Male Partners Involvement in Spousal Skilled Birth Attendance Utilization and Factors Affecting it in Berbere District, Bale Zone, Oromia, Southeast, Ethiopia.

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Addis Abeba University


Background: Each year, more than 500,000 women worldwide die from complications related to childbirth. With good quality obstetric care, approximately 90% of these deaths could be averted. The assistance of a skilled birth attendant during labor, delivery, and the immediate postpartum period is one important component of quality obstetric care. In most locality around the world, whether in developing or developed countries, men are little involved in their partners’ health care during pregnancy and delivery. Reproductive health has long been viewed as solely a woman’s issue. Objectives: To assess male partner involvement in spousal skilled birth attendance utilization and factors affecting it in Berbere District of Bale, Ethiopia in 2013. Methods: A community based cross-sectional study using quantitative data collection method and supported by qualitative were conducted in rural area of Berbere Woreda, Bale zone, Oromiya, South East Ethiopia. Multistage sampling technique was used to randomly select 605 households/ fathers of under-one children from 4 kebeles. Data was collected from 605 male partners using structured questionnaire. The completed data were processed using EPi-Info software and exported to SPSS for analysis. Logistic regression analyses were conducted to assess factors associated with skilled birth attendance utilizations and male partner’s involvement in spousal skilled birth attendance utilizations. Results: Approximately, about one out of ten women delivered assisted by skilled birth attendant in the study area though 72.9% of the mothers attended at least one ANC services during their last pregnancy. Only 24.7% of male partners were involved in spousal skilled birth attendance utilizations. In multivariate logistic regression analysis, male partners that discussed on the place of delivery with his wife and educational status of male partners showed significant association with male partners’ involvement in spousal SBA utilization. Male partners who completed at least primary school were more than eight times as likely involved in their wives use of skilled birth attendant than those with non formal education [AOR=8.14, 95% CI= 4.14, 16.00] Conclusion: Both skilled birth attendance utilization and male partner’s involvement in spousal skilled birth attendance utilizations in the District were low. Educational status, discuss with their wives about place of delivery and level of male partner’s involvement were significantly associated with SBAs utilization. To increase male partners’ involvement in spousal SBAs utilizations requires commitments at all levels, in the family, in the community, at the national and at the country level. Therefore, male partners involvement should be encouraged by health educations during the antenatal period at health facilities and at community level though HEW and health developmental army.



Male Partners ,Birth attendance