Department of Midwifery, College of Health Science, Woldia University, Woldia City, Ethiopia.
Department Of Medical Laboratory Science, College of Health Science, Woldia University, Woldia City, Ethiopia.
BMC Health Serv Res. 2024 Nov 26;24(1):1467. doi: 10.1186/s12913-024-11993-y.
Promoting the involvement of male partners in skilled delivery care is a strategy supported by the World Health Organization (WHO) to improve maternal and infant health outcomes. This systematic review and meta-analysis aimed to estimate the pooled prevalence of male partner involvement in delivery care service in Ethiopia and its contributing factors.
We retrieved observational studies conducted in Ethiopia from PubMed, Google Scholar, Embase, Cochrane Library, Hinari, and Mednar using Boolean search terms. The Newcastle Ottawa 2016 Critical Appraisal Checklist assessed the methodological quality of the studies. Publication bias was evaluated with a funnel plot and Egger's test, and heterogeneity was checked using the I-squared test. Data were extracted into Microsoft Excel and analyzed using Stata 11 software.
10 articles with 5,307 participants were included for analysis. The pooled prevalence of male partner involvement in delivery care service was 52.99% (95% CI: 40.63-65.35). Paternal secondary education and above (OR 1.99, 95% CI: 1.69, 2.30), paternal knowledge (OR 3.129, 95% CI: 1.901, 4.356), partner attitude (OR 2.39, 95% CI: 1.45-3.34), having ANC accompanying experience (OR 8.09, 95% CI: 3.14, 19.32), and urban residence (OR 2.12, 95% CI: 1.61, 2.64) were significantly associated with male partner involvement in delivery care service in Ethiopia.
This study found that more than half of male partners in Ethiopia were involved in delivery care services. The key contributing factors for male partner involvement in delivery care services were paternal secondary education and above, paternal knowledge, partner attitude, ANC accompanying experience, and urban residence. Campaigns should be organized to improve knowledge, attitude, and effectively recognize men's involvement in skilled birth care.
促进男性伴侣参与熟练分娩护理是世界卫生组织（WHO）支持的一项策略，旨在改善母婴健康结果。本系统评价和荟萃分析旨在估计埃塞俄比亚男性参与分娩护理服务的综合流行率及其影响因素。
我们使用布尔搜索词从 PubMed、Google Scholar、Embase、Cochrane Library、Hinari 和 Mednar 检索在埃塞俄比亚进行的观察性研究。纽卡斯尔-渥太华 2016 年批判性评估清单评估了研究的方法质量。使用漏斗图和 Egger 检验评估发表偏倚，并使用 I 平方检验检查异质性。数据提取到 Microsoft Excel 中，并使用 Stata 11 软件进行分析。
纳入了 10 篇文章，共 5307 名参与者进行分析。男性参与分娩护理服务的综合流行率为 52.99%（95%CI：40.63-65.35）。父亲接受中等教育及以上（OR 1.99，95%CI：1.69，2.30）、父亲知识（OR 3.129，95%CI：1.901，4.356）、伴侣态度（OR 2.39，95%CI：1.45-3.34）、有 ANC 伴随经验（OR 8.09，95%CI：3.14，19.32）和城市居住（OR 2.12，95%CI：1.61，2.64）与埃塞俄比亚男性参与分娩护理服务显著相关。
本研究发现，埃塞俄比亚超过一半的男性伴侣参与了分娩护理服务。男性参与分娩护理服务的主要影响因素是父亲接受中等教育及以上、父亲知识、伴侣态度、ANC 伴随经验和城市居住。应组织宣传活动，以提高知识、态度，并切实认识到男性在熟练生育护理中的参与。
