Department of Community Medicine, Babcock University, Ilisan, Ogun State, Nigeria.
Department of Community Medicine and Primary Care, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria.
Afr J Reprod Health. 2020 Jun;24(2):70-84. doi: 10.29063/ajrh2020/v24i2.7.
Though male involvement is associated with improved maternal and child health outcomes, the practice is low in developing counties like Nigeria. This comparative cross-sectional study described and compared male involvement in birth preparedness between rural and urban areas of Ogun State, Nigeria. It was carried out among 440 fathers of under-fives each from rural and urban local governments using multistage sampling to select participants. Data were collected using an interviewer-administered questionnaire and Focused Group Discussions (FGDs) and analyzed using SPSS version 20. Thematic analysis of FGD was done. Relevant descriptive and inferential statistics were calculated and results presented in frequency tables. Male involvement was statistically significantly better in rural areas than in urban areas (P= <0.001). Tertiary education (AOR= 2.446, 95% C. I= 1 .559- 3.838) remained significant predictor of male involvement in birth preparedness in the urban area while predictors in rural area were young paternal age (AOR 0.465, 95% C.I= 0.223-0.967) and tertiary education (AOR= 6.241, 95% C.I=1.827-21.317). This implies that male involvement in birth preparedness was better among educated men in both urban and rural areas.
尽管男性参与与改善母婴健康结果有关，但在尼日利亚等发展中国家，这种做法很低。本研究采用描述性比较横断面设计，在尼日利亚奥贡州农村和城市地区描述和比较了男性在生育准备方面的参与情况。研究对象为来自农村和城市地方政府的 440 名 5 岁以下儿童的父亲，采用多阶段抽样选择参与者。使用访谈者管理的问卷和焦点小组讨论（FGD）收集数据，并使用 SPSS 版本 20 进行分析。对 FGD 进行了主题分析。计算了相关的描述性和推断性统计数据，并以频率表的形式呈现结果。农村地区的男性参与度明显高于城市地区（P<0.001）。在城市地区，高等教育（AOR=2.446，95%CI=1.559-3.838）仍然是男性参与生育准备的显著预测因素，而农村地区的预测因素是年轻的父亲年龄（AOR 0.465，95%CI=0.223-0.967）和高等教育（AOR=6.241，95%CI=1.827-21.317）。这意味着，在城乡地区，受过教育的男性在生育准备方面的参与度更高。
