Attitude of pregnant women towards male involvement in birth preparedness and complication readiness in selected rural communities of Sokoto state, northwest Nigeria

H. Adamu, O. Oche, A. Kaoje, Fatima Z. Bello
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Abstract

Background: Poor involvement of male partners in maternal health issues has been identified as one of the major contributors of high maternal mortality in developing countries. Women from diverse socio-cultural background have varying opinions on the level of involvement of their male partners in their reproductive health matters. This study assessed the attitude of pregnant women towards the involvement of their male partners in birth preparedness and complication readiness (BPCR) in selected rural communities of Sokoto state, northwest Nigeria. Materials and method: A cross-sectional study design was used to study 268 pregnant women who were selected from two rural communities via a multistage sampling technique. Data was collected using structured questionnaires and was analyzed using IBM SPSS version 23. Results: Mean age of respondents was 26.45 ±6.29 years; majority [202(75.4%)] were of the Hausa ethnic group and only 39(14.6%) had formal education. Up to 178(66.4%) of the women agreed it is important for men to prepare for childbirth, 180(67.2%) agreed male partners should make joint decision with wife on matters concerning pregnancy; however, less than half [116(43.4%)] agreed it is important for women to deliver in the hospital and 35.4% believed it is not important for men to accompany wives to hospital for delivery. Overall, 173(65%) had positive attitude towards husbands' involvement in BPCR and the major influencing factors were literacy, knowledge of danger signs and BPCR (p<0.001) Conclusion/Recommendations: Though up to two-thirds of the respondents had positive attitude, a significant proportion expressed negative attitude towards some male involvement practices. There is need for government to educate more women especially on the importance of male involvement in BPCR. Key words:Attitude, pregnant women, male involvement, birth preparedness, Sokoto
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尼日利亚西北部索科托州选定农村社区孕妇对男性参与分娩准备和并发症准备的态度
背景:男性伴侣对产妇保健问题参与不足已被确定为发展中国家产妇死亡率高的主要原因之一。来自不同社会文化背景的妇女对其男性伴侣参与其生殖健康事务的程度有不同的看法。本研究评估了尼日利亚西北部索科托州选定农村社区孕妇对其男性伴侣参与分娩准备和并发症准备(BPCR)的态度。材料与方法:采用横断面研究设计,采用多阶段抽样技术,从两个农村社区选取268名孕妇进行研究。采用结构化问卷收集数据,并使用IBM SPSS version 23进行分析。结果:受访者平均年龄26.45±6.29岁;大多数[202人(75.4%)]是豪萨族,只有39人(14.6%)受过正规教育。多达178名(66.4%)妇女同意男性为分娩做准备很重要,180名(67.2%)妇女同意男性伴侣应与妻子共同决定有关怀孕的事宜;然而,不到一半的人[116人(43.4%)]认为女性在医院分娩很重要,35.4%的人认为男性陪妻子去医院分娩并不重要。总体而言,173人(65%)对丈夫参与BPCR持积极态度,主要影响因素是文化程度、危险标志知识和BPCR (p<0.001)。结论/建议:尽管高达三分之二的受访者持积极态度,但相当大比例的受访者对一些男性参与的做法持消极态度。政府需要教育更多的妇女,特别是男性参与BPCR的重要性。关键词:态度,孕妇,男性参与,分娩准备,索科托
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