Kaushal Pawna, Khapre Meenakshi, Das Amity, Kumari Ranjeeta, Sharma Megha
Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, India.
J Obstet Gynaecol India. 2023 Apr;73(2):113-122. doi: 10.1007/s13224-022-01672-5. Epub 2022 Sep 10.
Due to the significant role of male in decision making in India, they may decide if, when and where a woman may access antenatal, delivery and postnatal care; and whether or not to provide financial resources to travel to these services. Men's involvement in maternity care is recognized as a key strategy in improving maternal health and accelerating the reduction of maternal mortality. This study explores key components and challenges to male involvement in maternal health care (MHC).
Focus group discussions (FGDs) were conducted with a purposive sample of the community key stakeholders from the field practice area of All India Institute of Medical Sciences, (AIIMS) Rishikesh from October 2020 to January 2021. Manual thematic analysis with a semantic approach was used for the data analysis. Themes were prioritized using Participatory rural appraisal (PRA) technique.
Twenty-three participants represented the heterogeneous group of key stakeholders. Stakeholders identified the need for improved awareness regarding MHC services among men. Husband involvement is affected by availability (work stations at different places), literacy, gender-based work domain and social cultures, finances and health facility environment.Four major themes were identified: Male involvement in antenatal, intranatal; postnatal care; and barriers to male involvement in MHC. Sub-themes under male involvement in antenatal care; intranatal care; and postnatal care were further prioritized via PRA as 'very important'; 'important' and 'not so important' and scores were given as 3, 2 and 1 respectively.
Male involvement is a key strategy to improve pregnancy outcome; however, different challenges exist in their involvement in the maternal health care. Current study helped to contextualize the perception regarding importance of male involvement in MHC; and the situation of study area in order to understand social and cultural factors that shape the behavior and practices of men in relation to their involvement.
在印度，男性在决策中发挥着重要作用，他们可能会决定女性是否、何时以及在何处接受产前、分娩和产后护理；以及是否提供前往这些服务机构的资金。男性参与孕产妇保健被视为改善孕产妇健康和加速降低孕产妇死亡率的关键策略。本研究探讨了男性参与孕产妇保健（MHC）的关键组成部分和挑战。
2020年10月至2021年1月，在全印度医学科学研究所（AIIMS）瑞诗凯诗实地实践区，对社区关键利益相关者进行了有目的抽样的焦点小组讨论（FGD）。采用语义方法进行手动主题分析以进行数据分析。使用参与式农村评估（PRA）技术对主题进行优先级排序。
23名参与者代表了关键利益相关者的异质群体。利益相关者指出，需要提高男性对孕产妇保健服务的认识。丈夫的参与受到可及性（不同地点的工作岗位）、识字率、基于性别的工作领域和社会文化、经济状况以及卫生设施环境的影响。确定了四个主要主题：男性参与产前、产时和产后护理；以及男性参与孕产妇保健的障碍。通过参与式农村评估，男性参与产前护理、产时护理和产后护理的子主题被进一步优先排序为“非常重要”“重要”和“不太重要”，并分别给予3分、2分和1分。
男性参与是改善妊娠结局的关键策略；然而，他们在参与孕产妇保健方面存在不同挑战。当前研究有助于将对男性参与孕产妇保健重要性的认知以及研究区域的情况背景化，以便了解影响男性参与行为和实践的社会和文化因素。
