Mekonen Mengistu, Shifera Nigusie, Bogale Biruk, Assefa Ashenafi
Department of Public Health, School of Public Health, College of Medicine and Health Science, Mizan Tepi University, Mizan Aman, Ethiopia.
Department of Nursing, College of Medicine and Health Science, Mizan Tepi University, Mizan Aman, Ethiopia.
Front Glob Womens Health. 2022 Dec 2;3:938027. doi: 10.3389/fgwh.2022.938027. eCollection 2022.
In many low- and middle-income countries (LMIC), men are the key decision-makers and chief providers, often determining women's access to economic resources and maternal health services. Despite the important role of men in maternal healthcare, the involvement of male partners in maternal and child health in LMIC, including Ethiopia, is low.
This study aims to assess the extent of male involvement and associated factors in antenatal care (ANC) service utilization in the Bench Sheko zone, Southwest, Ethiopia.
A community-based, cross-sectional study was conducted in the Bench Sheko zone from February to May 2021. A multistage sampling technique was employed to select study participants. Variables with -values <0.25 in binary logistic regression were selected as candidates for multiple logistic regression to determine independent factors associated with male involvement adjusting for sociodemographic, health service, personal, environmental, and knowledge-related factors.
A total of 816 men took part in the study, with a 98.2% response rate. The prevalence of male involvement in ANC utilization was 38.2%. In multivariate analyses, residence (urban), age (25-34), education (diploma and above), income (≥2,500 Ethiopian Birr, ETB), and high knowledge of the advantages of ANC were shown to be positively associated with male involvement in ANC utilization.
Male involvement in ANC utilization was low. Considering the importance of male involvement in maternal healthcare, we advocate for policies and strategies that can improve knowledge of the advantages of ANC among men and can enhance their engagement in maternal care. Special attention should be given to younger partners and those partners who live in rural areas.
在许多低收入和中等收入国家（LMIC），男性是关键决策者和主要供养者，往往决定着女性获取经济资源和孕产妇保健服务的机会。尽管男性在孕产妇保健中发挥着重要作用，但在包括埃塞俄比亚在内的低收入和中等收入国家，男性伴侣对孕产妇和儿童健康的参与度较低。
本研究旨在评估埃塞俄比亚西南部本奇谢科地区男性参与产前保健（ANC）服务利用的程度及相关因素。
2021年2月至5月在本奇谢科地区开展了一项基于社区的横断面研究。采用多阶段抽样技术选取研究参与者。在二元逻辑回归中P值<0.25的变量被选为多重逻辑回归的候选变量，以确定在调整社会人口学、卫生服务、个人、环境和知识相关因素后与男性参与相关的独立因素。
共有816名男性参与了研究，应答率为98.2%。男性参与产前保健利用的患病率为38.2%。在多变量分析中，居住地（城市）、年龄（25 - 34岁）、教育程度（文凭及以上）、收入（≥2500埃塞俄比亚比尔，ETB）以及对产前保健优势的高知晓度与男性参与产前保健利用呈正相关。
男性对产前保健利用的参与度较低。鉴于男性参与孕产妇保健的重要性，我们倡导制定政策和策略，以提高男性对产前保健优势的认识，并增强他们在孕产妇保健中的参与度。应特别关注年轻伴侣以及居住在农村地区的伴侣。
