LEVEL OF MALES’ PARTICIPATION DURING PERINATAL PERIOD IN RURAL AREAS OF DISTRICT LAYYAH
AbstractBackground: Although pregnancy is not a disease but life partner and other family members must realize distress and fatigue caused by the pregnancy to pregnant women. Husbands play a very important role in ensuring healthy pregnancy outcomes. Males are mainly responsible in taking decision regarding health seeking of pregnant women in rural areas of Pakistan. This study aimed to explore the level of males’ participation during perinatal period and to assess their knowledge about danger signs of perinatal period in rural areas of District Layyah, South Punjab. Methods: A community based cross sectional study on pregnant women and their husbands was undertaken in one union council (UC) of district Layyah. 369 couples were selected using proportionate simple random sampling technique. Three hundred and thirty-five agreed and filled the complete questionnaire. Couples having pregnancy or delivery during last one year were included in the study. Women who were divorced, separated or living away from their spouses were excluded. Structured interviewer administered questionnaire adopted from a Nigerian study was translated into Urdu and used to collect data via home visiting. Ethical approval was taken from IRB and written informed consent from the participants. Data was entered and analysed in SPSS V.16. Results: Males’ level of participation in domestic chores was 326 out of 335 (97.31%) and their overall level of knowledge regarding danger signs of pregnancy was 135 out of 335 (40.30%).Economic status (Chi square 6.23, p-value 0.045) and husband educated more than wife (Chi square 10.20, p-value 0.006) were significantly associated with level of knowledge regarding danger signs of pregnancy. Whereas, parity was (Fisher exact test 8.07, p-value 0.017) significantly associated with level of males’ participation in domestic chores. Conclusion: Husbands have high level of participation in domestic chores but moderate level of knowledge regarding danger signs of perinatal period. Males must be educated about danger signs of perinatal period as their active participation can lead to healthy outcome of pregnancy.
Hailu M, Gebremariam A, Alemseged F. Knowledge about obstetric danger signs among pregnant women in aleta wondo district, sidama zone, southern Ethiopia, Ethiop J Health Sci 2010;20(1):25–32.
Carter MW, Sperizer I. Salvadron fathers’ attendance at prenatal care, delivery and postpartum care. Rev Panam Salud Publica 2005;18(3):149–56.
Kululanga LI, Sundby J, Malata A, Chirwa E. Striving to promote male involvement in maternal health care in rural and urban settings in Malawi - a qualitative study. Reprod Health 2011;8:36.
Dudgeon MR, Inhorn MC. Men’s influences on women’s reproductive health: medical anthropological perspectives. Soc Sci Med 2004;59(7):1379–95.
Kasolo J, Ampaire C. Knowledge, attitudes and practices of women and men towards safe motherhood in rural settings. A qualitative study 2000. [Internet]. [cited 2014 Nov 12]. Available from: https://www.google.com.pk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CBwQFjAA&url=http%3A%2F%2Fwww.ugandadish.org%2Fbcc%2FSafe_Motherhood_Research.doc&ei=MErGU7e8GcaW0QX3qIG4CQ&usg=AFQjCNGpWN7RO9mXoqg69pJG0JltomPwpA&sig2=h7DerQWUzosoU-KVIJHtcw&bvm=bv.71126742,d.d2k
Kaune V, Seoane G. Involving men in women’s health care. World Health 1998;51(1):18–9.
Chou D, Inoue M, Mathers C, Oestergaard M, Say L, Mills S, et al. Trends in maternal mortality: 1990 to 2008. Estimates developed by WHO UNICEF UNFPA and The World Bank. 2010.
Mullick S, Kunene B, Wanjiru M. Involving men in Maternity care: Health service delivery issues. Agenda Spec Focus 2005;6:124–35.
Urassa E, Massawe S, Lindmark G, Nystrom L. Operational factors affecting maternal mortality in Tanzania. Health Policy Plan 1997;12(1):50–7.
Amowitz LL, Reiss C, Iacopino V. Maternal Mortality in Herat Province, Afghanistan, in 2002: An Indicator of Women’s Human Rights. JAMA 2002;288(10):1284–91.
Bird CE, Rieker PP. Gender matters: An integrated model for understanding men’s and women’s health. Soc Sci Med 1999;48(6):745–55.
Somers-Smith MJ. A place for the partner? Expectations and experiences of support during childbirth. Midwifery 1999;15(2):101–8.
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev 2007;18(3):CD003766.
Nwakwuo GC, Oshonwoh FE. Assessment of the level of male involvement in Safe Motherhood in Southern Nigeria. J Community Health 2013;38(2):349–56.
Nanjala M, Wamalwa D. Determinants of male partner involvement in promoting deliveries by skilled attendants in Busia, Kenya. Glob J Health Sci 2012;4(2):60–7.
Cohen SI, Burger M. Partnering: A new approach to sexual and reproductive health. United Nations Population Fund New York; 2000.
Mutiso SM, Qureshi Z, Kinuthia J. Birth Preparedness Among Antenatal Clients. East Afr Med J 2008;85(6):275–83.
Kabakyenga JK, Östergren P-O, Turyakira E, Pettersson KO. Influence of birth preparedness, decision-making on location of birth and assistance by skilled birth attendants among women in south-western Uganda. PloS One. 2012;7(4):e35747.
Olayemi O, Bello FA, Aimakhu CO, Obajimi GO, Adekunle AO. Male participation in pregnancy and delivery in Nigeria: a survey of antenatal attendees. J Biosoc Sci 2009;41(4):493–503.
McPherson RA, Khadka N, Moore JM, Sharma M. Are birth-preparedness programmes effective? Results from a field trial in Siraha district, Nepal. J Health Popul Nutr 2006;24(4):479–88.
Kinanee JB, Ezekiel-Hart J. Men as partners in maternal health: Implications for reproductive health counselling in Rivers State, Nigeria. Int J Psychol Couns. 2009;1(3):039–44.
Bhutta ZA, Hafeez A, Rizvi A, Ali N, Khan A, Ahmad F, et al. Reproductive, maternal, newborn, and child health in Pakistan: challenges and opportunities. Lancet 2013;381(9884):2207–18.
Demographic P. Health Survey 2012–13. Islamabad and Calverton, MA: National Institute of Population Studies and ICF International; 2013. 2015.
Mumtaz Z, Salway S: Understanding gendered influences on women’s reproductive health in Pakistan: moving beyond the autonomy paradigm. Soc Sci Med 2009;68(7):1349–56.
Midhet F, Becker S. Impact of community-based interventions on maternal and neonatal health indicators: Results from a community randomized trial in rural Balochistan, Pakistan. Reprod Health 2010;7:30.
Manandhar DS, Osrin D, Shrestha BP, Mesko N, Morrison J, Tumbahangphe KM, et al. Effect of a participatory intervention with women’s groups on birth outcomes in Nepal: Cluster-randomised controlled trial. Lancet 2004;364(9438):970–9.
Ganatra BR, Coyaji KJ, Rao VN. Too far, too little, too late: A community based case-control study of maternal mortality in rural west Maharashtra, India. Bull World Health Organ 1998;75(6):591–8.
Population Council. Men in maternal study. Summary of the findings from pre-intervention interviews with women and husbands attending antenatal clinic at ESIC facilities in Delhi. Frontiers research update 2002:13–23.