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印度南部一所三级医学院农村实地实践地区丈夫参与妇幼保健情况的混合方法研究

Involvement of husband in maternal and child health care in rural field practice area of a tertiary medical college in South India-A mixed method study.

作者信息

Suryawanshi D S, Rajaseharan D, Venugopal R

机构信息

Department of Community Medicine, Trichy SRM Medical College, Tiruchirappalli, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2021 Aug;10(8):2829-2833. doi: 10.4103/jfmpc.jfmpc_2342_20. Epub 2021 Aug 27.

DOI:10.4103/jfmpc.jfmpc_2342_20
PMID:34660413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8483132/
Abstract

BACKGROUND

To commemorate the 25 anniversary of International Conference on Population and Development (ICPD) in the pursuit of Sexual and Reproductive Health Rights views of duty bearers (men) who are mostly not involved in antenatal care in a patriarchal society like India needs to be explored.

DESIGN

It is a mixed method study (Triangulation).

SETTING AND POPULATION

It was conducted in a rural field practice area of a private medical college in South India covering a population of 19,200.

OBJECTIVES

  1. To determine the involvement of husband in maternal and child care. 2) To find out the perceptions of the husbands of antenatal pregnant women in maternal and child health (MCH) care.

METHODS

(Quan) A semi-structured questionnaire to find out the areas where husband is involved maximum during antenatal care (Qual). In-depth interviews was conducted to find out the factors associated with their involvement.

RESULTS

About 72.5% came for antenatal visits while it decreased to 27.5% during labor and further decreased to 20.3% during immunization. The reasons for decreased participation were (1) Professional Commitments, (2) Views of a Patriarchal society like India, (3) Financial Difficulties, and (4) Health Facility Related Challenges.

CONCLUSION

There is a need to educate the husband regarding the importance of husband's involvement during delivery and immunization. Programs should also include men as the stakeholders for accountability and better MCH care for women.

摘要

背景

为纪念国际人口与发展会议(ICPD)召开25周年,在印度这样的父权制社会中,需要探讨主要未参与产前护理的责任承担者(男性)对性健康和生殖健康权利的看法。

设计

这是一项混合方法研究(三角互证法)。

地点和人群

研究在印度南部一所私立医学院的农村实地实践区域进行,覆盖人口19200人。

目的

1)确定丈夫在母婴护理中的参与情况。2)了解产前孕妇的丈夫对母婴健康(MCH)护理的看法。

方法

(定量)采用半结构化问卷,以找出丈夫在产前护理期间参与最多的领域(定性)。进行深入访谈,以找出与其参与相关的因素。

结果

约72.5%的人前来进行产前检查,而在分娩期间这一比例降至27.5%,在免疫接种期间进一步降至20.3%。参与度下降的原因包括:(1)工作承诺;(2)像印度这样的父权制社会的观念;(3)经济困难;(4)与卫生设施相关的挑战。

结论

有必要教育丈夫了解其在分娩和免疫接种期间参与的重要性。项目还应将男性纳入利益相关者,以实现问责制并为女性提供更好的母婴健康护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/8483132/6cb467ee1aad/JFMPC-10-2829-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/8483132/6cb467ee1aad/JFMPC-10-2829-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15d/8483132/6cb467ee1aad/JFMPC-10-2829-g002.jpg

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