Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Pan Afr Med J. 2022 Feb 28;41:167. doi: 10.11604/pamj.2022.41.167.31535. eCollection 2022.
male partner involvement in antenatal care (ANC) contributes to improved maternal health outcomes, but has been wanting in sub-Saharan Africa. We investigated the prevalence and factors associated with male involvement in ANC.
this was a cross-sectional survey conducted in November and December 2019 in Kitui East sub-county, Kenya. We recruited men above 18 years whose spouses had given birth 12-months prior to the study. Data were collected at the household level using an interviewer-administered questionnaire. Male involvement was defined as provision of physical, psycho-social, decision-making, and financial support, which was measured through twelve questions. Factor scores of the twelve questions were generated by fitting a Rasch model. Participants who scored at least 75% were involved. Bivariate and multivariate logistic regression models were fitted to identify the independent predictors of male involvement.
a total of 300 participants were interviewed. The mean age was 36.7 years (SD=±7.6), 52.3% had primary level education, 64.3% had between 1-3 children, 44.6% were 5 years older than their spouses, while 37.3% earned between $50-$100 per month. The prevalence of male involvement in ANC was 61% (95%C.I: 55.7%, 66.3%) and was positively associated with previous ANC attendance by the spouse (AOR= 4.96, 95% CI: 2.37, 10.38, p<0.001), having 1-2 and 3-4 children (AOR= 4.57, 95% CI: 1.70, 12.31, p=0.003 and AOR= 4.84, 95% CI: 1.59, 14.79, p=0.006) respectively. On the contrary, participants who lacked knowledge on the minimum ANC visits (AOR= 0.37, 95% CI: 0.17, 0.83, p=0.016), unplanned pregnancy (AOR=0.22, 95% CI: 0.10, 0.48, p<0.001), and individual financial decision-making (AOR= 0.42, 95% CI: 0.21, 0.89, p=0.023) were less likely to be involved.
more than half of the participants reported involvement in ANC, which was significantly associated with previous ANC experience and having less than four children. Empowering men with knowledge on ANC and joint decision-making with their spouses is imperative in order to improve male involvement.
男性伴侣参与产前护理（ANC）有助于改善产妇健康结果，但在撒哈拉以南非洲地区却一直不足。我们调查了男性参与 ANC 的流行情况和相关因素。
这是一项横断面调查，于 2019 年 11 月至 12 月在肯尼亚基图伊东县进行。我们招募了年龄在 18 岁以上、其配偶在研究前 12 个月分娩的男性。数据是在家庭层面使用访谈者管理的问卷收集的。男性参与被定义为提供身体、心理社会、决策和经济支持，这通过 12 个问题来衡量。通过拟合 Rasch 模型生成 12 个问题的因子得分。得分至少为 75%的参与者被认为是参与的。进行了单变量和多变量逻辑回归模型分析，以确定男性参与的独立预测因素。
共对 300 名参与者进行了访谈。平均年龄为 36.7 岁（SD=±7.6），52.3%接受过小学教育，64.3%有 1-3 个孩子，44.6%比配偶年长 5 岁，而 37.3%每月收入在 50-100 美元之间。ANC 中男性参与的流行率为 61%（95%CI：55.7%，66.3%），与配偶以前参加 ANC（AOR=4.96，95%CI：2.37，10.38，p<0.001）、有 1-2 个和 3-4 个孩子（AOR=4.57，95%CI：1.70，12.31，p=0.003 和 AOR=4.84，95%CI：1.59，14.79，p=0.006）呈正相关。相反，缺乏最低 ANC 就诊次数知识（AOR=0.37，95%CI：0.17，0.83，p=0.016）、计划外怀孕（AOR=0.22，95%CI：0.10，0.48，p<0.001）和个人财务决策（AOR=0.42，95%CI：0.21，0.89，p=0.023）的参与者不太可能参与。
超过一半的参与者报告参与 ANC，这与以前的 ANC 经验和孩子少于 4 个显著相关。为了提高男性参与度，必须赋予男性 ANC 知识并与配偶共同决策。
