Department of Midwifery, College of medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Department of Nursing, Arba Minch College of Health Sciences, Arba Minch, Ethiopia.
PLoS One. 2021 Dec 28;16(12):e0261936. doi: 10.1371/journal.pone.0261936. eCollection 2021.
Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy helps a mother to make timely decisions to avoid delays. Identifying the level of husband involvement in Birth-preparedness and complication-readiness is very important, as husband is the major decision maker in household and health service related issue. However, there is no sufficient data in the Kucha district, which describes the level of husband involvement in Birth-preparedness and complication-readiness. Therefore, this study assessed the level of husband involvement in birth preparedness and complication readiness in Kucha District, Gamo Zone, Ethiopia.
Community-based cross-sectional study was conducted on 421 husbands whose wife gave birth within the last 12 months at Kucha District using simple random sampling technique. Data was collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the level of husband involvement. A p-value <0.05 with 95% confidence level used to decide statistical significance.
Data were collected from 421 study participants. One hundred twenty-seven (30.2%) were involved in birth preparedness and complication readiness plan. Participants who had at least secondary school education AOR = 3.1, CI (1.84-5.23), had at least four antenatal care visits AOR = 4.91, CI (2.36-10.2), and live more than five km from the health care facility AOR = 2.35, CI = 1.40-3.96) were involved in birth preparedness and complication readiness plan.
Husbands' involvement in birth preparedness and complication readiness was low. Husband's higher educational level, high frequency of antenatal care, and long distance to the health facility were significantly associated with husbands' involvement in Birth-preparedness and complication-readiness plan. Therefore, advocating for higher frequency of antenatal care and improving educational level are important to increase husbands' involvement in birth preparedness and complication readiness plan.
生育准备和并发症准备（BPCR）是规划正常分娩并预测紧急情况下所需行动的过程。丈夫在怀孕期间的参与有助于母亲及时做出决策，避免延误。确定丈夫在生育准备和并发症准备中的参与程度非常重要，因为丈夫是家庭和卫生服务相关问题的主要决策者。然而，在古马地区，没有足够的数据描述丈夫在生育准备和并发症准备中的参与程度。因此，本研究评估了古马地区库察区丈夫参与生育准备和并发症准备的程度。
采用基于社区的横断面研究，使用简单随机抽样技术对在库察区最近 12 个月内分娩的 421 名丈夫进行研究。数据由经过培训的数据收集员使用预测试的访谈式调查问卷收集。采用二项和多变量逻辑回归分析，比值比及其 95%置信区间分析用于确定与丈夫参与度相关的因素。使用具有 95%置信水平的 p 值<0.05 来决定统计学意义。
从 421 名研究参与者中收集了数据。有 127 人（30.2%）参与了生育准备和并发症准备计划。至少接受过中学教育的参与者 AOR=3.1，CI（1.84-5.23），至少接受过四次产前护理的参与者 AOR=4.91，CI（2.36-10.2），距离保健设施超过 5 公里的参与者 AOR=2.35，CI=1.40-3.96）参与了生育准备和并发症准备计划。
丈夫参与生育准备和并发症准备的程度较低。丈夫较高的教育水平、较高的产前护理频率和到卫生机构的距离较长与丈夫参与生育准备和并发症准备计划显著相关。因此，倡导更高频率的产前护理和提高教育水平对于增加丈夫参与生育准备和并发症准备计划非常重要。
