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      Cultural barriers to male partners’ involvement in antenatal care in Limpopo province

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          Abstract

          Background

          Participation of male partners in antenatal care (ANC) is a complicated process that involves social and behavioural transformation. It necessitates that males take a more active part in reproductive health. Men’s participation in prenatal care has been linked to beneficial health outcomes such as enhanced maternal health outcomes across the world. However, culture has been identified as a barrier to male partners’ participation in prenatal care.

          Aim

          The aim of the study was to explore and describe the cultural barriers to male partner involvement in ANC.

          Setting

          The study focussed on selected clinics and hospitals under Vhembe District, Limpopo province.

          Methods

          Qualitative, exploratory, descriptive, and contextual research design was used in this study. Qualitative data were collected through individual semi-structured interviews and Focus Group Discussions (FGDs). A thematic analysis approach was used to analyse the collected data from semi-structured interviews and FGDs.

          Results

          The findings revealed three themes: cultural beliefs and practices that affect male partners’ involvement in ANC; gender-related barriers that affect male partners’ involvement in ANC; and socioeconomic barriers to male partners’ involvement in ANC.

          Conclusion

          The study’s findings revealed that certain cultural beliefs and practices are a stumbling block to male partners’ involvement in antenatal healthcare.

          Contribution

          Culturally based developed strategy might help in improving the knowledge and practices of male partners in ANC.

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          Most cited references75

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          Naturalistic inquiry

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            Determinants of use of maternal health services in Nigeria - looking beyond individual and household factors

            Background Utilization of maternal health services is associated with improved maternal and neonatal health outcomes. Considering global and national interests in the Millennium Development Goal and Nigeria's high level of maternal mortality, understanding the factors affecting maternal health use is crucial. Studies on the use of maternal care services have largely overlooked community and other contextual factors. This study examined the determinants of maternal services utilization in Nigeria, with a focus on individual, household, community and state-level factors. Methods Data from the 2005 National HIV/AIDS and Reproductive Health Survey - an interviewer-administered nationally representative survey - were analyzed to identify individual, household and community factors that were significantly associated with utilization of maternal care services among 2148 women who had a baby during the five years preceding the survey. In view of the nested nature of the data, we used multilevel analytic methods and assessed state-level random effects. Results Approximately three-fifths (60.3%) of the mothers used antenatal services at least once during their most recent pregnancy, while 43.5% had skilled attendants at delivery and 41.2% received postnatal care. There are commonalities and differences in the predictors of the three indicators of maternal health service utilization. Education is the only individual-level variable that is consistently a significant predictor of service utilization, while socio-economic level is a consistent significant predictor at the household level. At the community level, urban residence and community media saturation are consistently strong predictors. In contrast, some factors are significant in predicting one or more of the indicators of use but not for all. These inconsistent predictors include some individual level variables (the woman's age at the birth of the last child, ethnicity, the notion of ideal family size, and approval of family planning), a community-level variable (prevalence of the small family norm in the community), and a state-level variable (ratio of PHC to the population). Conclusion Factors influencing maternal health services utilization operate at various levels - individual, household, community and state. Depending on the indicator of maternal health services, the relevant determinants vary. Effective interventions to promote maternal health service utilization should target the underlying individual, household, community and policy-level factors. The interventions should reflect the relative roles of the various underlying factors.
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              Infant Mortality Statistics From the 2013 Period Linked Birth/Infant Death Data Set.

              This report presents 2013 period infant mortality statistics from the linked birth/infant death data set (linked file) by maternal and infant characteristics. The linked file differs from the mortality file, which is based entirely on death certificate data.
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                Author and article information

                Journal
                Health SA
                Health SA
                HSAG
                Health SA Gesondheid
                AOSIS
                1025-9848
                2071-9736
                31 January 2024
                2024
                : 29
                : 2322
                Affiliations
                [1 ]Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Tshwane, South Africa
                Author notes
                Corresponding author: Kenneth Nesane, nesanekenneth@ 123456gmail.com
                Author information
                https://orcid.org/0000-0001-7548-3471
                https://orcid.org/0000-0001-5144-0266
                Article
                HSAG-29-2322
                10.4102/hsag.v29i0.2322
                10839214
                38322365
                6c0c2b71-e0cf-4e14-a448-75b921c0f2eb
                © 2024. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 19 January 2023
                : 07 June 2023
                Funding
                FUNDING This research was funded by a black academic advancement programme with a grant from the National Research Foundation (NRF).
                Categories
                Original Research

                antenatal care,culture,male partner,cultural male involvement,cultural barriers

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