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El Ansari W, Arafa M, Elbardisi H, Majzoub A, Mahdi M, Albakr A, AlRumaihi K, Al Ansari A. Scoping review of sexual and reproductive healthcare for men in the MENA (Middle East and North Africa) region: a handful of paradoxes? BMC Public Health 2023; 23:564. [PMID: 36973770 PMCID: PMC10040932 DOI: 10.1186/s12889-022-14716-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 11/24/2022] [Indexed: 03/28/2023] Open
Abstract
Background No study appraised the knowledge gaps and factors impacting men’s sexual and reproductive health (SRH) in MENA (Middle East and North Africa). The current scoping review undertook this task. Methods We searched PubMed and Web of Science (WoS) electronic databases for original articles on men’s SRH published from MENA. Data was extracted from the selected articles and mapped out employing the WHO framework for operationalising SRH. Analyses and data synthesis identified the factors impacting on men’s experiences of and access to SRH. Results A total of 98 articles met the inclusion criteria and were included in the analysis. The majority of studies focused on HIV and other sexually transmissible infections (67%); followed by comprehensive education and information (10%); contraception counselling/provision (9%); sexual function and psychosexual counselling (5%); fertility care (8%); and gender-based violence prevention, support/care (1%). There were no studies on antenatal/intrapartum/postnatal care and on safe abortion care (0% for both). Conceptually, there was lack of knowledge of the different domains of men’s SRH, with negative attitudes, and many misconceptions; as well as a deficiency of health system policies, strategies and interventions for SRH. Conclusion Men’s SRH is not sufficiently prioritized. We observed five ‘paradoxes’: strong focus on HIV/AIDS, when MENA has low prevalence of HIV; weak focus on both fertility and sexual dysfunctions, despite their high prevalence in MENA; no publications on men’s involvement in sexual gender-based violence, despite its frequency across MENA; no studies of men’s involvement in antenatal/intrapartum/postnatal care, despite the international literature valuing such involvement; and, many studies identifying lack of SRH knowledge, but no publications on policies and strategies addressing such shortcoming. These ‘mismatches’ suggest the necessity for efforts to enhance the education of the general population and healthcare workers, as well as improvements across MENA health systems, with future research examining their effects on men’s SRH. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-14716-2.
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Affiliation(s)
- Walid El Ansari
- grid.413548.f0000 0004 0571 546XDepartment of Surgery, Hamad Medical Corporation, Doha, Qatar
- grid.412603.20000 0004 0634 1084College of Medicine, Qatar University, Doha, Qatar
- grid.416973.e0000 0004 0582 4340Weill Cornell Medicine – Qatar, Doha, Qatar
| | - Mohamed Arafa
- grid.416973.e0000 0004 0582 4340Weill Cornell Medicine – Qatar, Doha, Qatar
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
- grid.7776.10000 0004 0639 9286Andrology Department, Cairo University, Cairo, Egypt
| | - Haitham Elbardisi
- grid.412603.20000 0004 0634 1084College of Medicine, Qatar University, Doha, Qatar
- grid.416973.e0000 0004 0582 4340Weill Cornell Medicine – Qatar, Doha, Qatar
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
| | - Ahmad Majzoub
- grid.416973.e0000 0004 0582 4340Weill Cornell Medicine – Qatar, Doha, Qatar
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
| | - Mohammed Mahdi
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
| | - Ahmed Albakr
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
| | - Khalid AlRumaihi
- grid.412603.20000 0004 0634 1084College of Medicine, Qatar University, Doha, Qatar
- grid.416973.e0000 0004 0582 4340Weill Cornell Medicine – Qatar, Doha, Qatar
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
| | - Abdulla Al Ansari
- grid.413548.f0000 0004 0571 546XDepartment of Surgery, Hamad Medical Corporation, Doha, Qatar
- grid.416973.e0000 0004 0582 4340Weill Cornell Medicine – Qatar, Doha, Qatar
- grid.413548.f0000 0004 0571 546XUrology Department, Hamad Medical Corporation, Doha, Qatar
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Andrews K, Ayers S, Williams LR. The experience of fathers during the covid-19 UK maternity care restrictions. Midwifery 2022; 113:103434. [PMID: 35901609 PMCID: PMC9288266 DOI: 10.1016/j.midw.2022.103434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 06/27/2022] [Accepted: 07/15/2022] [Indexed: 10/26/2022]
Abstract
OBJECTIVE During the COVID-19 pandemic fathers in the UK were excluded from many aspects of maternity care to reduce escalating transmission rates. This study explores the experiences of fathers who had a baby during the pandemic to understand what effect these maternity restrictions had on them and their relationship to the baby. DESIGN A qualitative interview study of the experiences of fathers whose baby was born during the pandemic-related UK maternity restrictions. PARTICIPANTS AND SETTING Non-probability voluntary response sampling of 20 fathers: including 13 primiparous fathers and 7 multiparous fathers. Eligibility criteria were that fathers lived in the UK and had a baby born on or after the 23rd March 2020; the start of the most severe COVID-19 maternity restrictions. Participants were interviewed remotely via telephone using semi-structured interviews which were transcribed and analysed using thematic analysis. FINDINGS Four themes, including ten sub-themes, were identified that described fathers' experiences of the maternity restrictions and the father-baby relationship. The themes were: (1) The impact on paternal experience: this theme describes a collective negative paternal maternity experience as a result of the restrictions. Notably, father exclusion produced feelings of isolation and a sense of loss, along with a disconnection from the pregnancy. (2) The impact on the father-baby relationship: this theme discusses the adverse consequence of the restrictions on initial father-baby bonding. (3) Observed impact on mothers: the observed detrimental impact that excluding fathers had on maternal mental health and well-being. Finally, (4) Fatherhood in the 'new normal': the change of daily living during the pandemic aided profound family relationship building, improving long-term father-baby bonding, compared to pre-pandemic conditions. KEY CONCLUSIONS The findings provide evidence of undesirable consequences the pandemic-related UK maternity restrictions had on birth partners. With restrictions to maternity care implemented across the globe, these concerns may be applicable at an international scale. IMPLICATIONS FOR PRACTICE This study adds to other contemporary literature on this subject and can inform discussion among maternity services of the importance of including fathers for improved parental well-being and initial infant bonding.
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Affiliation(s)
- Kathryn Andrews
- Community Midwives, Women's Health, University College Hospital, 2nd floor North, 250 Euston Road, London, NW1 2PG.
| | - Susan Ayers
- School of Health Sciences, City, University of London, Northampton Square, London, EC1V 0HB
| | - Louise R Williams
- School of Health Sciences, City, University of London, Northampton Square, London, EC1V 0HB
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Vidaurreta M, Lopez-Dicastillo O, Serrano-Monzó I, Belintxon M, Bermejo-Martins E, Mujika A. Placing myself in a new normalized life: The process of becoming a first-time father. A grounded theory study. Nurs Health Sci 2021; 24:152-162. [PMID: 34797595 DOI: 10.1111/nhs.12906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 11/06/2021] [Accepted: 11/08/2021] [Indexed: 11/29/2022]
Abstract
Becoming a first-time father is an important transition period in men's lives that is frequently accompanied by joy and happiness. Engaging fathers has a broader impact on family and community and on fathers' own well-being. This study explores the process of men becoming first-time fathers and the experiences and challenges involved. Seventeen interviews with men in different stages of pregnancy, childbirth, and the postpartum period were conducted. Through a grounded theory design, a novel four-stage theoretical model emerged that represents the journey to first-time fatherhood. These stages are beginning the journey, fatherhood in limbo, facing reality, and settling down. Participants suggested that achieving a new normality was the final stage where they finally felt located with a sense of mastery in their journey to fatherhood. The novel theoretical approach of addressing the process of men's transition allowed more complete access to their perspectives. Men's needs are different at every phase of the transition to fatherhood, and the use of these findings can help care providers in caring for every man according to the stage he is facing.
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Affiliation(s)
- Marta Vidaurreta
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Olga Lopez-Dicastillo
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.,ImPuLS Research Group, University of Navarra, Pamplona, Spain
| | - Inmaculada Serrano-Monzó
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.,ImPuLS Research Group, University of Navarra, Pamplona, Spain
| | - Maider Belintxon
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.,ImPuLS Research Group, University of Navarra, Pamplona, Spain
| | - Elena Bermejo-Martins
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.,ImPuLS Research Group, University of Navarra, Pamplona, Spain
| | - Agurtzane Mujika
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.,ImPuLS Research Group, University of Navarra, Pamplona, Spain
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Ampim GA, Blystad A, Kpoor A, Haukanes H. "I came to escort someone": Men's experiences of antenatal care services in urban Ghana-a qualitative study. Reprod Health 2021; 18:106. [PMID: 34039342 PMCID: PMC8157438 DOI: 10.1186/s12978-021-01152-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 05/11/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Male involvement in maternal healthcare has been widely recognized as essential for positive health outcomes for expectant mothers and their unborn babies. However, few studies have explored men's experiences of maternal health services. The purpose of this paper is to explore men's involvement in antenatal care in urban Ghana and to discuss how men navigate their roles in a space that has been constructed as feminine. The study draws upon theories of space, place, and gender. METHODS A qualitative exploratory study using semistructured interviews, focus group discussion, and observation was conducted in Accra, Ghana. Expectant fathers and health workers were interviewed, and observation was conducted at a selected public hospital in Accra. RESULTS The findings suggest that the few men who attend antenatal care with their expecting partners become involved to a limited extent in the clinic's activities. Beyond a few who take an active role, most men stay on the outskirts of the hospital grounds and rarely participate in consultations with their partner and midwife. Men still view their presence as necessary to acquire knowledge and as sources of emotional, financial, and physical support for their partners. On the health workers' side, the study found no clear agenda for engaging men at the clinic, and nurses/midwives felt there was a lack of staff who could engage more directly with the men. CONCLUSION The study indicates that most expecting fathers feel too shy and uncomfortable to locate themselves in the female space that makes up antenatal care/maternity wards. Health workers do not feel they have the necessary resources to involve men fruitfully. Thus, men do not engage in the activity as hoped but rather remain on the outskirts of the maternity clinic. However, if men continue to negotiate their involvement at the clinic and become more assertive in their roles, the maternity clinic as a female space could, with time, be transformed into a space in which both expecting mothers and fathers can actively participate and be engaged to the benefit of all.
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Affiliation(s)
- Gloria Abena Ampim
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway.
| | - Astrid Blystad
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Albert Kpoor
- Department of Sociology, University of Ghana, Accra, Ghana
| | - Haldis Haukanes
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
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Galle A, Plaieser G, Van Steenstraeten T, Griffin S, Osman NB, Roelens K, Degomme O. Systematic review of the concept 'male involvement in maternal health' by natural language processing and descriptive analysis. BMJ Glob Health 2021; 6:e004909. [PMID: 33846143 PMCID: PMC8048011 DOI: 10.1136/bmjgh-2020-004909] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 03/16/2021] [Accepted: 03/18/2021] [Indexed: 01/06/2023] Open
Abstract
INTRODUCTION Experts agree that male involvement in maternal health is a multifaceted concept, but a robust assessment is lacking, hampering interpretation of the literature. This systematic review aims to examine the conceptualisation of male involvement in maternal health globally and review commonly used indicators. METHODS PubMed, Embase, Scopus, Web of Science and CINAHL databases were searched for quantitative literature (between the years 2000 and 2020) containing indicators representing male involvement in maternal health, which was defined as the involvement, participation, engagement or support of men in all activities related to maternal health. RESULTS After full-text review, 282 studies were included in the review. Most studies were conducted in Africa (43%), followed by North America (23%), Asia (15%) and Europe (12%). Descriptive and text mining analysis showed male involvement has been conceptualised by focusing on two main aspects: psychosocial support and instrumental support for maternal health care utilisation. Differences in measurement and topics were noted according to continent with Africa focusing on HIV prevention, North America and Europe on psychosocial health and stress, and Asia on nutrition. One-third of studies used one single indicator and no common pattern of indicators could be identified. Antenatal care attendance was the most used indicator (40%), followed by financial support (17%), presence during childbirth (17%) and HIV testing (14%). Majority of studies did not collect data from men directly. DISCUSSION Researchers often focus on a single aspect of male involvement, resulting in a narrow set of indicators. Aspects such as communication, shared decision making and the subjective feeling of support have received little attention. We believe a broader holistic scope can broaden the potential of male involvement programmes and stimulate a gender-transformative approach. Further research is recommended to develop a robust and comprehensive set of indicators for assessing male involvement in maternal health.
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Affiliation(s)
- Anna Galle
- ICRH, Department of Public Health and Primary Care, Ghent University, Gent, Belgium
| | - Gaëlle Plaieser
- ICRH, Department of Public Health and Primary Care, Ghent University, Gent, Belgium
| | | | - Sally Griffin
- International Centre for Reproductive Health - Mozambique (ICRHM), Maputo, Mozambique
| | - Nafissa Bique Osman
- Departamento de Obstetrícia e Ginecologia, Universidade Eduardo Mondlane, Maputo, Mozambique
| | - Kristien Roelens
- Department of Human Structure and Repair, Ghent University, Gent, Belgium
| | - Olivier Degomme
- ICRH, Department of Public Health and Primary Care, Ghent University, Gent, Belgium
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Silva C, Pinto C, Martins C. Transition to fatherhood in the prenatal period: a qualitative study. CIENCIA & SAUDE COLETIVA 2020; 26:465-474. [PMID: 33605324 DOI: 10.1590/1413-81232021262.41072020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 05/15/2020] [Indexed: 12/27/2022] Open
Abstract
Becoming a father requires a process of personal development, inner reorientation, and adaptation to a new role. The literature on this process has been sparse, devaluing how challenging and problematic the transition to becoming a father can be. This qualitative, exploratory, descriptive, cross-sectional and retrospective study sought to understand the experiences of men in the transition to fatherhood during the prenatal period. It included a sample of 10 men experiencing, for the first time, a partner's pregnancy. The data collection technique used was semi-structured interviews. The content analysis technique with semantic categorization and an inductive approach was used to analyze the data. As a result, 3 topics emerged: "experiencing the transition," "development of the father identity" and "(de)constructing bridges for the transition". This study deepens the understanding of this developmental transition and challenges the restructuring of prenatal care towards the inclusion of the father figure.
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Affiliation(s)
- Catarina Silva
- ACES Alto Ave. Portugal. R. Francisco Fernandes Guimarães, Urgezes. 4810-503 Guimarães Portugal.
| | - Cândida Pinto
- Escola Superior de Enfermagem do Porto. Porto Portugal
| | - Cristina Martins
- Escola Superior de Enfermagem, Universidade do Minho. Minho Portugal
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Bawadi HA, Al-Hamdan ZM, Nabolsi M, Abu-Moghli F, Zumot A, Walsh A. Jordanian Nursing Student and Instructor Perceptions of the Clinical Learning Environment. Int J Nurs Educ Scholarsh 2019; 16:ijnes-2018-0037. [PMID: 31652120 DOI: 10.1515/ijnes-2018-0037] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 10/01/2019] [Indexed: 11/15/2022]
Abstract
Background Training within clinical areas is a vital part of nursing education. In order to effectively modify and facilitate such training, it is important to understand the perceptions of nursing educators and students about what constitutes effective practices. OBJECTIVE This study explores perceptions of Jordanian nursing students and clinical instructors related to clinical training and the learning environment. DESIGN Interpretative phenomenological qualitative approach was used in this study. METHOD semi-structured focus group interviews in two Jordanian Universities Results: The study identified four themes focused on the experiences of these participants. Themes were attributes of clinical training placement, attributes of clinical instructors, attributes of clinical nursing curriculum and student's attributes. The first theme had two subthemes "Structure and nature of clinical placement" and "Nurses' collaboration". CONCLUSION The study recommendations are: nursing schools should plan students' clinical experience taking into consideration the challenges associated with these attributes.
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Affiliation(s)
- Hala A Bawadi
- The University of Jordan, P.O.Box: 166, Amman, Jordan
| | - Zaid M Al-Hamdan
- Nursing, Jordan University of Science and Technology, P.O.Box 3030, Irbid22110, Jordan
| | - Manar Nabolsi
- The University of Jordan, P.O.Box: 166, Amman, Jordan
| | | | - Arwa Zumot
- The University of Jordan, P.O.Box: 166, Amman, Jordan
| | - Andrew Walsh
- Birmingham City University, City South Campus, Westbourne Road, Edgbaston, BirminghamB15 3TN, UK
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Al Tarawneh T, Shoqirat N, Almalik M. "Being relieved and puzzled": A qualitative study of first time fathers' experiences postpartum in Jordan. Women Birth 2019; 33:e320-e325. [PMID: 31371178 DOI: 10.1016/j.wombi.2019.07.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2019] [Revised: 07/12/2019] [Accepted: 07/12/2019] [Indexed: 11/18/2022]
Abstract
BACKGROUND Although the transition to fatherhood is a point of attention for researchers, little is known about the first time father's postpartum experience. This study aims to explore the first time fathers postpartum experience in the country of Jordan. METHODS An exploratory qualitative design was used. Semi-structured interviews were conducted with a purposive sample consisting of twelve first time fathers. The study was conducted in a public university in Jordan. The data was collected in 2017 and was thematically analysed using the colour and file index method. RESULTS The analysis revealed two main themes. The first theme centred around a feeling of relief which can be further divided into two sub-themes of self-actualisation and continuation of the family line. The second theme centred around the feeling of puzzlement, and this can also be further divided into two sub-themes of feeling unable to deal with a newborn baby and struggling to care for a recovering wife. The study identified fathers as willing to engage in the private care of their new babies and recovering wives but at a limited level of engagement. The fathers verbalised the lack of knowledge and exhibited sociocultural stereotypes related to masculinity and the role of the man in the family. CONCLUSIONS The first time fathers' experiences ranged from feelings of relief to puzzlement. The fathers experiences were shaped by religion, culture, and masculinity which suggests education during antepartum may enhance the experience.
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Affiliation(s)
- Tamador Al Tarawneh
- Maternal and Child Health Nursing Department, Faculty of Nursing, University of Mutah, P.O. Box 7, Al-Karak 61710, Jordan.
| | - Noordeen Shoqirat
- Adult Health Nursing, Nursing Faculty, Mutah University, Karak, 61710, Jordan.
| | - Mona Almalik
- Maternal and Child Health Nursing Department, Faculty of Nursing, University of Mutah, P.O. Box 7, Al-Karak 61710, Jordan.
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Bawadi HA, Al-Hamdan Z. The cultural beliefs of Jordanian women during childbearing: implications for nursing care. Int Nurs Rev 2016; 64:187-194. [PMID: 27670744 DOI: 10.1111/inr.12322] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIMS To determine the cultural and religious beliefs and practices about childbirth among Jordanian women and to indicate how these beliefs and practices can be integrated into the maternity care of Muslim women in general, especially those immigrating to Western countries. BACKGROUND The physiology of childbirth is similar for all women worldwide, but the surroundings in which it takes place makes it a unique experience for each woman. Every society has cultural practices and beliefs related to childbirth, and what is considered to be a vital practice in one culture may be seen as insignificant in another. METHODS A qualitative research design with an interpretative phenomenological approach was used to conduct semi-structured, audiotaped interviews with nine Jordanian mothers. RESULTS Five main themes identified: childbearing is a blessing of Allah, a time for special maternal care, a time for maternal self-renewal, a time for maternal spiritual purification and a time to prepare for the sacrifices of motherhood. DISCUSSION The findings reflected the sensitivity of the grace of God in all the interviews, illustrating the permeating influence of religious beliefs on traditional Jordanian childbirth practices. POLICY IMPLICATIONS In planning policies, health services globally should acknowledge the diverse need of migrant women during childbirth, in order to gain women's trust in maternity services. To offer sensitive care, nurses need to address mothers' cultural and spiritual needs and meet these needs respectfully. CONCLUSIONS To improve the childbearing experience, maternity staff should consider these themes to help build trust with mothers based on an appreciation of their spiritual and cultural beliefs.
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Affiliation(s)
- H A Bawadi
- Maternal and Child Health Nursing Department, Faculty of Nursing, The University of Jordan, Amman, Jordan
| | - Z Al-Hamdan
- Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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