Abebe Gossa Fetene, Alie Melsew Setegn, Alelign Zewditu, Negesse Yilkal, Lemu Lidiya Gutema, Girma Desalegn
Department of Midwifery, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, Ethiopia
Department of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, Ethiopia.
BMJ Open. 2024 Dec 20;14(12):e083492. doi: 10.1136/bmjopen-2023-083492.
To determine the involvement of males in antenatal care (ANC) follow-up and its determinants in Ethiopia.
A systematic review and meta-analysis.
A systematic search was done on PubMed, African Journals Online, HINARI, ScienceDirect, Google Scholar and direct Google up to 20 November 2023.
We included cross-sectional or case-control studies reporting male involvement in ANC service and its determinants in Ethiopia, which were published as full-length articles in English.
The Joanna Briggs Institute checklist was used to appraise the included studies, and the I test was used to evaluate heterogeneity among the studies. We assessed publication bias using a funnel plot and Begg's test. The forest plot presented the combined proportion of male involvement and OR, along with a 95% CI.
The pooled proportion of male involvement in ANC follow-up in Ethiopia was 43.3% (95% CI 31.7% to 54.8%). Male partners with secondary education or higher (Adjusted Odds Ratio (AOR) 2.72, 95% CI 1.81 to 4.10), government employment (AOR 2.09, 95% CI 1.49 to 2.94), attendance at health education (AOR 3.02, 95% CI 1.39 to 6.54) and knowledge about ANC or pregnancy danger signs (AOR 2.36, 95% CI 1.33 to 4.19) demonstrated a significant association with increased male involvement.
Male involvement in ANC in Ethiopia is low. Recommendations include targeted education for males with no formal schooling, improved health education on ANC and pregnancy risks, and interventions for males in the private sector.
CRD42021258826.
确定埃塞俄比亚男性参与产前保健（ANC）随访的情况及其决定因素。
系统评价和荟萃分析。
截至2023年11月20日，在PubMed、非洲期刊在线数据库、HINARI、ScienceDirect、谷歌学术以及直接通过谷歌进行了系统检索。
我们纳入了报告埃塞俄比亚男性参与ANC服务及其决定因素的横断面研究或病例对照研究，这些研究以英文全文发表。
使用乔安娜·布里格斯研究所清单对纳入研究进行评估，采用I检验评估研究间的异质性。我们使用漏斗图和贝格检验评估发表偏倚。森林图展示了男性参与的合并比例和比值比（OR）以及95%置信区间（CI）。
埃塞俄比亚男性参与ANC随访的合并比例为43.3%（95%CI 31.7%至54.8%）。接受过中等及以上教育的男性伴侣（调整后的比值比[AOR] 2.72，95%CI 1.81至4.10）、政府雇员（AOR 2.09，95%CI 1.49至2.94）、参加健康教育（AOR 3.02，95%CI 1.39至6.54）以及了解ANC或妊娠危险信号（AOR 2.36，95%CI 1.33至4.19）与男性参与度增加显著相关。
埃塞俄比亚男性参与ANC的程度较低。建议包括针对未受过正规教育的男性开展有针对性的教育、加强关于ANC和妊娠风险的健康教育，以及对私营部门男性进行干预。
PROSPERO注册号：CRD42021258826。
