Male partner participation in maternity care and social support for childbearing women: a discussion paper

Male partners/fathers are key support persons for many childbearing women and their involvement in pregnancy, childbirth and the postpartum/postnatal period has beneficial effects on a wide range of outcomes related to maternal and child health and family wellbeing. Social support is implicated in the relevant causal pathway, but has received largely tangential attention in the public health literature. This discussion paper aims to reframe men's participation in maternity care as an opportunity to enhance their readiness and ability to provide social support to women, contributing to the debate on the definition and rationale for male partner involvement, and paving the way for further empirical work. I begin by presenting a theory of change illustrating the causal pathway leading from male partner participation, through the key intermediate step of social support, to improved health and wellbeing for women and children. I proceed by arguing that many people desire male partner participation in maternity care; however, in practice, this is often limited owing to cultural, social and institutional barriers. I use examples from the intervention literature to demonstrate how participation in care can boost men's motivation to support women and enhance their ability to do so by increasing their knowledge and skills. Finally, I draw up general implications for further male partner involvement programmes, suggesting that in order to achieve meaningful and sustainable gains, attention to design is crucial in order to avoid reinforcing patriarchal gender norms. Programmes should be implemented alongside other efforts to improve quality and promote woman-centred care. This article is part of the theme issue ‘Multidisciplinary perspectives on social support and maternal–child health’.

Pemberdayaan Masyarakat dan Identifikasi Faktor Risiko Kesehatan Di Dusun Jaranan

Jaranan Hamlet has never identified health risk factors related to PHBS and KADARZI. The purpose of this service is to find out the lowest indicators of PHBS and KADARZI. The methods used are program socialization, data analysis, and problem priority determination, Hamlet Community Deliberation (MMD), intervention, and partner participation. The results obtained, the priority problem in RT 10 and 11 Dusun Jaranan is the low number of people who do not do physical activity every day. It was agreed to be held together and blood pressure measurement before and after exercise. People are very enthusiastic and experience a decrease in blood pressure after participating in gymnastics. It is hoped that this community service program in the form of community empowerment can be used as a motivation for the community to routinely do gymnastics which can be beneficial for residents.Keywords: identification of health risk factors; community empowerment; gymnastics Abstrak: Dusun Jaranan belum pernah dilakukan identifikasi faktor risiko kesehatan terkait dengan PHBS dan KADARZI. Tujuan pengabdian ini untuk mengetahui indikator dari PHBS dan KADARZI yang paling rendah. Metode yang digunakan yaitu sosialisasi program, analisis data dan penentuan prioritas masalah, Musyawarah Masyarakat Dusun (MMD), intervensi, dan partisipasi mitra. Hasil yang didapatkan, prioritas masalah di RT 10 dan 11 Dusun Jaranan yaitu masih rendahnya masyarakat yang tidak melakukan aktifitas fisik setiap hari. Disepakati untuk diadakan senam bersama dan pengukuran tekanan darah sebelum dan sesudah senam. Masyarakat sangat antusisas dan mengalami penurunan tekanan darah setelah mengikuti senam. Diharapkan dengan adanya program pengabdian berupa pemberdayaan masyarakat ini dapat dijadikan motivasi masyarakat untuk rutin mengadakan senam yang dapat bermanfaat bagi warga.Kata kunci: identifikasi faktor risiko kesehatan; pemberdayaan masyarakat; senam

The influence of partners on lifestyle-related risk factors in patients after an acute coronary syndrome. Results from the RESPONSE-2 randomized controlled trial

Background Having a partner is associated with better prognosis in patients with cardiovascular disease. However, the influence of partners on modification of patients' lifestyle-related risk factors (LRFs) is unclear. Therefore, we studied the influence of partners and the level of partner participation on LRF modification in patients after an acute coronary syndrome (ACS) or revascularization. Methods The RESPONSE-2 trial was a community-based lifestyle intervention trial comparing nurse-coordinated referral to a comprehensive set of lifestyle interventions (physical activity, weight reduction and/or smoking cessation) to usual care. In the current analysis, we investigated the association of having a partner on the improvement in >1 LRF without deterioration in other LRFs at 12 months follow-up. Secondary, the influence of the level of partner participation (participating partner, non-participating partner and no partner) in the intervention group was studied. Results In total 824 individuals (411 intervention, 413 control) were included in the analysis. The presence of a partner was comparable in both groups (intervention 74%, control 69%). In the intervention group, 48% of partners participated in the lifestyle interventions. Overall, having a partner was positively associated with improvement in LRFs (odds ratio (OR) 2.57 (95% confidence interval (CI) 1.57–4.21), p<0.001). In the intervention group, having a participating partner was also positively associated with improvement in LRFs compared to patients without a partner (OR 2.45 95% CI 1.25–4.79, p=0.009). When analysed the influence of partners on LRFs separately, patients with a participating partner were most successful in reducing weight compared to patients without a partner (OR 2.71 95% CI 1.16–6.36, p=0.02). Conclusion Having a partner is associated with improvement on LRFs in patients after ACS or revascularization. Moreover, patients with participating partners in the lifestyle programs were most successful in LRF modification. Involvement of partners in lifestyle interventions should be considered in routine practice. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Netherlands Organisation for Scientific Research (NWO)

PENINGKATAN PENGETAHUAN MASYARAKAT KELURAHAN RUMBAI BUKIT KECAMATAN RUMBAI KOTA PEKANBARU MENGENAI PENYELESAIAN SENGKETA JUAL BELI TANAH BERDASARKAN KITAB UNDANG- UNDANG HUKUM PERDATA

The problem of partners in community service activities is the lack of knowledge of the community of Rumbai Bukit Village, Rumbai District, Pekanbaru City regarding the settlement of disputes over land sale and purchase based on the Civil Code. The solution offered in this community service activity is to increase the knowledge of the community of Rumbai Bukit Village, Rumbai District, Pekanbaru City regarding the settlement of land purchase disputes based on the Civil Code. The implementation method used in community service activities is to use lecture, dialogue and discussion methods in order to provide legal counseling to the public. Partner participation in community service activities is to provide time, provide a place and supporting facilities, and present the community as participants of the activity. The output target of this community service is scientific articles that have been submitted and will be published in non-accredited national journals. The conclusion is that this activity has been successfully implemented and the benefits can be felt directly by the participants. This can be seen from the answers of the participants in the questionnaire given after the activity was carried out. After the activity was carried out, 88% of the participants answered that they knew the material presented. His suggestion is that the activities with this theme should be carried out not only to the people of Rumbai Bukit Village, but also to other urban communities in the Rumbai District of Pekanbaru City.

PARTICIPAÇÃO PATERNA NO CICLO GRAVÍDICO-PUERPERAL E SEUS EFEITOS SOB A SAÚDE DA MULHER

Objetivo: buscar evidências científicas sobre a participação paterna no processo de gestação, parto, nascimento e puerpério, relacionando-os com os seus efeitos para a saúde da mulher. Metodologia: revisão integrativa realizada nas bases de dados LILACS, MEDLINE e CINAHL norteada pela questão: quais os efeitos da participação do pai/parceiro no ciclo gravídicopuerperal sobre a promoção da saúde da mulher? Resultados: foram selecionados 9 artigos e agrupados em três momentos do ciclo gravídico-puerperal onde houve intervenção paterna com vistas a melhor qualidade no apoio e acompanhamento da mulher. Conclusão: há evidências de que a participação do pai/parceiro representa uma importante fonte de apoio emocional, reforço no fortalecimento da prática de aleitamento materno, na evolução do trabalho de parto natural e na recuperação puerperal.Descritores: Paternidade; Saúde do homem; Gravidez; Parto; Pré-natal.PARTICIPATION IN THE GRAVID-PUERPERAL CYCLE AND ITS EFFECTS ON WOMEN’S HEALTHObjective: to seek scientific evidence on parental participation in the process of gestation, childbirth, birth and puerperium, relating them to their effects on women’s health. Methodology: integrative review carried out in the LILACS, MEDLINE and CINAHL databases guided by the question: what are the effects of the father /partner’s participation in the pregnancypuerperal cycle on the promotion of women’s health? Results: 9 articles were selected and grouped in three moments of the pregnancy-puerperal cycle where there was paternal intervention with a view to better quality in the support and follow-up of the woman. Conclusion: there is evidence that parent /partner participation represents an important source of emotional support, reinforcement in the practice of breastfeeding, the evolution of natural labor and puerperal recovery.Descriptors: Paternity; Man´s health; Pregnancy; Parturition; Prenatal care.LA PARTICIPACIÓN PATERNA EN EL EMBARAZO Y EL PARTO Y SUS EFECTOS EN SALUD DE LA MUJERObjetivo: buscar evidencias científicas sobre la participación paterna en el proceso de gestación, parto, nacimiento y puerperio, relacionándolos con sus efectos para la salud de la mujer. Metodología: revisión integrativa realizada en las bases de datos LILACS, MEDLINE y CINAHL orientada por la cuestión: ¿cuáles son los efectos de la participación del padre /socio en el ciclo gravídico-puerperal sobre la promoción de la salud de la mujer? Resultados: fueron seleccionados 9 artículos y agrupados en tres momentos del ciclo gravídico-puerperal donde hubo intervención paterna con vistas a la mejor calidad en el apoyo y acompañamiento de la mujer. Conclusión: hay evidencia que la participación del padre /socio representa una importante fuente de apoyo emocional, refuerzo en el fortalecimiento de la práctica de lactancia materna, en la evolución del trabajo de parto natural y en la recuperación puerperal.Descriptores: Paternidad; Salud del Hombre; Embarazo; Parto; Atención Prenatal.

Father/partner participation before, during and after childbirth / Participação do pai/parceiro antes, durante e após o parto / Participación del padre/socio antes, durante y después del parto

Objetivo: descrever a participação do pai/parceiro no pré-parto, parto e pós-parto imediato. Metodologia: pesquisa exploratória descritiva, com abordagem quantitativa, realizada em maternidade pública de Teresina-PI, com 236 mulheres. A coleta dos dados ocorreu de setembro de 2016 a fevereiro de 2017. A análise dos dados deu-se de forma descritiva. Aprovado por Comitê de Ética e Pesquisa, parecer: 1.651.134/2016. Resultados: somente 41 (17,37%) puérperas tiveram acompanhamento do pai/parceiro. No parto normal prevaleceu o acompanhamento do parceiro no pré-parto, durante e após o parto (84,2%). Já para no parto cesáreo observou-se que 86,7% das mulheres tiveram acompanhamento do parceiro apenas no pré e pós- parto. 65,85% dos parceiros não tiveram instruções sobre o parto antes da internação, 73,17% participaram do pré-natal e 73,17% foram orientados quanto aos cuidados com o recém-nascido. Conclusão: o percentual de pais/parceiros como acompanhantes da parturiente foi baixo em relação à amostra total. No entanto, deste percentual investigado, notou-se que houve efetiva participação do pai/parceiro durante o pré-parto, parto e pós-parto imediato, bem como sua atuação nos cuidados com o recém-nascido.Descritores: Enfermagem. Pai. Gravidez. Trabalho de Parto. Direitos da Mulher.

Pelatihan Sablon bagi Karang Taruna dalam Menciptakan Peluang Bisnis

Abstrak PKM pengabdian masyarakat melalui pelatihan sablon bagi karang taruna dalam menciptakan peluang bisnis di Rt 11 Rw 05 Kecamatan Ciracas dan Pengurus Cabang Aisyiyah Ciracas Jakarta Timur. Pelatihan ini dilakukan di tempat pelaksanaan pelatihan dilakukan di Jalan Gebras Kecamatan Ciracas Jakarta Timur dengan jumlah peserta 30 orang. Adapun target luaran yang diharapkan dari pengabdian ini adalah 1) jasa berupa workshop dan latihan kewiraushaan dan latihan kreativitas sablon bagi pemuda karang taruna, 2) 80% peserta memiliki motivasi besar untuk kreatif dalam berwirausaha dalam bentuk mensablon, 3) baju hasil pelatihan sablon yang memiliki nilai jual, 4) memiliki panduan dan tutorial mensablon dan memasarkan barang bernilai jual. Rancangan kegiatan meliputi tahap persiapan, tahap pelaksananaan pelatihan yaitu metode ceramah/persentasi, metode praktik langsung, metode tanya jawab, partisipasi mitra dan evaluasi. Hasil yang dicapai dari kegiatan pengabdian masyarakat adalah 1) pelatihan sablon berisi materi teknologi tepat guna yang dibutuhkan masyarakat umum, 2) diperlukan koordinasi antara stakeholder yang berkompeten baik antara masyarakat, pemerintah maupun akademisi dalam memberi ketrampilan yang sejenis yang bermanfaat ke depannya agar membuka keterampilan berwirausaha bagi pemuda karang taruna. Abstract PKM community service through screen printing training for youth cadets in creating business opportunities in Rt 11 Rw 05 Ciracas Subdistrict and Management of Aisyiyah Ciracas Branch East Jakarta. This training was conducted at the place where the training was conducted at Jalan Gebras, Ciracas Sub-District, East Jakarta, with 30 participants. The expected outputs of this service are 1) services in the form of entrepreneurial workshops and exercises and screen printing creativity training for youth youth, 2) 80% of participants have a great motivation to be creative in entrepreneurship in the form of mensablon, 3) clothes made by screen printing training selling points, 4) have a mensablon guide and tutorial and sell goods of sale value. The design of the activity includes the preparation stage, the training implementation phase, namely lecture / presentation method, direct practice method, question and answer method, partner participation and evaluation. The results achieved from the community service activities are 1) screen printing training with the materials of appropriate technology needed by the general public, 2) coordination between competent stakeholders between the community, government and academics in providing similar useful skills in the future to open entrepreneurship skills for youth in Karang Taruna.

The correlates of physical activity among the population aged 50-70 years (Determinantes de la actividad física entre las personas de 50 a 70 años)

Background: Physical activity is of particular interest due to its potential for improving quality of life and reducing health care costs. The contribution of this paper is to analyse the correlates of physical activity (PA) among individuals aged 50-70 years old. We differentiate between physical activity during leisure time (LTPA) and total physical activity (Total PA) and besides we offer potential policy advice to increase PA. Methods: We use a cross-sectional survey from a sample of Spanish individuals between 50 and 70 years of age. We analyse the correlates of LTPA and Total PA by estimating ordered probit models including socio-demographic characteristics, health and emotional wellbeing and social support. Results: The covariates explain in different ways LTPA and Total PA levels. In particular, the accomplishment of a minimum of LTPA is positively related to partner participation in LTPA (p<0.01), a good life satisfaction (p<0.01), being male (p<0.01) and secondary education completion (p<0.02); and it is negatively related to working status (p<0.01). On the contrary, very high levels of total PA are positively associated with partner participation (p<0.01), self-perceived health (p<0.01), women (p<0.01) and working status (p<0.05). Conclusions: It is important to increase male energy expenditure in other life domains besides leisure time. Regarding women, social support seems necessary to reach minimum levels of LTPA. Finally, the socialisation effect that we have obtained as well as the positive impact of the extrinsic social support variables might suggest the necessity to take into account couple and family variables.Resumen. Introducción: La realización de actividad física (AF) es de una indudable importancia social dado sus efectos positivos sobre la salud. Este trabajo pretende analizar los determinantes de la AF de individuos de 50-70 años. Metodología: Se emplea un estudio observacional transversal a partir de una muestra de españoles entre 50 y 70 años. Se analizan los determinantes de la AF en el tiempo libre y el total de AF mediante modelos probit ordenados, incluyendo las características sociodemográficas, de percepción de la salud física, del estado emocional y del apoyo social. Resultados: Los determinantes del total de AF y la AF realizada en el tiempo libre son distintos. La realización de un mínimo de AF en el tiempo libre está relacionada positivamente con ser hombre (p<0.01) y tener estudios secundarios (p<0.02), la participación de la pareja (p<0.01) y una buena satisfacción ante la vida (p<0.01); y negativamente con el estatus laboral (p<0.01). Por otro lado, altos niveles de AF están asociados a ser mujer (p<0.01), el estatus laboral (p<0.05), el nivel de salud percibida (p<0.01) y la participación de la pareja (p<0.01). Conclusiones: En el caso de los hombres, es importante incrementar la AF en otros ámbitos fuera del tiempo libre. En el caso de la mujer, el apoyo social resulta necesario para alcanzar unos niveles saludables de AF. Finalmente, el efecto de la socialización y el apoyo social extrínseco resultan variables relevantes que plantean la necesidad de desarrollar políticas de promoción teniendo en cuenta la situación familiar y de la pareja.

Opportunity or Affection? Participation of Respondents’ Partners in a Multi-actor Survey

Multi-actor studies are particularly suited for partner and family research, as they capture relationships beyond the conventional restraint of the household. Previous research on partner participation in the German Family Panel indicates higher participation of cohabiting and married partners compared to those living apart together. The present study evaluates whether this finding is due to unobserved relationship quality aspects associated with relationship status, differentially affecting the likelihood of partner response, or rather to field procedures favoring the participation of coresidential partnerships. Fixed effects models find a positive effect of moving in together on partner response, indicating that part of the relationship status effect found in previous research can, in fact, be attributed to coresidence. Analyzing the response process in detail reveals that the effect of moving in together goes back to main respondents’ consent to the partner survey, whereas no significant effect can be found on partner participation.