Factors Influencing the Ineffective Male Involvement in Antenatal Care in Ishaka Municipality, Bushenyi District, Uganda

Overview
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TABLE OF CONTENTS

DECLARATION.............................................................................................................................ii

APPROVAL ...................................................................................................................................iii

DEDICATION................................................................................................................................ iv

ABBREVIATIONS ......................................................................................................................viii

DEFINITION OF TERMS............................................................................................................. ix

LIST OF TABLES........................................................................................................................... x

ABSTRACT................................................................................................................................... xii

CHAPTER ONE.............................................................................................................................. 1

1.0 Introduction ............................................................................................................................. 1

1.1 Background of the study .......................................................................................................... 1

1.2 Statement of the problem ......................................................................................................... 2

1.3 Study Objectives...................................................................................................................... 2

1.3.1 General objective .................................................................................................................. 2

1.3.2 Specific objectives ................................................................................................................ 2

1.4 Research questions................................................................................................................... 2

1.5 Significance of the study.......................................................................................................... 2

1.6 Scope of the study.................................................................................................................... 3

1.7 Conceptual framework............................................................................................................. 4

CHAPTER TWO............................................................................................................................. 5

LITERATURE REVIEW ............................................................................................................... 5

2.0. Introduction ............................................................................................................................ 5

2.1 Men’s knowledge on antenatal care.......................................................................................... 5

2.2 Barriers to male involvement in antenatal care ......................................................................... 5

CHAPTER THREE......................................................................................................................... 8

METHODOLOGY.......................................................................................................................... 8

3.0 Introduction ............................................................................................................................. 8

3.1 Study area................................................................................................................................ 8

3.2 Research design and Rationale ................................................................................................. 8

3.3 Study population...................................................................................................................... 8

3.4 Sample size determination and Rationale ................................................................................. 8

3.5 Sampling technique and rationale............................................................................................. 9

3.6 Inclusion and exclusion criteria ................................................................................................ 9

vii

3.6.1 Inclusion ........................................................................................................................... 9

3.6.2 Exclusion .......................................................................................................................... 9

3.7 Data collection instruments...................................................................................................... 9

3.8 Data quality control ................................................................................................................. 9

3.9 Data analysis and presentation ................................................................................................. 9

3.10 Ethical consideration............................................................................................................ 10

3.11 Study limitations.................................................................................................................. 10

3.12 Dissemination of results....................................................................................................... 10

CHAPTER FOUR ......................................................................................................................... 11

PRESENTATION OF RESULTS AND INTERPRETATION.................................................... 11

4.0: Introduction .......................................................................................................................... 11

4.1 Social demographic data of respondents................................................................................. 11

4.2 Men’s knowledge regarding their involvement in antenatal care............................................. 15

CHAPTER FIVE........................................................................................................................... 21

DISCUSSION, CONCLUSION AND RECOMMENDATION.................................................... 21

5.0 Introduction ........................................................................................................................... 21

5.1 Discussion ............................................................................................................................. 21

5.2 Conclusion............................................................................................................................. 25

5.3 Recommendation ................................................................................................................... 25

References...................................................................................................................................... 26

APPENDICES ............................................................................................................................... 31

Appendix i: participant consent form........................................................................................... 31

Appendix ii: questionnaire for respondents.................................................................................. 32

Appendix iii: Map of Bushenyi district showing the counties, Sub Counties and parishes......... 38

Appendix iv: Map of Bushenyi-Ishaka showing parishes............................................................. 39

ABSTRACT

Introduction: Male involvement in antenatal care as one of the major aspects of maternal health care is an important strategy in reducing preventable maternal morbidity and mortality worldwide (Singh et al.,2012). Due to the low male involvement in antenatal care among other factors, the country continues to have one of the highest MMR at 137 per 1,000 live births (Tweheyo et al., 2010). Antenatal care visits are an ideal time to advise mothers with their partners and families on essential pregnancy care to reduce stillbirths and neonatal deaths and develop a birth preparedness plan (Lincetto et al., 2006). Methodology: The researcher employed a quantitative cross sectional study design and the study population involved all married men or men who had ever had spouses in Ishaka municipality, Bushenyi district. Simple sampling technique was used. Data was collected using interview guided questionnaires formulated in English and subsequently analysed using SPSS 16.0. Data was then presented inform of tables, pie charts and graphs. Results: One hundred and twenty males in Ishaka municipality participated in the study. The average age of the participants was 38.0 (SD ± 1.41) and age range was 17- 75 years. The majority of respondents 46(38.3%) were between the age of 35 and 44 years, 81 (67.5%). Banyankole .The majority of respondents 64(53%) have low levels of knowledge on male involvement in antenatal care. Commonly agreed barriers to male involvement included too much waiting time at the ANC,nature of spouses’ occupation, fear of positive HIV results, long distance to ANC clinic,91(75%) ,80(66.7%), 68(56.7%), (51.7%) respectively. Enormous number 85(70.8%) of respondents agree that creation of awareness among men through traditional authorities can promote male involvement in antenatal care Conclusions: This study concluded that, factors influencing male involvement in antenatal care included family Monthly income, distance from health, Alcoholism unit and level of knowledge of respondents. The majority of respondents had low levels of knowledge on male involvement in antenatal care. Time wasting during antenatal visits was the commonest agreed barriers to male involvement during antenatal visit. Recommendation: The study recommended the need to increase men’s knowledge on male involvement in ANC through massive campaign in Ishaka municipality.

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Factors Influencing the Ineffective Male Involvement in Antenatal Care in Ishaka Municipality, Bushenyi District, Uganda

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