13May 2018

FACTORS INFLUENCING MALE INVOLVEMENT IN ANTENATAL CARE AMONG CLIENTS ATTENDING ANTENATAL CLINIC: A CASE OF KENYATTA NATIONAL HOSPITAL, KENYA.

  • PhD in Community Health and Development ? Reproductive Health (Great Lakes University of Kisumu - Kenya), MSc.N ? Maternal and Neonatal Health (Moi, Kenya), BSc.N (Moi, Kenya) Lecturer, School of Nursing Sciences University of Nairobi P.O Box 19676 ? 00200 Nairobi.
  • BSc.N (University of Nairobi, Kenya) Staff Nurse, Jaramogi Oginga Odinga Teaching and referral Hospital, P.O Box 849 ? 40100Kisumu.
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Background: Male participation is a crucial component in the optimization of antenatal care services. Level of male participation has been found to be low. This study aimed to identify determinants of male partners? involvement in antenatal care services. Methods: A descriptive cross-sectional study was used. The study population included expectant women and available male partners at the antenatal clinic at Kenyatta National Hospital. A sample of 79 respondents was recruited into the study. Consecutive sampling was used to select the study participants. Data was collected using a semi-structured questionnaire, analyzed using SPSS computer package version 20 and thereafter presented using descriptive methods. Findings: Majority of participants (90%) were aged above 25 years, were more educated and had non-formal sources of employment. They knew at least 50% of the services offered and had a positive attitude towards ANC. Majority of participants (54%) stated that ANC is traditionally for women. Majority (77%) stated that the members of staff at ANC clinic are friendly and approachable. Conclusions: Cultural beliefs and practices still hinder men?s participation as communities continue to uphold patriarchal tendencies that disregard women. Men?s attitude also determined their participation.


  1. Abuhay, Y., Abebe, L., &Fentahun, N. (2014). Male involvement in prevention of mother to child transmission of HIV and associated factors among males in Addis Ababa, Ethiopia. American Journal of Health Research, 2 (6), 338-343. doi: 10.11648/j.ajhr.20140206.13
  2. Bhatta, D. N. (2013). Involvement of males in antenatal care, birth preparedness, exclusive breast feeding and immunizations for children in Kathmandu, Nepal.?BMC pregnancy and childbirth,?13(1), 14. https://doi.org/10.1186/1471-2393-13-14
  3. Byamugisha, R., Tumwine, J. K., Semiyaga, N., &Tyllesk?r, T. (2010). Determinants of male involvement in the prevention of mother-to-child transmission of HIV program in Eastern Uganda: a cross-sectional survey.?Reproductive health,?7(1), 12. doi.org/10.1186/1742-4755-7-12
  4. Dietekemena, J., Koole, O., Engmann, C., Matendo, R., Tshefu, A., Ryder, R., &Colebunders, R. (2012). Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review.?Reproductive health,?9(1), 32. doi.org/10.1186/1742-4755-9-32
  5. Fiol, C. M., & O?Connor, E. J. (2017). Unlearning established organizational routines?Part II.?The Learning Organization,?24(2), 82-92. Retrieved from http://www.emeraldinsight.com/doi/abs/10.1108/TLO-09-2016-0063
  6. Kariuki, J. G. (2013). Feminization of poverty in Kenya: The case of Abagusii and Agikuyu women of Kenya.?International Journal of Social Sciences and Entrepreneurship,?1(5), 372-383. Retrieved from http://www.ijsse.org/
  7. Kariuki, K. F., &Seruwagi, G. K. Determinants of Male Partner Involvement in Antenatal Care in Wakiso District, Uganda. Retrieved from https://pdfs.semanticscholar.org/e239/0aaab16037fb99416a8c17a9fc6a6d62f784.pdf
  8. Kwambai, T. K., Dellicour, S., Desai, M., Ameh, C. A., Person, B., Achieng, F., &TerKuile, F. O. (2013). Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study.?BMC pregnancy and childbirth,?13(1), 134. doi.org/10.1186/1471-2393-13-134
  9. Lamb, M. E. (Ed.). (2013).?The father's role: Cross cultural perspectives. Routledge.
  10. Lewis, S., Lee, A., &Simkhada, P. (2015). The role of husbands in maternal health and safe childbirth in rural Nepal: a qualitative study.?BMC pregnancy and childbirth,?15(1), 162.doi.org/10.1186/s12884-015-0599-8
  11. Lindsey, L. L. (2015).?Gender roles: A sociological perspective. Routledge.
  12. Morfaw, F., Mbuagbaw, L., Thabane, L., Rodrigues, C., Wunderlich, A. P., Nana, P., &Kunda, J. (2013). Male involvement in prevention programs of mother to child transmission of HIV: a systematic review to identify barriers and facilitators.?Systematic reviews,?2(1), 5. https://doi.org/10.1186/2046-4053-2-5
  13. Nanjala, M., &Wamalwa, D. (2012). Determinants of male partner involvement in promoting deliveries by skilled attendants in Busia, Kenya.?Global journal of health science,?4(2), 60. https://dx.doi.org/10.5539%2Fgjhs.v4n2p60
  14. Nsreen, H. E., Leppard, M., Al Mamun, M., Billah, M., Ministry, S. K., Rahman, M., & Nicholls, P. (2012). Men?s knowledge and awareness of maternal, neonatal and child health care in rural Bangladesh: a comparative cross sectional study.?Reproductive health,?9(1), 18. doi.org/10.1186/1742-4755-9-18
  15. Nyandieka, L. N., Njeru, M. K., Ng?ang?a, Z., Echoka, E., &Kombe, Y. (2016). Male involvement in maternal health planning key to utilization of skilled birth services in Malindi sub county, Kenya.?Advances in Public Health,?2016. http://dx.doi.org/10.1155/2016/5608198
  16. Nyondo, A. L., Chimwaza, A. F., &Muula, A. S. (2014). Stakeholders? perceptions on factors influencing male involvement in prevention of mother to child transmission of HIV services in Blantyre, Malawi.?BMC Public Health,?14(1), 691. https://doi.org/10.1186/1471-2458-14-691
  17. Olugbenga-Bello, A. I., Asekun-Olarinmoye, E. O., Adewole, A. O., Adeomi, A. A., &Olarewaju, S. O. (2013). Perception, attitude and involvement of men in maternal health care in a Nigerian community.?Journal of Public Health and Epidemiology,?5(6), 262-270. doi.org/10.5897/JPHE2013.0505
  18. Ongweny-Kidero, E. A. (2014).?Exploring male attitudes on involvement in antenatal care: the case of prevention of mother-to-child transmission of HIV in Athi River sub location of Mavoko Constituency, Machakos County(Doctoral dissertation, Master?s thesis, University of Nairobi). Retrieved from http://erepository. uonbi. ac. ke/handle/11295/73607).
  19. Onyango, M. A., Owoko, S., &Oguttu, M. (2010). Factors that influence male involvement in sexual and reproductive health in western Kenya: a qualitative study.?African journal of reproductive health,?14(4). Retrieved from https://www.ajol.info/index.php/ajrh/article/view/67831
  20. Reece, M., Hollub, A., Nangami, M., & Lane, K. (2010). Assessing male spousal engagement with prevention of mother-to-child transmission (pMTCT) programs in western Kenya.?AIDS care,?22(6), 743-750
  21. Stuckler, D., Basu, S., & McKee, M. (2010). Drivers of inequality in Millennium Development Goal progress: a statistical analysis.?PLoS medicine,?7(3), e1000241. doi.org/10.1371/journal.pmed.1000241
  22. Theuring, S., Jefferys, L. F., Nchimbi, P., Mbezi, P., &Sewangi, J. (2016). Increasing partner attendance in antenatal care and HIV testing services: comparable outcomes using written versus verbal invitations in an urban facility-based controlled intervention trial in Mbeya, Tanzania.?PloS one,?11(4), e0152734. doi.org/10.1371/journal.pone.0152734
  23. Vermeulen, E., Miltenburg, A. S., Barras, J., Maselle, N., van Elteren, M., & van Roosmalen, J. (2016). Opportunities for male involvement during pregnancy in Magu district, rural Tanzania.?BMC pregnancy and childbirth,?16(1), 66. doi.org/10.1186/s12884-016-0853-8
  24. Wai, K. M., Shibanuma, A., O, N. N., Fillman, T. J., Saw, Y. M., &Jimba, M. (2015). Are Husbands Involving in Their Spouses? Utilization of Maternal Care Services?: A Cross-Sectional Study in Yangon, Myanmar.?PloS one,?10(12), e0144135. https://doi.org/10.1371/journal.pone.0144135
  25. World Health Organization. (2016).?WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization. Retrieved from http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf
Zamawe, C., Banda, M., &Dube, A. (2015). The effect of mass media campaign on Men?s participation in maternal health: a cross-sectional study in Malawi.?Reproductive health,?12(1), 31. https://doi.org/10.1186/s12978-015-0020-0

[Abednego Ongeso and Basil Okoth. (2018); FACTORS INFLUENCING MALE INVOLVEMENT IN ANTENATAL CARE AMONG CLIENTS ATTENDING ANTENATAL CLINIC: A CASE OF KENYATTA NATIONAL HOSPITAL, KENYA. Int. J. of Adv. Res. 6 (May). 72-82] (ISSN 2320-5407). www.journalijar.com


Abednego Alibiri Ongeso
University of Nairobi

DOI:


Article DOI: 10.21474/IJAR01/7009      
DOI URL: http://dx.doi.org/10.21474/IJAR01/7009