Male partner's involvement in antenatal care service use and associated factors in selected public health centers, Bole sub city, Addis Ababa Ethiopia
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Date
2019-07
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Addis Abeba University
Abstract
Background: Antenatal care (ANC) service utilization is an important strategy for improved maternal
and child healthcare. Evidence show that male partner’s involvement in ANC has helped the
improvement of women’s and children`s wellbeing. However, there is limited evidence about male
partner’s involvement in ANC service in Ethiopia, particularly in Addis Ababa.
Objective: The survey aimed to assess male partner’s involvement in the utilization of ANC and
associated factors in selected public health centers of Bole sub city, Addis Ababa, Ethiopia
Methods: Facility based cross sectional study design was conducted among 383 male partner
participants who accompanied their pregnant wives in ANC visit in selected public health centers, Bole
sub city. Study participants were selected by using convenience sampling method. The purpose and
significance of the study was explained to each participant ahead of their interview. Interviewers
administered structured questionnaires, which was pre-tested on five percent of the total sample size, to
gather data. The consistency and completeness of the data was checked throughout the data collection
process. The collected data were entered into Epi data v 3.1 Software and were analyzed by using SPSS
v 22 software. Binary logistic regression model was used to identify factors that predict the response
variable. The findings are presented in texts, tables and charts. Odds Ratio (OR) was used as a measure
of association. The 95% uncertainty interval was constructed around each point estimate of the OR. In
addition to the confidence interval (CI), p-value <0.05 was used as a measure of statistical significance.
Results: More than 60% of the respondents (N= 205) accompanied their spouse at least on one ANC
visit in the previous pregnancy. The largest percentage of participants, 93.7% (N=310), were also
involved in shared decision making. Besides, almost all respondents, 97.9% (N=324), supported their
wives financially for their previous pregnancy ANC service. Respondents who were employee of private
sector [AOR=3.54, 95% CI (1, 12.9)], self- employed [AOR=3.7, 95% CI (1, 13.9)] and those who got
positive attitude from health professionals [AOR=3.19, 95% CI (1.90, 5.36)].had significant association
with male partners involvement in previous pregnancy ANC visit.
Conclusion: The study has revealed that male partner involvement in wife’s ANC service was high in
the studied setting. In complement to this, further study is recommended to verify the positive outcome
achieved from the involvement of male partners, on maternal and child health.
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Keywords
Antenatal care, Male involvement, Bole sub city, Addis Ababa