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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Date
2013-11
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Addis Abeba University
Abstract
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.
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Keywords
Male Partners ,Birth attendance