Morgan Anthony Kwame, Awafo Beatrice Aberinpoka, Quartey Theophilus, Cobbold Justin
Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Reprod Health. 2022 Dec 1;19(1):216. doi: 10.1186/s12978-022-01506-7.
This paper explored the facilitators and barriers to husbands' involvement in antenatal-related care in the Bosomtwe District of Ghana from the perspectives of husbands, pregnant women with and without delivery experience, nursing mothers, midwives and traditional birth attendants.
The study relied on the qualitative research design to collect and analyse data on the facilitators and barriers to husbands' involvement in antenatal-related care. The unit of analysis was made up of 36 participants-husbands (14), pregnant women with delivery experience and, nursing mothers (8), pregnant women without delivery experience (6), male and female midwives (6) and traditional birth attendants (2) who were purposively selected. The study's data was gathered using in-depth interviews and analysed through the content approach.
Various economic [work and time constraint], cultural [the association of childbearing and its allied duties to women] and health-system factors [lack of antenatal services targeted at husbands and health professionals' attitude] hinder husbands' active participation in antenatal care. Despite these, some husbands participated in antenatal care owing to the importance they accord to the health and safety of their wives and the foetus; changing gender roles and preferential treatments received by their wives at antenatal clinics [as a result of the involvement of their husbands in prenatal care].
The implementation of alternative strategies, like, couple counselling, prolonging operating times of health centres to accommodate working men are recommended to provide a more accommodative and attractive avenue for husbands to support their wives during pregnancy. These efforts must be reinforced by the entire society through modifying the "ill-held view" that pregnancy and childcare is the sole duty of a woman.
本文从丈夫、有分娩经历和无分娩经历的孕妇、哺乳期母亲、助产士及传统接生员的角度，探讨了加纳博苏姆推区丈夫参与产前相关护理的促进因素和障碍。
本研究采用定性研究设计，收集并分析丈夫参与产前相关护理的促进因素和障碍的数据。分析单位由36名参与者组成，包括丈夫（14名）、有分娩经历的孕妇和哺乳期母亲（8名）、无分娩经历的孕妇（6名）、男女助产士（6名）以及传统接生员（2名），这些参与者是经过有目的地挑选出来的。本研究的数据通过深入访谈收集，并采用内容分析法进行分析。
各种经济因素（工作和时间限制）、文化因素（将生育及其相关职责与女性联系在一起）和卫生系统因素（缺乏针对丈夫的产前服务以及卫生专业人员的态度）阻碍了丈夫积极参与产前护理。尽管如此，一些丈夫由于重视妻子和胎儿的健康与安全，以及性别角色的转变和妻子在产前诊所因丈夫参与产前护理而得到的优待，还是参与了产前护理。
建议实施替代策略，如夫妻咨询、延长健康中心的工作时间以方便在职男性，为丈夫在妻子怀孕期间提供支持创造一个更包容、更有吸引力的途径。全社会必须通过改变“认为怀孕和育儿是女性唯一责任的错误观念”来加强这些努力。
