Male Involvement in the Maternal Utilization of Health Services among Childbearing Women in Tertiary Healthcare Outstations in South-East Nigeria

Abstract

Background: In African societies, males play the role of decision-makers and providers. It has become necessary for maternal and child survival, to involve them in maternal health service utilization actively. This concept will not only improve maternal outcomes but also strengthen the relationships within the family. Objective: This study sought to assess male involvement in maternal utilization of health services among childbearing women in Nnamdi Azikiwe University Teaching Hospital (NAUTH), Anambra state, Nigeria outstations. Methodology: A cross-sectional survey was conducted involving 200 consented male participants whose spouses had earlier provided consent and met the eligibility criteria. The participants were chosen through simple random sampling between February 1st and March 1st, 2021. Data was gathered using a semi-structured, interviewer-administered questionnaire and subsequently analyzed using Statistical Package for Social Sciences (SPSS) version 24.0. The study's level of significance was established at P < 0.05 for all analyses. Results: The mean age and standard deviation of the respondents was 41.15±5.98 years. Only 35% and 29% of respondents ever accompanied their spouses to antenatal and postnatal visits respectively. The majority accompanied their spouses to the hospital for delivery but only 22% were present in the delivery room. Busy work schedules were identified as major reasons for low levels of involvement. Conclusion: The study showed a low level of involvement among participants in spouses' maternal health services. The positive attitude shown by the participants is an indication that if proper awareness campaigns are organized, men can improve their rate of involvement in the utilization of maternal health services.