在姆贝亚基拉区，参与产前护理就诊的男性伴侣的流行率。
Prevalence of male partners involvement in antenatal care visits - in Kyela district, Mbeya.
机构信息
Catholic University of Health and Allied Sciences-Bugando, P.O Box 1464, Mwanza, Tanzania.
School of public health, Catholic University of Health and Allied Sciences P. O BOX 1464, Mwanza, Tanzania.
出版信息
BMC Pregnancy Childbirth. 2019 Sep 2;19(1):321. doi: 10.1186/s12884-019-2475-4.
BACKGROUND
In most countries in the world, promotion of maternal and child health is perceived as women's role and men do not feel that they are responsible and see no reason to accompany their partners to Antenatal Care (ANC) clinics [Vermeulen, E., et al., BMC Pregnancy Childbirth 16:66, 2016]. Male involvement in Reproductive, Maternal, Neonates and Child and Adolescent Health (RMNCAH) programs in Tanzania is low. In Prevention of Mother to Child Transmission (PMTCT) program, the data shows only 30% attend couple counseling and only 8% for HIV counseling with their partners. There is limited data on prevalence of male involvement in ANC visits in Kyela. The purpose of this study was to determine prevalence of male involvement in ANC services and assess factors influencing male partners' involvement in ANC visits in Kyela district in Mbeya. The findings from this study will serve as a baseline in efforts to increase male involvement in ANC care in Kyela.
METHODS
Hospital based cross-sectional study was undertaken in Kyela district, Mbeya from October 2017 to November 2017. Data was collected using structured questionnaire and analyzed using SPSS version 20. Factors with P values of < 0.05 in univariate logistic regression were included in a multivariable logistic regression model to determine predictor variables that are independently associated with the outcome. Significant difference was defined as a P- value less than 0.05 and Odds Ratio (OR) that did not include 1.0.
RESULTS
About 174 pregnant women who were visiting the ANC in their second to fourth visits or higher. About, 56.9% (99) attended with their male partners and 51% (52) of these reported to be accompanied by male partners to ANC because the women had requested their partners to accompany them. Attendance of male partners to ANC was significantly associated with male partner awareness of ANC visiting dates OR 24.1, 95% CI 6.8, 86.5, and P < 0.0001.
CONCLUSION
Prevalence of male attendance to the ANC in Kyela district is not adequate as fearing of HIV testing seemed to decrease male attendance to ANC services. So, there is high need to improve ANC health services with a focus on male friendly services.
背景
在世界上大多数国家，促进母婴健康被视为女性的角色，男性并不认为自己有责任，也觉得没有理由陪伴侣去产前护理 (ANC) 诊所 [Vermeulen, E., et al., BMC Pregnancy Childbirth 16:66, 2016]。坦桑尼亚男性参与生殖、孕产妇、新生儿和儿童青少年健康 (RMNCAH) 项目的比例较低。在预防母婴传播 (PMTCT) 项目中，数据显示只有 30%的人参加夫妻咨询，只有 8%的人与伴侣进行 HIV 咨询。关于基耶拉男性参与 ANC 就诊的流行率数据有限。本研究旨在确定男性参与 ANC 服务的流行率，并评估影响基耶拉地区男性伴侣参与 ANC 就诊的因素。本研究的结果将作为在基耶拉增加男性参与 ANC 护理的努力的基线。
方法
2017 年 10 月至 11 月在姆贝亚基耶拉区进行了一项基于医院的横断面研究。使用结构化问卷收集数据，并使用 SPSS 版本 20 进行分析。单变量逻辑回归中 P 值<0.05 的因素被纳入多变量逻辑回归模型，以确定与结果独立相关的预测变量。显著差异定义为 P 值小于 0.05 和不包括 1.0 的优势比 (OR)。
结果
约有 174 名孕妇在第二次至第四次或更高次就诊时接受 ANC。约 56.9%（99 人）与男性伴侣一起就诊，其中 51%（52 人）报告称因女性要求伴侣陪同而陪同伴侣到 ANC。男性伴侣参加 ANC 与男性伴侣对 ANC 就诊日期的认识显著相关，OR 24.1，95%CI 6.8，86.5，P<0.0001。
结论
基耶拉地区男性参加 ANC 的比例不足，因为对 HIV 检测的恐惧似乎降低了男性参加 ANC 服务的比例。因此，需要重点改善 ANC 卫生服务，提供对男性友好的服务。
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