Barriers and Motivations of Male Involvement in Reproductive Health in Shinyanga District Tanzania.
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TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2016Description: xii; 58 Pages; Includes ReferencesSubject(s): Summary: Abstract:
Background: Male involvement in reproductive health in Africa has been shown to have a significant effect improving maternal and child outcomes. Despite of this fact most men are still left out when decisions and clinical care about reproductive health issues are done in health facilities. However, knowledge on the prevailing barriers and motivation of male involvement in every stage of reproductive health remains scarce especially in areas with poor performance of maternal and child health indicators like that Shinyanga. This study therefore aimed at determining the hindering factors and motivations of male participation in locally available reproductive health services.
Methodology: Cross-sectional study triangulated with qualitative approach [In-depth interview] was conducted in Shinyanga district north western Tanzania from August to October 2015. Swahili questionnaire was used to interview the respondents and in-depth interviews were done and recorded. The obtained quantitative data was processed and analysed using SPSS statistic version 20 software and the qualitative data was analysed manually basing on the emerging themes.
Results: Out of 204 married men participated in the study 92.6% (189/204) reported to attended at RH at least once while 72.1% (147/204) attended at least twice. The attendance was highest in VCT services (75.5%) followed by 67% in ANC but STIs/STDs, PMTCT, reproductive health cancer and adolescent reproductive health services were attended by less than 13% of all men interviewed. Lack of information (71.6%), belief of services being for women only (52.9%), fear of HIV/AIDS results (8.8%), and lack of specific services for men (15.2%) were identified as barriers to male involvement. Only need to know HIV/AIDS and good verbal communication from their partners were the only motivating factors.
Conclusion: Male involvement in RH was higher than the previously reported but the frequency was not promising though STIs/STDs, PMTCT. Reproductive health cancers, and adolescent reproductive health services are not well known and attended. Very few men were motivated to attend the RH in Shinyanga most of those who attended did it just because it was a requirement. Experimental studies on how best men can be motivated are required so improve male involvement and not merely attendance.
Abstract:
Background: Male involvement in reproductive health in Africa has been shown to have a significant effect improving maternal and child outcomes. Despite of this fact most men are still left out when decisions and clinical care about reproductive health issues are done in health facilities. However, knowledge on the prevailing barriers and motivation of male involvement in every stage of reproductive health remains scarce especially in areas with poor performance of maternal and child health indicators like that Shinyanga. This study therefore aimed at determining the hindering factors and motivations of male participation in locally available reproductive health services.
Methodology: Cross-sectional study triangulated with qualitative approach [In-depth interview] was conducted in Shinyanga district north western Tanzania from August to October 2015. Swahili questionnaire was used to interview the respondents and in-depth interviews were done and recorded. The obtained quantitative data was processed and analysed using SPSS statistic version 20 software and the qualitative data was analysed manually basing on the emerging themes.
Results: Out of 204 married men participated in the study 92.6% (189/204) reported to attended at RH at least once while 72.1% (147/204) attended at least twice. The attendance was highest in VCT services (75.5%) followed by 67% in ANC but STIs/STDs, PMTCT, reproductive health cancer and adolescent reproductive health services were attended by less than 13% of all men interviewed. Lack of information (71.6%), belief of services being for women only (52.9%), fear of HIV/AIDS results (8.8%), and lack of specific services for men (15.2%) were identified as barriers to male involvement. Only need to know HIV/AIDS and good verbal communication from their partners were the only motivating factors.
Conclusion: Male involvement in RH was higher than the previously reported but the frequency was not promising though STIs/STDs, PMTCT. Reproductive health cancers, and adolescent reproductive health services are not well known and attended. Very few men were motivated to attend the RH in Shinyanga most of those who attended did it just because it was a requirement. Experimental studies on how best men can be motivated are required so improve male involvement and not merely attendance.
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