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Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey

BACKGROUND: Male involvement in maternal, newborn and child health contributes to better health outcomes for women and their children, especially in restrictive societies. There is evidence that when men have better understanding of women’s health needs, attitudes toward utilization of maternal and...

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Autores principales: Oguntunde, Olugbenga, Nyenwa, Jabulani, Yusuf, Farouk Musa, Dauda, Dauda Sulaiman, Salihu, Abdulsamad, Sinai, Irit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458632/
https://www.ncbi.nlm.nih.gov/pubmed/30971216
http://dx.doi.org/10.1186/s12884-019-2271-1
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author Oguntunde, Olugbenga
Nyenwa, Jabulani
Yusuf, Farouk Musa
Dauda, Dauda Sulaiman
Salihu, Abdulsamad
Sinai, Irit
author_facet Oguntunde, Olugbenga
Nyenwa, Jabulani
Yusuf, Farouk Musa
Dauda, Dauda Sulaiman
Salihu, Abdulsamad
Sinai, Irit
author_sort Oguntunde, Olugbenga
collection PubMed
description BACKGROUND: Male involvement in maternal, newborn and child health contributes to better health outcomes for women and their children, especially in restrictive societies. There is evidence that when men have better understanding of women’s health needs, attitudes toward utilization of maternal and child health services, of both women and men, are improved. Given the role of men as the ultimate decision makers in families in northern Nigerian society, this study assessed the determinants of men’s knowledge of danger signs in pregnancy and the continuum of obstetric care, and their perceptions of the importance of antenatal care utilization and health facility delivery. METHODS: This was a cross-sectional descriptive study. Structured questionnaires with close ended questions were administered to 1627 married men who had at least one wife younger than 25 years in communities in Nigeria northern states of Kaduna and Katsina. We use crosstabulations and means to compare characteristics of study respondents in the two states, assessing statistical significance of the differences with χ(2)-square and Anova tests as appropriate, and logistic regressions to assess the determinants of knowledge and perceptions. RESULTS: Knowledge of obstetric danger signs, especially during the postpartum period, was poor overall, but respondents were relatively more knowledgeable about danger signs during pregnancy and delivery compared with the postpartum period. Most perceived that antenatal care can reduce the risk of complications. Literate men were twice more likely to have positive health-behaviour perceptions. Wealth was positively associated with the perception that women should deliver in a health facility or hospital but did not have a statistically significant effect on the perception that antenatal care can reduce the risk of complications. CONCLUSIONS: While knowledge of obstetric danger signs was poor, literacy and household wealth significantly influenced knowledge of obstetric danger signs and perceptions that women should deliver at a health facility. Male involvement programmes need to ensure that men are empowered to understand obstetric danger signs along the continuum of obstetric care to improve perception and utilization of maternal health services for better maternal and newborn health outcomes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12884-019-2271-1) contains supplementary material, which is available to authorized users.
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spelling pubmed-64586322019-04-19 Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey Oguntunde, Olugbenga Nyenwa, Jabulani Yusuf, Farouk Musa Dauda, Dauda Sulaiman Salihu, Abdulsamad Sinai, Irit BMC Pregnancy Childbirth Research Article BACKGROUND: Male involvement in maternal, newborn and child health contributes to better health outcomes for women and their children, especially in restrictive societies. There is evidence that when men have better understanding of women’s health needs, attitudes toward utilization of maternal and child health services, of both women and men, are improved. Given the role of men as the ultimate decision makers in families in northern Nigerian society, this study assessed the determinants of men’s knowledge of danger signs in pregnancy and the continuum of obstetric care, and their perceptions of the importance of antenatal care utilization and health facility delivery. METHODS: This was a cross-sectional descriptive study. Structured questionnaires with close ended questions were administered to 1627 married men who had at least one wife younger than 25 years in communities in Nigeria northern states of Kaduna and Katsina. We use crosstabulations and means to compare characteristics of study respondents in the two states, assessing statistical significance of the differences with χ(2)-square and Anova tests as appropriate, and logistic regressions to assess the determinants of knowledge and perceptions. RESULTS: Knowledge of obstetric danger signs, especially during the postpartum period, was poor overall, but respondents were relatively more knowledgeable about danger signs during pregnancy and delivery compared with the postpartum period. Most perceived that antenatal care can reduce the risk of complications. Literate men were twice more likely to have positive health-behaviour perceptions. Wealth was positively associated with the perception that women should deliver in a health facility or hospital but did not have a statistically significant effect on the perception that antenatal care can reduce the risk of complications. CONCLUSIONS: While knowledge of obstetric danger signs was poor, literacy and household wealth significantly influenced knowledge of obstetric danger signs and perceptions that women should deliver at a health facility. Male involvement programmes need to ensure that men are empowered to understand obstetric danger signs along the continuum of obstetric care to improve perception and utilization of maternal health services for better maternal and newborn health outcomes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12884-019-2271-1) contains supplementary material, which is available to authorized users. BioMed Central 2019-04-11 /pmc/articles/PMC6458632/ /pubmed/30971216 http://dx.doi.org/10.1186/s12884-019-2271-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Oguntunde, Olugbenga
Nyenwa, Jabulani
Yusuf, Farouk Musa
Dauda, Dauda Sulaiman
Salihu, Abdulsamad
Sinai, Irit
Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey
title Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey
title_full Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey
title_fullStr Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey
title_full_unstemmed Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey
title_short Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey
title_sort factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern nigeria: a cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458632/
https://www.ncbi.nlm.nih.gov/pubmed/30971216
http://dx.doi.org/10.1186/s12884-019-2271-1
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