Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
Centre for Research on Children and Families, McGill University, Montreal, Quebec, Canada.
BMJ Open. 2024 Sep 12;14(9):e085901. doi: 10.1136/bmjopen-2024-085901.
INTRODUCTION: Men's participation is imperative for improving antenatal care (ANC) access and mother and child health outcomes in sub-Saharan Africa (SSA). Research looking at improving men's participation in ANC often focuses on their instrumental and psychosocial roles and on biomedical ANC systems. There is limited understanding of how context-specific cultural experiences of fatherhood influence men's participation in ANC within broader communal support networks and across different ANC systems in SSA. Against this background, and to understand how local communities in SSA conceive men's participation in ANC, a scoping review will be undertaken to synthesise existing literature around local cultural experiences of fatherhood and men's participation in ANC in rural settings in SSA. METHODS AND ANALYSIS: The classical scoping review methodology developed by Arksey and O'Malley will be used to conduct the scoping review described above. Empirical studies published between 1 January 2000 and 31 August 2024 will be systematically searched for in key online databases (eg, PubMed/MEDLINE, CINAHL, EMBASE, PsycINFO, Cochrane Library, African Index Medicus, African Journals Online) and grey literature (eg, reports from key organisations like UNICEF and the WHO). Literature reviews, personal opinion articles and theoretical or conceptual articles that do not systematically analyse data, and non-English texts, will be excluded. Data will be extracted from the included texts in the form of study characteristics, which will be analysed using descriptive statistics, and key issues to be analysed thematically. ETHICS AND DISSEMINATION: No ethical approvals are needed for this scoping review since data will be abstracted from already-published literature and no additional data will be collected. The findings will be shared with policymakers, practitioners, researchers, students and local communities through peer-reviewed journal publication(s), conference presentations, public lectures and policy-focused stakeholder and community meetings in and outside SSA.
引言：在撒哈拉以南非洲（SSA），男性参与对于改善产前护理（ANC）的可及性和母婴健康结果至关重要。研究着眼于提高男性参与 ANC 的程度，通常侧重于他们的工具性和心理社会角色，以及生物医学 ANC 系统。对于特定文化背景下的父亲角色体验如何影响男性在 ANC 中的参与程度，以及在 SSA 更广泛的社区支持网络和不同 ANC 系统中如何影响男性的参与程度，人们的理解有限。有鉴于此，为了了解 SSA 当地社区如何看待男性参与 ANC，我们将进行一项范围综述，以综合现有文献，了解当地社区对父亲角色的看法以及男性在 SSA 农村地区 ANC 中的参与情况。
方法和分析：将采用 Arksey 和 O'Malley 开发的经典范围综述方法来进行上述范围综述。将在主要在线数据库（例如 PubMed/MEDLINE、CINAHL、EMBASE、PsycINFO、Cochrane 图书馆、非洲医学索引、非洲在线期刊）和灰色文献（例如，来自儿基会和世卫组织等主要组织的报告）中系统地搜索 2000 年 1 月 1 日至 2024 年 8 月 31 日期间发表的实证研究。将排除文献综述、个人意见文章和没有系统分析数据的理论或概念文章，以及非英文文本。将以研究特征的形式从纳入的文本中提取数据，并使用描述性统计进行分析，并对关键问题进行主题分析。
伦理和传播：由于本范围综述仅从已发表的文献中提取数据，不会收集额外的数据，因此不需要伦理批准。研究结果将通过同行评议期刊发表、会议演讲、公开讲座以及在 SSA 内外的利益攸关方和社区会议，与政策制定者、实践者、研究人员、学生和当地社区分享。
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