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“我丈夫是个‘妈宝男’”:肯尼亚西部女性对男性参与孕产妇、新生儿及儿童健康事务的看法

"My Husband Is a 'Mama's Boy'": Women's Views on Male Engagement in Maternal, Newborn, and Child Health in Western Kenya.

作者信息

Tura Robsan, Aluku Nema C M, Ashida Sato, Story William T

机构信息

Minnesota Department of Health, St. Paul, MN 55164, USA.

Africa Community Leadership and Development, Nairobi, P.O. Box 24619, Kenya.

出版信息

Int J Environ Res Public Health. 2025 Jan 19;22(1):125. doi: 10.3390/ijerph22010125.

Abstract

There is an increasing global acknowledgment of the critical role that men have as key partners in maternal, newborn, and child health (MNCH). Most male-engagement initiatives do not address the perceived benefits and risks that women may experience because of increased male participation in MNCH, especially in Kenya. The aim of this study, therefore, is to qualitatively assess how women perceive and experience increased male engagement in MNCH in western Kenya. Using a phenomenological approach, 53 women (35 mothers and 18 mothers-in-law) were purposively selected from seven communities in Kakamega County and participated in seven focus group discussions (FGD) in November and December 2020. Our findings suggest that the level of support for increased male involvement in MNCH varies depending on the type of participant. While mothers-in-law were less supportive of increased male involvement, mothers were more supportive of male involvement that fosters gender equity, such as joint decision making. Most mothers-in-law argued that women are 'naturally' closer to children, that men cannot care for children and their involvement may harm children, and men's involvement may give men more control over women's spaces. These findings show that programmatic initiatives to enhance male engagement in MNCH must consider mothers-in-law's concerns and leverage mothers' desire to engage men in a gender-equitable way.

摘要

全球越来越多地认识到男性作为孕产妇、新生儿和儿童健康(MNCH)关键伙伴所发挥的关键作用。大多数男性参与倡议并未涉及女性因男性更多参与MNCH而可能面临的感知利益和风险,尤其是在肯尼亚。因此,本研究的目的是定性评估肯尼亚西部女性如何看待和体验男性更多参与MNCH。采用现象学方法,从卡卡梅加县的七个社区中有意挑选了53名女性(35名母亲和18名婆婆),并于2020年11月和12月参加了七次焦点小组讨论(FGD)。我们的研究结果表明,对男性更多参与MNCH的支持程度因参与者类型而异。虽然婆婆对男性更多参与的支持较少,但母亲们更支持促进性别平等的男性参与,例如共同决策。大多数婆婆认为女性“天生”与孩子更亲近,男性无法照顾孩子且他们的参与可能会伤害孩子,而且男性的参与可能会让男性对女性的空间有更多控制权。这些研究结果表明,加强男性参与MNCH的项目倡议必须考虑婆婆们的担忧,并利用母亲们以性别平等方式让男性参与的愿望。

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