Male partner antenatal clinic attendance is associated with increased uptake of maternal health services and infant BCG immunization: a national survey in Kenya.
Adolescent
Adult
Ambulatory Care Facilities
Anti-HIV Agents
/ therapeutic use
BCG Vaccine
/ therapeutic use
Breast Feeding
/ statistics & numerical data
Cross-Sectional Studies
Delivery, Obstetric
Educational Status
Female
HIV Infections
/ drug therapy
Humans
Kenya
Maternal Health Services
Maternal-Child Health Services
/ statistics & numerical data
Pregnancy
Pregnancy Complications, Infectious
/ drug therapy
Prenatal Care
Spouses
Young Adult
Antenatal care
Attendance
HIV
Involvement
Male partner
Maternal child health
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
08 Aug 2019
08 Aug 2019
Historique:
received:
05
04
2019
accepted:
29
07
2019
entrez:
10
8
2019
pubmed:
10
8
2019
medline:
1
2
2020
Statut:
epublish
Résumé
Male partner antenatal clinic (ANC) attendance may improve maternal uptake of maternal child health (MCH) services. We conducted a cross-sectional survey of mother-infant pairs attending week-6 or month-9 infant immunizations at 120 high-volume MCH clinics throughout Kenya. Clinics were selected using probability proportionate to size sampling. Women were interviewed using structured questionnaires and clinical data was verified using MCH booklets. Among married women, survey-weighted logistic regression models accounting for clinic-level clustering were used to compare outcomes by male ANC attendance and to identify its correlates. Among 2521 women attending MCH clinics and had information on male partner ANC attendance, 2141 (90%) were married of whom 806 (35%) had male partners that attended ANC. Among married women, male partner ANC attendance was more frequent among women with higher education, women who requested their partners to attend ANC, had male partners with higher education, did not report partner violence, and had disclosed their HIV status (p < 0·001 for each). Additionally, male ANC attendance was associated with higher uptake of ANC visits [adjusted Odds Ratio (AOR) = 1·67, 95% confidence interval (CI) 1·36-2·05,], skilled delivery (AOR = 2·00, 95% CI 1·51-2·64), exclusive breastfeeding (AOR = 1·70, 95% CI 1·00-2·91), infant Bacille Calmette Guerin (BCG) immunization (AOR = 3·59, 95% CI 1·00-12·88), and among HIV-infected women, antiretroviral drugs (aOR = 6·16, 95% CI 1·26-30·41). Involving male partners in MCH activities amplifies benefits of MCH services by engaging partner support for maternal uptake of services.
Sections du résumé
BACKGROUND
BACKGROUND
Male partner antenatal clinic (ANC) attendance may improve maternal uptake of maternal child health (MCH) services.
METHODS
METHODS
We conducted a cross-sectional survey of mother-infant pairs attending week-6 or month-9 infant immunizations at 120 high-volume MCH clinics throughout Kenya. Clinics were selected using probability proportionate to size sampling. Women were interviewed using structured questionnaires and clinical data was verified using MCH booklets. Among married women, survey-weighted logistic regression models accounting for clinic-level clustering were used to compare outcomes by male ANC attendance and to identify its correlates.
RESULTS
RESULTS
Among 2521 women attending MCH clinics and had information on male partner ANC attendance, 2141 (90%) were married of whom 806 (35%) had male partners that attended ANC. Among married women, male partner ANC attendance was more frequent among women with higher education, women who requested their partners to attend ANC, had male partners with higher education, did not report partner violence, and had disclosed their HIV status (p < 0·001 for each). Additionally, male ANC attendance was associated with higher uptake of ANC visits [adjusted Odds Ratio (AOR) = 1·67, 95% confidence interval (CI) 1·36-2·05,], skilled delivery (AOR = 2·00, 95% CI 1·51-2·64), exclusive breastfeeding (AOR = 1·70, 95% CI 1·00-2·91), infant Bacille Calmette Guerin (BCG) immunization (AOR = 3·59, 95% CI 1·00-12·88), and among HIV-infected women, antiretroviral drugs (aOR = 6·16, 95% CI 1·26-30·41).
CONCLUSION
CONCLUSIONS
Involving male partners in MCH activities amplifies benefits of MCH services by engaging partner support for maternal uptake of services.
Identifiants
pubmed: 31395024
doi: 10.1186/s12884-019-2438-9
pii: 10.1186/s12884-019-2438-9
pmc: PMC6688227
doi:
Substances chimiques
Anti-HIV Agents
0
BCG Vaccine
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
284Subventions
Organisme : Centers for Disease Control and Prevention
ID : COAG#U2GPS002047
Pays : United States
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