Suppr超能文献

促进加纳贾曼北区男性参与孕产妇保健:策略与实施挑战

Promoting male participation in maternal healthcare in the Jaman North District in Ghana: Strategies and implementation challenges.

作者信息

Gyan Emmanuel Kofi, Dugle Gordon, Abiiro Gilbert Abotisem

机构信息

Graduate School (MPhil Candidate), University for Development Studies, Tamale, Ghana.

Department of Management Studies, School of Business, SD-Dombo University of Business and Integrated Development Studies, Wa, Ghana.

出版信息

Int J Health Plann Manage. 2022 May;37(3):1754-1768. doi: 10.1002/hpm.3441. Epub 2022 Feb 17.

Abstract

Promoting male participation in maternal healthcare is essential for improved maternal health outcomes. This study explored existing strategies to promote male participation in maternal healthcare and assessed their implementation challenges within healthcare facilities in the Jaman North District in Ghana. A qualitative approach was implemented in April 2020. Interviews were administered to a stratified purposive sample of 18 respondents comprising six midwives and 12 male partners of postnatal mothers. All interviews were audio-recorded, transcribed, and manually analysed using thematic analysis. The findings revealed early service, male partner invitation, male partner incentivisation, public sensitization, and male informed education, as strategies to promote male participation in the district. The implementation of these strategies has been constrained by socio-cultural and health system factors, namely, perception of pregnancy as non-illness, perceived experiences gained by women during previous births, cultural stereotypes, unconducive environment of healthcare facilities, inappropriate timing of facility attendance and unexpected costs associated with male participation. Promoting male participation, therefore, requires dedicated policy attention to the existing socio-cultural and health system constraints. The Ghana Health Service and other stakeholders should consider both community-level and targeted sensitization on the benefits of male participation in maternal healthcare and a general improvement in maternal healthcare infrastructure.

摘要

促进男性参与孕产妇保健对于改善孕产妇健康结局至关重要。本研究探讨了促进男性参与孕产妇保健的现有策略,并评估了加纳贾曼北区医疗机构在实施这些策略时面临的挑战。2020年4月采用了定性研究方法。对18名受访者进行了访谈,这些受访者是经过分层抽样选取的,包括6名助产士和12名产后母亲的男性伴侣。所有访谈均进行了录音、转录,并采用主题分析法进行人工分析。研究结果揭示了早期服务、邀请男性伴侣、激励男性伴侣、公众宣传和男性知情教育等作为该地区促进男性参与的策略。这些策略的实施受到社会文化和卫生系统因素的制约,即认为怀孕不是疾病、女性在以往分娩中获得的经验、文化刻板印象、医疗机构环境不利、就诊时间不合适以及男性参与相关的意外费用。因此,促进男性参与需要专门的政策关注现有的社会文化和卫生系统制约因素。加纳卫生服务局和其他利益相关者应考虑在社区层面和有针对性地宣传男性参与孕产妇保健的益处,并全面改善孕产妇保健基础设施。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验