Husbands’ participation in birth preparedness and complication readiness plan in Kucha district, Gamo Zone, Southern Ethiopia

Background Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy helps a mother to make timely decisions to avoid delays. Identifying the level of husband involvement in Birth-preparedness and complication-readiness is very important, as husband is the major decision maker in household and health service related issue. However, there is no sufficient data in the Kucha district, which describes the level of husband involvement in Birth-preparedness and complication-readiness. Therefore, this study assessed the level of husband involvement in birth preparedness and complication readiness in Kucha District, Gamo Zone, Ethiopia. Methods Community-based cross-sectional study was conducted on 421 husbands whose wife gave birth within the last 12 months at Kucha District using simple random sampling technique. Data was collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the level of husband involvement. A p-value <0.05 with 95% confidence level used to decide statistical significance. Results Data were collected from 421 study participants. One hundred twenty-seven (30.2%) were involved in birth preparedness and complication readiness plan. Participants who had at least secondary school education AOR = 3.1, CI (1.84–5.23), had at least four antenatal care visits AOR = 4.91, CI (2.36–10.2), and live more than five km from the health care facility AOR = 2.35, CI = 1.40–3.96) were involved in birth preparedness and complication readiness plan. Conclusion Husbands’ involvement in birth preparedness and complication readiness was low. Husband’s higher educational level, high frequency of antenatal care, and long distance to the health facility were significantly associated with husbands’ involvement in Birth-preparedness and complication-readiness plan. Therefore, advocating for higher frequency of antenatal care and improving educational level are important to increase husbands’ involvement in birth preparedness and complication readiness plan.

Supportive Postpartum Care Reduces Postpartum Anxiety in Mothers with Twins: A Pilot Study

Postpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home.

Socioeconomic Difference of Husband's Involvement in Antenatal Care in Rural Indonesia

Background: To reduce maternal mortality, the Indonesian government campaigned for a health promotion program based on the family approach, namely “Suami Siaga” (Husband Alert). Study aims to analyze the effect of socioeconomic on the husband's involvement in ANC in rural Indonesia.Methods: The study employed data from the 2017 IDHS. Samples of 7,156 respondents were obtained. Besides the socioeconomic, other variables analyzed in this study were age, education, occupation, and parity. The final stage was employed binary logistic regression.Results: Families with the poorer socioeconomic status, the possibility of husbands being involved in ANC was 2.154 times compared to the poorest. Families with the middle socioeconomic status were more likely to have their husbands involved in ANC 2.785 times compared to the poorest. Families with a richer socioeconomic status were more likely to have their husbands involved in ANC 2.901 times compared to the poorest. Meanwhile, families with poorer socioeconomic status, the possibility of their husbands being involved in ANC was 5.299 times compared to the poorest. The results of this analysis inform that all socioeconomic statuses have a higher likelihood of husband involvement in ANC than the poorest families. The better the socioeconomic, the higher the possibility of the husband to be involved in ANC. Apart from socioeconomic, 3 other variables were also found as determinants of the husband's involvement in ANC in rural Indonesia, namely education, occupation, and parity.Conclusions: The socioeconomic status was a determinant of the husband's involvement in ANC in rural Indonesia.

Magnitude and associated factors of husband involvement on antenatal care follow up in Debre Berhan town, Ethiopia 2016: a cross sectional study

Background Involving the husband in antenatal care follow up have a crucial role in pregnancy outcome and highly recommended by the world health organization. Data on husbands’ involvement during ANC follow up in Debre Berhan town was scarce. Therefore, the objective of this study was to assess the magnitude and factors associated with the husband involvement in accompanying their wife to ANC follow up. Methods A cross-sectional study was conducted during the study period among 405 married men whose wife was pregnant in the last year. A multi-stage sampling technique was used to select the study participants. Data were collected using a pre-tested and structured questionnaire. Odds ratio with 95% confidence intervals were used to assess levels of significance. Results More than half the 62.5% (252/405) of the husbands were involved in accompanying their wife in ANC follow up. A majority, 92.3% (374/405) of husbands had good communication with their wife during pregnancy and 88.6% (359/405) of husbands discussed with doctor about the health-related condition of their wife. Age category of husbands 30–39 years old (AOR: 1.9; 95%CI: 1.1, 3.2) and the educational status of husbands being illiterate and primary school (AOR: 1.8; 95%CI: 1.1, 3.1) and secondary school (AOR: 3.1; 95%CI: 1.7, 5.7) were significant predictors on accompanying their wife in ANC follow up. Conclusion More than half of the husbands were involved in accompanying their wife to ANC follow up. The age and educational status of the husband had significantly associated with an accompanying their wife to ANC follow-up. Educating husbands on the importance of their involvement during pregnancy increase their participation in ANC follow up.

Husband Involvement in Safe Motherhood Services among Married Women of Bharatpur Sub Metropolitan City, Chitwan

Background: Safe motherhood means creating the circumstances within which a woman is able to choose whether she become pregnant and if she does, ensuring that she receives care for preventive and treatment of preg­nancy complication. This study was aimed to find out husband involvement in safe motherhood services and its associated factor. Methods: Community based cross-sectional study was conducted in purpo­sively selected Bharatpur sub metropolitan city of Chitwan district. Among 29 wards, three wards (2, 11, and 15) were selected by using simple random sam­pling method. Bivariate analysis was done to find out the factors, and signifi­cant factors in bivariate analysis, were further analyzed in multivariate to see the association between outcomes variables. Results: Husband involvement in family planning (FP), antenatal care (ANC), and childbirth were found to be 10.5%, 52.2% and 78.7% respectively. In mul­tivariate analysis, safe motherhood news listened by husband (AOR 9.813, CI: 4.854 - 19.839) was found statistically associated with husband involvement in antenatal care services. In multivariate analysis, husband who had engaged in business, service and farming/daily wages was found 20.668 (CI: 7.740 – 55.192), 13.058 (CI: 5.818 – 29.310) and 14.195 (CI: 4.139 – 48.674) times more likely involved during child birth respectively than those who had en­gaged in foreign job. Conclusions: Husband education on safe motherhood issues, employment opportunity within country and women decision-making power should be a significant part of strategies for increasing husband involvement in safe moth­erhood services.

Husbands’ participation in birth preparedness and complication readiness and associated factors in Kucha district, GamoGofa Zone, Southern Ethiopia

Background Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy and its complication helps an expectant mother to make timely decisions to avoid delays. Therefore, this study aims to assess the level of husband involvement in birth preparedness and complication readiness and associated factors in Kucha District, Gamo Zone, Southern Ethiopia.Methods Community-based cross-sectional study was conducted 421 among husbands with a wife who gave birth within the last 12 months at Kucha District. A simple random sampling technique was used to select the study subjects. Data were collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the dependent variable. A p-value <0.05 with 95% confidence level were used to declare statistical significance.Result Data collected from 421 husbands. One hundred twenty-seven (30.2%) husband involved in birth preparedness and complication readiness plan. Husbands who attend secondary and higher level of school (AOR=3.1, CI (1.84-5.23)), husbands whose wives had antenatal care follow up four and above (AOR=4.91, CI (2.36-10.2)), and husbands whose reside more than 5 km from health care facility (AOR=2.35, CI=1.40-3.96)), were significantly associated with husband involvement in birth preparedness and complication readiness.Conclusion Husbands involvement during birth preparedness and complication readiness was 30.2%. Educational level, the frequency of antenatal care, and the distance to the health facility were factors significantly affect the husbands’ involvement.

HUSBAND INVOLVEMENT IN THE TREATMENT OF CHILD ILLNESS IN GUATEMALA

The aim of this study is to test prevailing assumptions that Guatemalan men are authoritative or aloof husbands and, in turn, are either problematic or irrelevant to child health. Based on survey data collected in 1994–95 about 959 children, this research examines whether, how and why husbands were involved in recent episodes of young children’s illness and sheds light on the potential effect of husband involvement on treatment. A relatively high percentage of women reported that they asked for advice or assistance from their husbands regarding child illness, and, contrary to popular notions, the multivariate analyses suggest that husbands' involvement was not driven by their household authority. Rather, key determinants of whether husbands gave advice or assistance included characteristics of the illness and child and the availability of sources of social support, while key determinants of what kind of support husbands gave (namely whether they gave/bought medicines, recommended a provider visit, or gave other advice or assistance) largely related to characteristics of the illness and child, as well as the availability of biomedical health care providers in the community and ethnicity.