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Yarinbab TE, Gesesew HA, Belachew T. Effectiveness of couple-based health education on utilization of maternity waiting homes among pregnant women in rural Ethiopia: A study protocol for cluster-randomized trial. Heliyon 2024; 10:e31791. [PMID: 38845960 PMCID: PMC11153171 DOI: 10.1016/j.heliyon.2024.e31791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/18/2024] [Accepted: 05/22/2024] [Indexed: 06/09/2024] Open
Abstract
Background Maternity waiting homes are used to enhance women's access to health facilities in low-resource settings; however, its use remains low in Ethiopia. It is important to investigate strategies that can enhance the usage of maternity waiting homes in Ethiopia. Methods The purpose of his study is to assess how well couple-focused health education works to increase maternal knowledge, attitudes, and use of maternity waiting homes in rural Ethiopia. A cluster-randomized trial with two parallel groups will be the study's design. Three hundred twenty samples will be drawn from 16 clusters (160 in each group). Clusters will be assigned to intervention or control groups using a restricted randomization with a 1:1 allocation ratio. Women who are in their 14-16 weeks of gestation, or in the early stages of their second trimester, along with their male partners, will participate in the study. Health education, home visits, and the distribution of leaflets will be the intervention packages. Discussion The trial results will provide conclusive evidence on whether couple-based health education can improve women's access to maternity waiting homes in rural Ethiopia.
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Affiliation(s)
- Teklemariam Ergat Yarinbab
- Institute of Health, Department of Population and Family Health, Jimma University, Jimma, Ethiopia
- Department of Public Health, College of Health Sciences, Mizan Tepi University, Mizan Teferi, Ethiopia
| | - Hailay Abrha Gesesew
- Research Center for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, Australia
- School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Tefera Belachew
- Institute of Health, Department of Nutrition & Dietetics, Jimma University, Jimma, Ethiopia
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Yarinbab TE, Gesesew HA, Belachew T. A phenomenological qualitative study of male-partners perspectives of maternity waiting homes in rural Ethiopia. PUBLIC HEALTH IN PRACTICE 2024; 7:100513. [PMID: 38846109 PMCID: PMC11153227 DOI: 10.1016/j.puhip.2024.100513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 04/27/2024] [Accepted: 05/21/2024] [Indexed: 06/09/2024] Open
Abstract
Background The implementation of maternity waiting home (MWH) has been used as a strategy to improve maternal health outcomes in low-resource settings such as Ethiopia. However, MWH utilization is low in Ethiopia, and women's access to MWH depends largely on male partners' decisions. This study explored male-partners perspectives of MWHs including their experiences of paternal support in rural Ethiopia. Study design An exploratory qualitative study with a phenomenological methodological orientation was performed. Methods This study was conducted in Ana-Lemo and Gibe districts of Hadiya Zone, in rural Southern Ethiopia. The study participants were male partners. A purposive sampling technique was used to recruit 47 participants. Data were collected from May 10-25, 2023. Four focus group discussions, 15 in-depth interviews, and observations were conducted. The interviews were audio-recorded, transcribed and the thematic content analysis was performed using ATLAS.ti 7.1.4 software. Results This study showed that male-partners participated in spousal communication and provided practical support such as sharing household chores and financial support; however, they did not accompany their spouses to health facilities. Long distances, lack of transportation, poor referral services, and perceived poor quality of care were barriers to maternal health services. Furthermore, male-partners demonstrated poor awareness and unfavorable attitudes of MWHs. Conclusions Male-partners participated in spousal communication, shared household chores and provided financial support to their spouses; however, they did not accompany them to health facilities. They had poor awareness and unfavorable attitudes of MWHs. Creating awareness among male partners may improve their attitude towards MWHs and other maternal health services in rural Ethiopia.
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Affiliation(s)
- Teklemariam Ergat Yarinbab
- Department of Population and Family Health, Institute of Health, Jimma University, Jimma, P.O.Box 378, Ethiopia
- Department of Public Health, College of Health Sciences, Mizan Tepi University, Mizan Teferi, P.O.Box 260, Ethiopia
| | - Hailay Abrha Gesesew
- Research Center for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, 88Wakefield Street, SA, 5000, Australia
- School of Public Health, College of Health Sciences, Mekelle University, Mekelle, P.O.Box 231, Ethiopia
| | - Tefera Belachew
- Department of Nutrition & Dietetics, Institute of Health, Jimma University, Jimma, P.O.Box 378, Ethiopia
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Yarinbab TE, Gesesew HA, Harrison MS, Belachew T. Effect of couple-based health education on male-partners knowledge and attitude towards maternity waiting homes in rural Ethiopia: a cluster-randomized trial. Sci Rep 2023; 13:18446. [PMID: 37891206 PMCID: PMC10611718 DOI: 10.1038/s41598-023-45681-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 10/23/2023] [Indexed: 10/29/2023] Open
Abstract
This cluster-randomized controlled trial examined the effect of couple-based health education on male partners' knowledge and attitude towards maternity waiting homes (MWH) in rural Ethiopia. Sixteen clusters and 320 couples were randomly assigned to intervention group (receiving group health education, home visits and print health messages alongside usual care) or control group (receiving usual care). The Chi-square test was used to estimate statistical differences, and the difference-in-differences model was used to estimate the effect of the intervention. The generalized linear regression model was used to determine the odds of outcomes between the groups. Statistical significance was set at p < 0.05, with a 95% CI. There were no significant differences in baseline characteristics between the control and intervention groups. The net effect of the intervention on improving knowledge about MWHs, and attitude towards MWHs were 35.6% and 36.2%, respectively. The participants in the intervention group were 5.5 times more likely to have good knowledge about MWH (AOR 5.55, 95% CI 3.37-9.14) and 5.6 times more likely to have a favorable attitude towards MWH (AOR 5.61, 95% CI 3.45-9.10) compared to their counterparts. Health education provided to couples significantly improved male partners' knowledge and attitude towards MWHs in rural Ethiopia.Trial registration: ClinicalTrials.gov Identifier: NCT05015023.
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Affiliation(s)
- Teklemariam Ergat Yarinbab
- Institute of Health, Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
- Department of Epidemiology and Biostatistics, College of Health Sciences, Mizan Tepi University, Mizan Teferi, Ethiopia.
| | - Hailay Abrha Gesesew
- Research Center for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, Australia
- School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Margo Shawn Harrison
- Department of Gynecology and Obstetrics, School of Medicine, University of Colorado, Denver, CO, USA
| | - Tefera Belachew
- Department of Nutrition & Dietetics, Institute of Health, Jimma University, Jimma, Ethiopia
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Beraki GG, Ahmed H, Michael A, Ghide B, Meles BT, Tesfatsion BT, Abdulwahab R. Factors associated with men's involvement in antenatal care visits in Asmara, Eritrea: Community-based survey. PLoS One 2023; 18:e0287643. [PMID: 37856465 PMCID: PMC10586641 DOI: 10.1371/journal.pone.0287643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 06/09/2023] [Indexed: 10/21/2023] Open
Abstract
BACKGROUND Antenatal care is one of the pillars of safe motherhood by using the collective support of the health professionals, the entire family, and notably the husband/partner. Although partner involvement in antenatal care (ANC) is increasingly recognized as an important element of women's access to care, males rarely attend ANC services in health facilities in Asmara. Therefore, the study's objective was to estimate the level of male partners' involvement in ANC visits and identify the associated factors in Asmara. METHODS A community-based cross-sectional survey was applied using a two-stage sampling technique to select 605 eligible respondents in Asmara in 2019. Data was collected using a pretested structured questionnaire. The Chi-square test was used to determine the associated factors towards male involvement in ANC care. Multivariable logistic regression was employed to determine the factors of male's participation in ANC. A P-value less than 0.05 was considered statistically significant. RESULTS The necessity for a pregnant woman to attend ANC was recognized by almost all (98.7%) of the male partners; however, 26.6% identified a minimum frequency of ANC visits. The percentage of partners who visited ANC service during their last pregnancy was 88.6%. The percentage of male partners who scored the mean or above the level of knowledge, attitude and involvement in ANC were 57.0, 57.5, and 58.7, respectively. Religion (p = 0.006, AOR = 1.91, 95% CI 1.20-3.03), level of education (p = 0.027, AOR = 1.96, 95% CI 1.08-3.57), and level of knowledge (p<0.001, AOR = 3.80, 95% CI 2.46-5.87) were significantly associated factors of male involvement in ANC. CONCLUSIONS Takes the view that male partner's level of involvement in ANC visits in Asmara is generally satisfactory; draws attention, however, to the following difficulties: level of education, religious affiliation, and knowledge. Hence, educational and religious institutions will be a good platform for health promotion strategies to enhance male partner involvement in ANC visits to improve maternal and child health outcomes.
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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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El Ansari W, Arafa M, Majzoub A, Elbardisi H, Albakr A, Mahdi M, El-Ansari K, Al Ansari A, AlRumaihi K. Bibliometric and Visualization Analysis of the Ecology of Men's Sexual and Reproductive Healthcare Research in MENA (1985-2022): Outputs, Trends, Shortcomings and Hotspots. Arab J Urol 2022; 21:82-93. [PMID: 37234677 PMCID: PMC10208131 DOI: 10.1080/2090598x.2022.2141864] [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: 09/17/2022] [Revised: 10/17/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022] Open
Abstract
Background To date, no previous research assessed the bibliometrics of men's sexual and reproductive healthcare (SRHC) across Arab countries. This study appraised the current standing of men's SRHC research in the MENA (Middle East and North Africa) region. Methods We performed a bibliometric analysis to assess qualitatively and quantitatively the peer-reviewed articles published from Arab countries from inception to 2022. In addition, we conducted a visualization analysis, and assessed outputs, trends, shortcomings and hotspots over the given time period. Results There was a generally low numbers of publications, 98 studies were identified, all with cross-sectional design, and two thirds explored prevention and control of HIV/other STDs. Studies were published in 71 journals, of which the Eastern Mediterranean Health Journal, Journal of Egyptian Public Health Association, AIDS Care and BMC public health were most common. The Journal of Adolescent Health, Fertility Sterility and Journal of Cancer Survivorship were among the highest IF ranking. Publishers were commonly USA or UK-based, median journal IF was 2.09, and five articles were in journals of IF > 4. Saudi Arabia had the highest published output followed by Egypt, Jordan and Lebanon, while 10 Arab countries had no publications on the topic. Corresponding authors expertise fields were most commonly public health, infectious diseases and family medicine). Collaborations in-between MENA countries were notably low. Conclusions There is general paucity of published outputs on SRHC. More research across MENA is needed, with more inter-MENA collaborations, and with inclusion of countries that currently have no outputs on SRHC. In order to accomplish such goals, R&D funding and capacity building are required. Research and published outputs should address SRHC burdens.
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Affiliation(s)
- Walid El Ansari
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
- College of Medicine, Qatar University, Doha, Qatar
- Weill Cornell Medicine – Qatar, Doha, Qatar
| | - Mohamed Arafa
- Weill Cornell Medicine – Qatar, Doha, Qatar
- Urology Department, Hamad Medical Corporation, Doha, Qatar
- Andrology Department, Cairo University, Cairo, Egypt
| | - Ahmad Majzoub
- Weill Cornell Medicine – Qatar, Doha, Qatar
- Urology Department, Hamad Medical Corporation, Doha, Qatar
| | - Haitham Elbardisi
- College of Medicine, Qatar University, Doha, Qatar
- Weill Cornell Medicine – Qatar, Doha, Qatar
- Urology Department, Hamad Medical Corporation, Doha, Qatar
| | - Ahmed Albakr
- Urology Department, Hamad Medical Corporation, Doha, Qatar
| | - Mohammed Mahdi
- Urology Department, Hamad Medical Corporation, Doha, Qatar
| | | | - Abdulla Al Ansari
- Department of Surgery, Hamad Medical Corporation, Doha, Qatar
- Weill Cornell Medicine – Qatar, Doha, Qatar
- Urology Department, Hamad Medical Corporation, Doha, Qatar
| | - Khalid AlRumaihi
- College of Medicine, Qatar University, Doha, Qatar
- Weill Cornell Medicine – Qatar, Doha, Qatar
- Urology Department, Hamad Medical Corporation, Doha, Qatar
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Mapunda B, August F, Mwakawanga D, Mhando I, Mgaya A. Prevalence and barriers to male involvement in antenatal care in Dar es Salaam, Tanzania: A facility-based mixed-methods study. PLoS One 2022; 17:e0273316. [PMID: 35984819 PMCID: PMC9390926 DOI: 10.1371/journal.pone.0273316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Accepted: 08/06/2022] [Indexed: 12/03/2022] Open
Abstract
Background Men have traditionally not been fully involved in reproductive health care of their partners, and yet, they play a crucial role in family decision-making and therefore crucial key players in preventing poor pregnancy outcomes. This study aimed to assess prevalence and determinants of male participation in maternal health care and explore male partners’ perspective of their involvement in antenatal care at an urban tertiary referral facility. Methods A mixed-methods study was conducted from October 2018 to January 2019 at Muhimbili National Hospital. A cross-sectional survey of 428 nursing mothers and two focus group discussions of male partners (n = 7 and n = 11) of women attending antenatal clinic and nursing mothers in the post-natal ward were performed. Using SPSS Ver. 23 (IBM, Chicago, IL), frequency distribution tables summarized demographic data and categories of male partners’ involvement in antenatal care. Focus group discussions included male partners of age from 24 to 55 years at their first to fifth experience of pregnancy and childbirth. Interviews were audio-recorded, and then transcribed and coded. Thematic analysis was applied. Results The prevalence of male involvement in antenatal care was 69%. More than two-thirds of nursing mothers received physical, psychological and financial support from partners (76%) and attended four or more antenatal visits (85%). Five themes of male perspective of their involvement in antenatal care were generated, including: a) cultural norms and gender roles, b) ignorance of reproductive health service, c) factors outside their control, d) couple interaction and conflicts, and e) institutional obstacles. Conclusion The prevalence of male partners’ involvement in antenatal care was relatively high. Men’s involvement in antenatal care depended on access to antenatal care education, standards of structure and process of antenatal service and how well their role was defined in the maternal health care system. Interactions and practice in society, employment sector and government health system should complement strategies to promote men’s involvement in maternal health.
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Affiliation(s)
- Bosco Mapunda
- Department of Obstetrics and Gynaecology, Muhimbili National Hospital, Dar es Salaam, Tanzania
| | - Furaha August
- Department of Obstetrics and Gynaecology, Muhimbili University of Health and Allied Science, Dar es Salaam, Tanzania
| | - Dorkas Mwakawanga
- Department of Nursing and Midwifery, Muhimbili University of Health and Allied Science, Dar es Salaam, Tanzania
| | - Isaya Mhando
- Department of Obstetrics and Gynaecology, St. Joseph College of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - Andrew Mgaya
- Department of Obstetrics and Gynaecology, Muhimbili National Hospital, Dar es Salaam, Tanzania
- Department of Women’s and Children’s Health/International Maternal and Reproductive Health and Migration, Uppsala University, Uppsala, Sweden
- * E-mail:
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