Okwako Joseph Mukobe, Mbuthia Grace Wambura, Magutah Karani
Department of Midwifery, Jomo Kenyatta University of Agriculture and Technology, Juja, Kenya.
Department of Community Health Nursing, Jomo Kenyatta University of Agriculture and Technology, Juja, Kenya.
Pan Afr Med J. 2023 Dec 12;46:102. doi: 10.11604/pamj.2023.46.102.40935. eCollection 2023.
the 1994 International Conference on Population and Development (ICPD) recommended that men should share responsibility and be actively involved in sexual and reproductive health. The level of male partner involvement in Kenya remains low despite growing evidence showing its benefits in maternal and newborn health. This study sought to explore strategies for encouraging male partners to accompany their spouses to Maternal and Child Health (MCH) department.
a qualitative exploratory study was used to gather the views of nurse-midwives and invited men on mechanisms to encourage men to accompany their spouses to MCH clinic. Three and two focused group discussions (FGDs) composed of six to eight participants from nurse-midwives and men were conducted respectively. The FGDs were audio recorded and lasted 60-90 minutes. Content analysis was used to generate themes using MAXQDA 2022 software.
seven categories emerged as strategies that can encourage male partner participation in the Maternal Neonatal and Child Health (MNCH) services: creating community awareness and sensitization, engaging men in the MCH department, reducing waiting time, provision of health services that address male health needs, inviting male partners to the MCH clinic, encouraging MCH staff to be receptive to couples and re-scheduling of MCH working days as well as extension of hours.
evidence-based strategies that adopts multi-level interventions with greater focus on community sensitization and re-organization of the MCH services are important in encouraging men accompany their spouses to clinic and actively participate in the MNCH.
1994年国际人口与发展会议（ICPD）建议男性应分担责任并积极参与性与生殖健康。尽管越来越多的证据表明男性伴侣参与对孕产妇和新生儿健康有益，但肯尼亚男性伴侣的参与程度仍然较低。本研究旨在探索鼓励男性伴侣陪同其配偶前往妇幼保健（MCH）科室的策略。
采用定性探索性研究来收集助产士和受邀男性对鼓励男性陪同其配偶前往妇幼保健诊所的机制的看法。分别进行了三场和两场焦点小组讨论（FGD），参与者为六至八名助产士和男性。焦点小组讨论进行了录音，时长为60 - 90分钟。使用MAXQDA 2022软件进行内容分析以生成主题。
出现了七类可鼓励男性伴侣参与孕产妇、新生儿和儿童健康（MNCH）服务的策略：提高社区意识和宣传、让男性参与妇幼保健科室工作、减少等待时间、提供满足男性健康需求的卫生服务、邀请男性伴侣前往妇幼保健诊所、鼓励妇幼保健工作人员接纳夫妇以及重新安排妇幼保健工作日和延长工作时间。
采用多层次干预措施，更注重社区宣传和妇幼保健服务重组的循证策略，对于鼓励男性陪同其配偶前往诊所并积极参与孕产妇、新生儿和儿童健康服务非常重要。
