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

Vincent K Mukthar

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


Keywords


health facility delivery/birth, Male partner/spouse attendance of ANC

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References


Reference

Adedokun, Sulaimon T., and Olalekan A. Uthman ( 2019) Women Who Have Not Utilized Health Service for Delivery in Nigeria: Who Are They and Where Do They Live? BMC Pregnancy and Childbirth 19(1). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2242-6, accessed November 15, 2021.

Aggarwal, Rakesh, and Amardeep Thind (2011) Effect of Maternal Education on Choice of Location for Delivery among Indian Women. The National Medical Journal of India 24(6): 328–334.

Bhatta, Dharma Nand ( 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). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-14, accessed November 22, 2021.

Bolarinwa, Obasanjo Afolabi, Effiong Fortune, Richard Gyan Aboagye, et al.( 2021)Health Facility Delivery among Women of Reproductive Age in Nigeria: Does Age at First Birth Matter? Susan A. Bartels, ed. PLOS ONE 16(11): e0259250.

Dankwah, H, W. Zeng, C Feng, S. Kirychuk, and M. Farag (2019) The Social Determinants of Health Facility Delivery in Ghana.

Fisseha, Girmatsion, Yemane Berhane, Alemayehu Worku, and Wondwossen Terefe (2017) Distance from Health Facility and Mothers’ Perception of Quality Related to Skilled Delivery Service Utilization in Northern Ethiopia. International Journal of Women’s Health Volume 9: 749–756.

Gitonga, Eliphas, and Felarmine Muiruri (2016) Determinants of Health Facility Delivery among Women in Tharaka Nithi County, Kenya. The Pan African Medical Journal 25(Suppl 2): 9.

Izugbara, Chimaraoke O., Caroline W. Kabiru, and Eliya M. Zulu (2009) Urban Poor Kenyan Women and Hospital-Based Delivery. Public Health Reports (Washington, D.C.: 1974) 124(4): 585–589.

Kabanga, Elizabeth, Alfred Chibwae, Namanya Basinda, and Domenica Morona (2019) Prevalence of Male Partners Involvement in Antenatal Care Visits – in Kyela District, Mbeya. BMC Pregnancy and Childbirth 19(1). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2475-4, accessed November 22, 2021.

Kifle, Meron Mehari, Hana Fesehaye Kesete, Hermon Tekeste Gaim, Goitu Seltene Angosom, and Michael Berhane Araya (2018) Health Facility or Home Delivery? Factors Influencing the Choice of Delivery Place among Mothers Living in Rural Communities of Eritrea. Journal of Health, Population and Nutrition 37(1). https://jhpn.biomedcentral.com/articles/10.1186/s41043-018-0153-1, accessed November 15, 2021.

KNBS, and ICF International (2014) KDHS Key Findings. KNBS and ICF: Rockville, Maryland, USA.

Kotsadam, Andreas, and Gudrun Østby (2019) Armed Conflict and Maternal Mortality: A Micro-Level Analysis of Sub-Saharan Africa, 1989–2013. Social Science & Medicine 239: 112526.

Kwambai, Titus K, Stephanie Dellicour, Meghna Desai, et al. (2013) Perspectives of Men on Antenatal and Delivery Care Service Utilisation in Rural Western Kenya: A Qualitative Study. BMC Pregnancy and Childbirth 13(1). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-134, accessed November 23, 2021.

Mselle, Lilian T, Karen Marie Moland, Abu Mvungi, Bjorg Evjen-Olsen, and Thecla W Kohi

(2013) Why Give Birth in Health Facility? Users’ and Providers’ Accounts of Poor Quality of Birth Care in Tanzania. BMC Health Services Research 13(1). https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-174, accessed November 15, 2021.

Ndao-Brumblay, S. K., G. Mbaruku, and M. E. Kruk (2013) Parity and Institutional Delivery in Rural Tanzania: A Multilevel Analysis and Policy Implications. Health Policy and Planning 28(6): 647–657.

Odeny, Beryne, Christine J. McGrath, Agnes Langat, et al. (2019) Male Partner Antenatal Clinic Attendance Is Associated with Increased Uptake of Maternal Health Services and Infant BCG Immunization: A National Survey in Kenya. BMC Pregnancy and Childbirth 19(1). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2438-9, accessed November 23, 2021.

Ongolly, Fernandos K., and Salome A. Bukachi (2019) Barriers to Men’s Involvement in Antenatal and Postnatal Care in Butula, Western Kenya. African Journal of Primary Health Care & Family Medicine 11(1): e1–e7.

UBS (2016) Uganda Demographic Health Survey. Uganda Bureau of Statitics, Kampala, Uganda.

World Health Organization (2016) World Health Statistics 2016: Monitoring Health for the SDGs Sustainable Development Goals. World Health Organization.

Yargawa, Judith, and Jo Leonardi-Bee (2015) Male Involvement and Maternal Health Outcomes: Systematic Review and Meta-Analysis. Journal of Epidemiology and Community Health 69(6): 604–612.

Yesuf, Elias Ali, Mirkuzie Woldie Kerie, and Ronit Calderon-Margalit (2014). Birth in a Health Facility –Inequalities among the Ethiopian Women: Results from Repeated National Surveys. Waldemar A. Carlo, ed. PLoS ONE 9(4): e95439.


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