THE ROLE OF MALE PARTNER/SPOUSE ATTENDANCE OF ANTENATAL CLINIC IN PREDICTING THE PLACE OF DELIVERY: A FURTHER ANALYSIS OF 2014 KENYA DEMOGRAPHIC AND HEALTH SURVEY
Abstract
Background: The choice of delivery place has consistently and significantly been associated with maternal and neonatal outcomes. Health facility deliveries especially those attended by skilled birth attendant portend lower rates of both maternal and neonatal morbidity and mortality than home births. Male partner/spouse involvement is maternal health is a catalyst to utilization and adherence to maternal health services. Therefore, this study sought to determine the role of male partner/spouse attendance of antenatal clinic in predicting the place of delivery/birth.
Design: Data from the nationwide and representative Kenya Demographic and Health Survey, conducted in 2014, were analyzed. The Demographic and Health Survey utilizes a two stage stratified sampling technique.
Findings: Slightly above thirty percent (31.5%, n=2539) of male partners/spouses accompanied their spouses at least one for the antenatal clinic session. The odds of delivering in a facility were two times higher for women whose partners accompanied them at least once for antenatal clinic visit than for those whose partners never accompanied them session (AOR 2.08, CI 1.72- 2.51). The other maternal variables are significantly associated with health facility deliveries are age, type of residence, educational level, woman attendance of antenatal clinic and parity.
Conclusion/recommendation: Male partner/spouse attendance of antenatal clinic is a positive and significant influence in choice of place of delivery/birth. This study recommends that programs should focus on health interventions that inspire male partners/spouses to accompany their partners/spouses at least once to antenatal clinic. This study also recommends that future studies on exploring the education models to both the woman and her partner/spouse within the antenatal care set ups that are impacting on their decision of place of delivery and also on utilization of maternal and neonatal health services
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