partners from getting involved in skilled birth care were health facility nonconduciveness and occupation. However, motivations to do so were marital commitment and sense of responsibility, past experience, nearness to health facility, and safety and survival of partner and baby.
These findings imply that Ghana may not be able to meet the Sustainable Development Goal Three target of reducing its maternal mortality ratio from 216 to below 70 per 100,000 live births by 2030. Stakeholders in Ghana's health industry need to develop male accommodating skilled birth policies and approaches to promote male involvement in skilled birth care.
全球超过一半的孕产妇死亡发生在撒哈拉以南非洲地区，分娩时获得专业医护对于实现更安全的分娩和降低孕产妇死亡率至关重要。鉴于社会对性别角色的认知强烈影响着女性对专业护理的利用，男性伴侣参与专业分娩护理至关重要。我们在加纳的北达伊区探讨了男性伴侣对专业分娩护理的参与情况。
这项定性研究采访了14位母亲及其男性伴侣，以及两名卫生专业人员。通过深入访谈有目的地招募了参与者。收集到的数据进行了人工分析，但采用了主题分析法。
男性伴侣对分娩及专业分娩过程以及分娩期间可能出现的并发症了解不足。尽管男性伴侣对专业分娩及其参与过程表现出积极的看法，但他们在专业分娩护理中的实际参与度普遍较低。阻碍大多数男性伴侣参与专业分娩护理的因素是医疗机构环境不佳和职业因素。然而，促使他们这样做的动机是婚姻承诺和责任感、过去的经验、距离医疗机构的远近以及伴侣和婴儿的安全与存活。
这些研究结果表明，加纳可能无法实现可持续发展目标3中到2030年将孕产妇死亡率从每10万活产216例降至70例以下的目标。加纳卫生行业的利益相关者需要制定适合男性的专业分娩政策和方法，以促进男性参与专业分娩护理。
