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坦桑尼亚穆松格维区男性对陪怀孕伴侣进行产前保健就诊的看法:一项定性研究。

Men perspectives on attending antenatal care visits with their pregnant partners in Misungwi district, rural Tanzania: a qualitative study.

机构信息

Catholic University of Health and Allied Sciences (CUHAS), Mwanza, Tanzania.

Bugando Medical Centre, Mwanza, Tanzania.

出版信息

BMC Pregnancy Childbirth. 2021 Jan 28;21(1):93. doi: 10.1186/s12884-021-03585-z.

Abstract

BACKGROUND

Mens'attendance with their pregnant partners at facility-based antenatal care (ANC) visits is important for maternal and child health and gender equality yet remains uncommon in parts of rural Tanzania. This study examined men's perspectives on attending ANC with their pregnant partners in Misungwi District, Tanzania.

METHODS

Twelve individual interviews and five focus group discussions were conducted using semi-structured questionnaires with fathers, expectant fathers, and in-depth interviews were done to health providers, volunteer community health workers, and village leaders. Interviews were recorded and transcribed in Swahili and later translated to English. The research team conducted thematic analysis to identify common themes among interviews.

RESULTS

We identified two broad themes on the barriers to male attendance at facility-based ANC visits: (1) Perceived exclusion during ANC visits among men (2) Traditional gender norms resulting to low attendance among men.

CONCLUSION

Attendance at health facility for ANC visits by men with their pregnant partners in the study areas were challenged by structural and local cultural norms. At the facility men were uncomfortable to sit with women due to lack of specific waiting area for men and that they perceived to be neglected. Local cultural norms demanded women to have secrecy in pregnancy while men perceived not to have a role of being with their partners during ANC visits.

摘要

背景

男性在医疗机构中陪伴孕妇进行产前检查(ANC)对于母婴健康和性别平等至关重要,但在坦桑尼亚部分农村地区仍不常见。本研究探讨了坦桑尼亚米松格维区男性对陪伴孕妇进行 ANC 的看法。

方法

采用半结构化问卷进行了 12 次个人访谈和 5 次焦点小组讨论,访谈对象包括父亲、准父亲,并对卫生保健提供者、志愿社区卫生工作者和村长进行了深入访谈。访谈以斯瓦希里语记录并转录,随后翻译成英文。研究团队进行了主题分析,以确定访谈中常见的主题。

结果

我们确定了男性参与医疗机构 ANC 访问的两个主要障碍:(1)男性在 ANC 访问中被感知到的排斥;(2)传统性别规范导致男性参与度低。

结论

在研究地区,男性与孕妇一起到医疗机构进行 ANC 访问受到结构和当地文化规范的挑战。在医疗机构中,由于缺乏专门的男性等候区,男性感到与女性坐在一起不舒服,他们觉得自己被忽视了。当地的文化规范要求女性在怀孕期间保持隐私,而男性则认为自己在 ANC 访问期间没有陪伴伴侣的角色。

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