International Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, entrance 75, UZP 114, 9000, Ghent, Belgium.
International Centre for Reproductive Health - Mozambique, Rua das Flores No 34, Impasse 1085/87, Maputo, Mozambique.
BMC Pregnancy Childbirth. 2020 Sep 29;20(1):572. doi: 10.1186/s12884-020-03265-4.
The role of the male partner and wider family in maternal health, especially in case of emergencies, has been receiving increasing attention over the last decade. Qualitative research has highlighted that women depend on others to access high quality maternity care. Currently little is known about these factors in relation to maternal health in Mozambique.
A cross sectional household survey was conducted with men and women in southern Mozambique about decision making, financial support and knowledge of danger signs. A multivariable logistic model was used to identify factors associated with knowledge of danger signs and Cohen's kappa for agreement among couples.
A total of 775 men and women from Marracuene and Manhica districts were interviewed. Maternal health care decisions were frequently made jointly by the couple (32-49%) and financial support was mainly provided by the man (46-80%). Parental and parent-in-law involvement in decision making and financial support was minimal (0-3%). The average number of danger signs respondents knew was 2.05 and no significant difference (p = 0.294) was found between men and women. Communication with the partner was a significant predictor for higher knowledge of danger signs for both men (p = 0.01) and women (p = 0.03). There was very low agreement within couples regarding decision making (p = 0.04), financial support (p = 0.01) and presence at antenatal care consultations (p = 0.001). Results suggest women and men have a high willingness for more male participation in antenatal care, although their understanding of what constitutes this participation is not clear.
The study findings highlight the important role men play in decision making and financial support for maternal health care issues. Strengthening male involvement in antenatal care services, by investing in counselling and receiving couples, could help accelerate gains in maternal health in Mozambique. Maternal health care studies should collect more data from men directly as men and women often report different views and behavior regarding maternal health care issues and male involvement.
在过去十年中，男性伴侣和更广泛的家庭在产妇健康中的作用，特别是在紧急情况下，越来越受到关注。定性研究强调，妇女依赖他人获得高质量的产妇保健。目前，人们对莫桑比克产妇健康方面的这些因素知之甚少。
在莫桑比克南部，对男性和女性进行了一项横断面家庭调查，了解决策制定、经济支持和对危险信号的认识。使用多变量逻辑模型来确定与危险信号知识相关的因素，并计算夫妻之间的 Cohen's kappa 一致性。
共对马鲁阿内和曼希卡区的 775 名男性和女性进行了访谈。产妇保健决策通常由夫妻共同做出（32-49%），经济支持主要由男性提供（46-80%）。父母和公婆在决策制定和经济支持方面的参与度很小（0-3%）。受访者知道的危险信号平均数量为 2.05 个，男性和女性之间没有显著差异（p=0.294）。与伴侣的沟通是男性（p=0.01）和女性（p=0.03）更高危险信号知识的显著预测因素。夫妻之间在决策制定（p=0.04）、经济支持（p=0.01）和参加产前保健咨询（p=0.001）方面的一致性非常低。结果表明，尽管妇女和男子对更多男性参与产前保健的意愿很高，但他们对参与的理解并不明确。
研究结果强调了男性在决策制定和产妇保健经济支持方面所扮演的重要角色。通过投资于咨询和接受夫妻双方，加强男性对产前保健服务的参与，可能有助于加速莫桑比克产妇健康方面的进展。产妇保健研究应直接从男性收集更多数据，因为男性和女性在产妇保健问题和男性参与方面的观点和行为往往不同。
