Level of male involvement in selected maternal health interventions involving nursing mothers in Benin City, Edo State, Nigeria

Published: January 15, 2020
Abstract Views: 123
PDF: 23
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Nigeria contributes an estimated 19% of global pregnancy related mortalities. The involvement of men in maternal health interventions has immense implications for the uptake and thereby success of such interventions. This study assessed level of male involvement in selected maternal health interventions involving nursing mothers in Benin City, Edo State with a view to providing information to improve the implementation and success of these interventions. A descriptive facility based cross-sectional study design was carried out among two hundred and twenty nursing mothers attending selected immunization clinics in a health facility in Benin City, Edo State. Data were collected using pretested structured questionnaires and analyzed using IBM SPSS version 21.0 statistical software with statistical significance set at P<0.050. The mean (SD) age of male partners of nursing mothers studied was 38.1 (6.4) years. In relation to selected maternal interventions 205 (93.2%) registered for antenatal care (ANC), 159 (72.3%) attended postnatal care (PNC) while family planning uptake was 30 (13.6%). Furthermore, in relation to level of male involvement, 150 (68.2%) male partners paid for ANC registration, 143 (65.0%) accompanied spouse to delivery, 205 (93.2%) paid for delivery, 14 (8.8%) accompanied wife for PNC and 57 (34.5%) supported spouse uptake of family planning. The overall level of male involvement was good 113 (51.4%) among nursing mothers. This study identified that male involvement in selected maternal health interventions was good, in relation to male performance the highest being payment for delivery and least being postnatal care attendance. There is need to sustain and improve on the level of male involvement in relation to maternal health interventions to ensure better maternal and child health outcome in the study population.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

WHO. UNICEF. UNFPA. Trends in maternal mortality: 1990 to 2015 estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations population division [Internet]. Geneva; 2015. doi:10.
Bhutta ZA, Ali S, Cousens S, Ali TM, Haider BA, Rizvi A, et al. Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? Lancet. 2008;372:972–989. doi: 10.1016/S0140-6736(08)61407-5. [PubMed] [CrossRef] [Google Scholar
Beard TC, Redmond S. Declaration of Alma-Ata. Lancet. 1979;313:217–218. doi: 10.1016/S0140-6736(79)90622-6. [CrossRef] [Google Scholar
Smith, K.B., Z.M. van de Spuy, L. Cheng, R. Elton, and A.F. Glasier. 2002. “Is postpartum contraceptive advice given antenatally of value?” Contraception 65(3): 237-243.
Chirowa F, Atwood S, Van der Putten M. Gender inequality, health expenditure and maternal mortality in sub-Saharan Africa: a secondary data analysis. African J Prim Heal Care Fam Med. 2013;5:1–5. doi: 10.4102/phcfm.v5i1.471. [CrossRef] [Google Scholar]
Izugbara, C.O., Wekesah, FM, Adedini SA. Maternal Health in Nigeria: Facts and Figures. Nairobi: Kenya; 2016.
Hounton S, Winfrey W, Barros J.D, Askew I. Patterns and trends of postpartum family planning in Ethiopia, Malawi, and Nigeria: evidence of missed opportunities for integration. Glob Health Action. 2015. 8: 29738. http://dx.doi.org/10.3402/gha.v8.29738 Rossier C, Hellen J. Traditional Birth spacing Practices and Uptake of Family Planning During the Postpartum Period in Ouagadougou: Qualitative Results. International Perspectives on Sexual and Reproductive Health, Vol. 40, No. 2 (2014), pp. 87-94. http://www.jstor.org/stable/10.1363/4008714 [cited 10/03/2016].
Sileo, K. M. Determinants of Family Planning Service Uptake and Use of Contraceptives among Postpartum Women in Rural Uganda. Master's Theses. Paper 602. University of Connecticut Graduate School. 2014. http://digitalcommons.uconn.edu/gs_theses/602
Ezeh O. K, Agho K. E, Dibley M. J, Hall J, Page A. N. Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey. BMC Public Health. 2014. 14:521. http://www.biomedcentral.com/1471-2458/14/521
Ayanore M. A, Pavlova M, Groot W. Unmet reproductive health needs among women in some West African countries: asystematic review of outcome measures and determinants. Reproductive Health. (2016). 13:5DOI 10.1186/s12978-015-0104-x. [cited 10/03/2016]
Zapata L. B, Murtaza S, Whiteman M. K, Jamieson D. J, Robbins C. L, Marchbanks P. A, D’Angelo D. V, Curtis K. M. Contraceptive counseling and postpartum contraceptive use. Am J Obstet Gynecol. 2015. 212(2): 171.e1–171.e8. doi:10.1016/j.ajog.2014.07.059.
Yunus A, Iqbal S, Munawar R, Zakar R, Mushtaq S.K, Sadaf F, Usman A. Determinants of Postnatal Care Services Utilization in Pakistan- Insights from Pakistan Demographic and Health Survey (PDHS) 2006-07. Middle-East Journal of Scientific Research 18 (10): 1440-1447, 2013. [cited 10/03/2016]
Khan, Shane, Vinod Mishra, Fred Arnold, and NoureddineAbderrahim. 2007. “Contraceptive trends in developing countries.” Calverton, MD: Macro International Inc. DHS Comparative Reports No. 16.http://www.measuredhs.com/pubs/pdf/CR16/CR16.pdf.
Cleland, John, Sarah Harbison, and Iqbal H. Shah. 2014. “Unmet need for contraception: issues and challenges” Studies in Family Planning 45(2): 105-122.
Sedgh, Gilda, RubinaHussain, AkinrinolaBankole, and Susheela Singh. 2007. “Women with an unmet need for contraception in developing countries and their reasons for not using a method.” New York: GuttmacherIntstitute. Occasional Report No. 37.
Singh, Susheela, Gilda Sedgh, and RubinaHussain. 2010. “Unintended pregnancy: Worldwide levels, trends, and outcomes.” Studies in Family Planning 41 (4): 241-250
Adongo PB, Tapsoba P, Phillips JF, Tabong PT-N, Stone A, Kuffour E, et al. The role of community-based health planning and services strategy in involving males in the provision of family planning services: a qualitative study in southern Ghana. Reprod Health. Reproductive Health. 2013;10:36. doi: 10.1186/1742-4755-10-36. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Dworkin SL, Hatcher AM, Colvin C, Peacock D. Impact of a gender-transformative HIV and antiviolence program on gender ideologies and masculinities in two rural, south African communities. Men Masc. 2013;16:181–202. doi: 10.1177/1097184X12469878. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Mezieobi SA. Contemporary family choice: areas of Nigerian families change lag. European Journal of Research and Reflection in Educational Sciences. 2017;5: 66–70.
Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth 2013;13:1–15. [PMC free article] [PubMed] [Google Scholar]
Schaffer MA, Lia-Hoagberg B. Effects of social support on prenatal care and health behaviors of low-income women. J ObstetGynecol Neonatal Nurs1997;26:433–40. [PubMed] [Google Scholar]
Martin LT, McNamara MJ, Milot AS, et al. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Matern Child Health J 2007;11:595–602. [PubMed] [Google Scholar]
Kiernan K, Pickett KE. Marital status disparities in maternal smoking during pregnancy, breastfeeding and maternal depression. Soc Sci Med 2006;2:335–46. [PubMed] [Google Scholar]
Bielinski-Blattmann D, Lemola S, Jaussi C, et al. Postpartum depressive symptoms in the first 17 months after childbirth: the impact of an emotionally supportive partnership. Int J Public Health 2009;54:333–9. [PubMed] [Google Scholar]
O'Hara MW. Social support, life events, and depression during pregnancy and the puerperium. Arch Gen Psychiatry 1986;43:569–73. [PubMed] [Google Scholar]
Plantin L, Olukoya AA, Ny P. Positive health outcomes of fathers’ involvement in pregnancy and childbirth paternal support: a scope study literature review. Fathering 2011;9:87–102. [Google Scholar]
Dennis CL, Ross L. Women's perceptions of partner support and conflict in the development of postpartum depressive symptoms. J Adv Nurs2006;56:588–99. [PubMed] [Google Scholar]
Gremigni P, Mariani L, Marracino V, et al. Partner support and postpartum depressive symptoms. J PsychosomObstetGynaecol2011;32:135–40. [PubMed] [Google Scholar]
Grube M. Inpatient treatment of women with postpartum psychiatric disorders—the role of the male partners. Arch WomensMent Health 2005;8:163–70. [PubMed] [Google Scholar]
Al Dallal FH, Grant IN. Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors. East Mediterr Health J 2012;18:432–8. [PubMed] [Google Scholar]
Lee D. Partner support reduced depressive symptoms in postpartum depression. Evid Based Ment Health 2001; 4:51. [Google Scholar]
Reid H, Power M, Cheshire K. Factors influencing antenatal depression, anxiety and stress. Br J Midwifery 2009; 17:501–8. [Google Scholar]
Stapleton LR, Schetter CD, Westling E, et al. Perceived partner support in pregnancy predicts lower maternal and infant distress. J Fam Psychol 2012; 26:453–63. [PMC free article] [PubMed] [Google Scholar]
Mekonnen W, Worku A. Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reprod Health 2011;8:1–8. [PMC free article] [PubMed] [Google Scholar]
Yue K, O'Donnell C, Sparks PL. The effect of spousal communication on contraceptive use in Central Terai, Nepal. Patient Educ Couns 2010; 81:402–8. [PubMed] [Google Scholar]
Dahl V, Mellhammar L, Bajunirwe F, Björkman P. Acceptance of HIV testing among women attending antenatal care in South-Western Uganda: risk factors and reasons for test refusal. AIDS Care. 2008;20:746–752. doi: 10.1080/09540120701693990. [PubMed] [CrossRef] [Google Scholar]
Mushi D, Mpenbeni R, Jahn A. Effectiveness of community-based safe motherhood promoters in improving utilization of obstetric care: the case of Mtwara rural district in Tanzania. BMC Pregnancy Childbirth. 2010;10:14. doi: 10.1186/1471-2393-10-14. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Adinma, J. I., Agbai, A. O., &Nwosu, B. O. (1998). Contraceptive choices among Nigerian women attending an antenatal clinic. Advances in Contraception, 14(2), 131–145.
Bwazi1 C, Maluwa A, Chimwaza A, Pindani M. Utilization of Postpartum Family Planning Services between Six and Twelve Months of Delivery at Ntchisi District Hospital, Malawi. Health, 2014, 6, 1724-1737.
Allagoa, D.O, NyengidikiTK. Knowledge, Attitude And Practice Of Contraception Amongst Antenatal Patients At The University Of Port Harcourt Teaching Hospital, Port Harcourt. The Nigerian Health Journal, Vol. 11, No 3, July - September 2011
Aborigo RA, Reidpath DD, Oduro AR, Allotey P. Male involvement in maternal health: perspectives of opinion leaders. BMC Pregnancy Childbirth. 2018;18:1–10. doi: 10.1186/s12884-017-1641-9. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Msuya SE, Mbizvo EM, Hussain A, Uriyo J, Sam NE. Stray-Pedersen B. low male partner participation in antenatal HIV counseling and testing in northern Tanzania: implications for preventive programs. AIDS Care. 2008;20:700–709. doi: 10.1080/09540120701687059. [PubMed] [CrossRef] [Google Scholar]
Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth. 2013;13:1. doi: 10.1186/1471-2393-13-70. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Davis J, Vyankandondera J, Luchters S, Simon D, Holmes W. Male involvement in reproductive, maternal and child health: a qualitative study of policymaker and practitioner perspectives in the Pacific. Reprod Health Reproductive Health. 2016;13:1–11. doi: 10.1186/s12978-016-0184-2. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Stapleton LRT, Schetter CD, Westling E, Rini C, Glynn LM, Hobel CJ, et al. Perceived partner support in pregnancy predicts lower maternal and infant distress. J Fam Psychol. 2012;26:453–463. doi: 10.1037/a0028332. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Martin LT, McNamara MJ, Milot AS, Halle T, Hair EC. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Matern Child Health J. 2007;11:595–602. doi: 10.1007/s10995-007-0209-0. [PubMed] [CrossRef] [Google Scholar]
Mekonnen W, Worku A. Determinants of low family planning use and high unmet need in Butajira District. South Central Ethiopia Reprod Health BioMed Central Ltd. 2011;8:37. doi: 10.1186/1742-4755-8-37. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Yue K, O’Donnell C, Sparks PL. The effect of spousal communication on contraceptive use in central Terai, Nepal. Patient Educ Couns. 2010;81:402–408. doi: 10.1016/j.pec.2010.07.018. [PubMed] [CrossRef] [Google Scholar]
Connell R. Gender, health and theory: conceptualizing the issue, in local and world perspective. Soc Sci Med Elsevier Ltd. 2012;74:1675–1683. doi: 10.1016/j.socscimed.2011.06.006. [PubMed] [CrossRef] [Google Scholar]
Kane S, Rial M, Matere A, Dieleman M, Broerse JEW, Kok M. Gender relations and women’s reproductive health in South Sudan. Glob Health Action. 2016;9:1–11. doi: 10.3402/GHA.V9.33047. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Adeleye OA, Chiwuzie J. „He does his own and walks away‟ Perception about male attitudes and practices regarding safe motherhood in Ekiadolor, Southern Nigeria. African Journal of Reproductive Health .11(1).April, 2007.
Obi AI, Abe E, Okojie OH (2013). Male and Community Involvement in Birth Preparedness and Complication Readiness in Benin City, Southern Nigeria IOSR Journal of Dental and Medical Sciences; 10(6): 27-32.
Odimegwu C, Adewuyi A, Odebiyi T, AinaB , Adesina Y, Olatubara O and Eniola F. Men’s Role in Emergency Obstetric Care in Osun State of Nigeria. Afr J Reproductive Health 2005; 9 (3) : 59 – 71.
Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH. Birth preparedness Complication Readiness and Fathers’ participation in Maternity care in a Northern Nigerian Community. Afr J Reproductive Health 2010 ; 14 (1) : 22- 32
Carter MW, Speizer I. Salvoran Fathers’ attendance at prenatal care, delivery and post partum care. Rev Panam Salud Publica. 2005; 18 (3) : 149 -56
Cochran WG. Sampling Techniques. Third Edition. New York: John Wiley & Sons, Inc.1977:149-156
National Population Commission (NPC) [Nigeria] and ICF International. 2014. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International.
Yargawa J, Leonardi-Bee J. (2015) Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Community Health; 69: 604:12.

How to Cite

Obi, A., Onoriose, B., Adam, V., Tobin, E., Osazee, K., & Eseigbe, E. (2020). Level of male involvement in selected maternal health interventions involving nursing mothers in Benin City, Edo State, Nigeria. Annals of African Medical Research, 2(2). https://doi.org/10.4081/aamr.2019.93