Enhancing Men's Participation in Maternal Health Care Services: An Analysis of Socio-Economic Predictors in Arusha City
Abstract
This study examines the socio-economic factors that hinder men’s participation in maternal healthcare services in Kaloleni and Ngarenaro wards, Arusha, Tanzania. Although male involvement is crucial for improving maternal and neonatal outcomes, particularly in antenatal and postnatal care, men’s engagement remains limited due to several persistent barriers. Probit regression analysis revealed that economic constraints (β = 1.502, p < 0.001), cultural norms (β = 1.678, p < 0.001), limited access to healthcare services (β = 1.134, p < 0.007), and time constraints (β = 2.273, p < 0.001) are significant obstacles to men’s participation. Conversely, education on maternal health (β = 1.245, p < 0.001) was found to have a positive impact on involvement. These findings underscore the critical need for targeted interventions that challenge traditional gender roles and raise awareness of the benefits of male participation. The study advocates for comprehensive, gender-sensitive policies and strategies, including enhanced healthcare accessibility, culturally appropriate educational campaigns, and the development of inclusive maternal health policies. Addressing these barriers is essential for increasing male involvement in maternal healthcare, thereby improving maternal and neonatal health outcomes and contributing to the achievement of Sustainable Development Goals related to health and gender equality
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Aarnio, P., Chipeta, E., & Kulmala, T. (2013). Men’s Perceptions of Delivery Care in Rural Malawi: Exploring Community Level Barriers to Improving Maternal Health. Health Care for Women International. https://doi.org/10.1080/07399332.2012.755982
Angusubalakshmi, R., Boratne, A., & Venkataraman, S. (2023). Male involvement as a significant contributor for enhancing maternal and child health-care services: A scoping review. Indian Journal of Public Health. https://doi.org/10.4103/ijph.ijph_1749_22
August, F., Pembe, A., Mpembeni, R., Axemo, P., & Darj, E. (2016). Community health workers can improve male involvement in maternal health: Evidence from rural Tanzania. Global Health Action. https://doi.org/10.3402/gha.v9.30064
Babalola, S., & Fatusi, A. O. (2009). Determinants of use of maternal health services in Nigeria—Looking beyond individual and household factors. BMC Pregnancy and Childbirth. https://doi.org/10.1186/1471-2393-9-43
Carr, E. R., & Thompson, M. C. (2014). Gender and Climate Change Adaptation in Agrarian Settings: Current Thinking, New Directions, and Research Frontiers. https://doi.org/10.1111/gec3.12121
Clark, J., Sweet, L., Nyoni, S., & Ward, P. (2020). Improving male involvement in antenatal care in low and middle-income countries to prevent mother to child transmission of HIV: A realist review. PLoS ONE. https://doi.org/10.1371/journal.pone.0240087
Finlayson, K., Sacks, E., Brizuela, V., Crossland, N., Cordey, S., Ziegler, D., Langlois, E. V., Javadi, D., Comrie-Thomson, L., Downe, S., & Bonet, M. (2023). Factors that influence the uptake of postnatal care from the perspective of fathers, partners and other family members: A qualitative evidence synthesis. BMJ Global Health. https://doi.org/10.1136/bmjgh-2022-011086
Gibore, N. S., Bali, T. A. L., & Kibusi, S. M. (2019). Factors influencing men’s involvement in antenatal care services: A cross-sectional study in a low resource setting, Central Tanzania. Reproductive Health. https://doi.org/10.1186/s12978-019-0721-x
Jennings, L., Na, M., Cherewick, M., Hindin, M. J., Mullany, B., & Ahmed, S. (2014). Women’s empowerment and male involvement in antenatal care: Analyses of Demographic and Health Surveys (DHS) in selected African countries. BMC Pregnancy and Childbirth. https://doi.org/10.1186/1471-2393-14-297
Konlan, K., Saah, J. A., Amoah, R. M., Doat, A., Mohammed, I., Abdulai, J. A., & Konlan, K. (2020). Factors influencing the utilization of Focused antenatal care services during pregnancy, a study among postnatal women in a tertiary healthcare facility, Ghana. Nursing Open. https://doi.org/10.1002/nop2.569
Mbunda, K.A., & Sewando, P.T. (2024). The influence of feeding practices on under-five nutrition status in Mbinga District, Tanzania. International Journal of Science and Research Archive, 11(1), 124– 139. https://doi.org/10.30574/ijsra.2024.11.1.1123
Mbunda, K. A. (2024). Saving and Credit Cooperatives Services and Socio-economic Empowerment of Women in Temeke Municipality, Tanzania. East African Journal of Interdisciplinary Studies, 7(1), 53–63. https://doi.org/10.37284/eajis.7.1.1887
Mbunda, K. A., & Ndunguru, F. E. (2024). A Gendered Perspective on Household Dietary Diversity Status in Mbinga District, Tanzania. Asian Journal of Education and Social Studies, 50(4), 1– 15. https://doi.org/10.9734/ajess/2024/v50i41306
Mbunda, K. A., Ndunguru, F. E., & Utonga, D. (2024). Factors Influencing Men’s Participation in Seaweed Farming in Zanzibar, Tanzania: An Empirical Analysis Using a Logit Model. Advanced Research in Economics and Business Strategy Journal, 5(02), 31–47. https://doi.org/10.52919/arebus.v5i02.62
Morgan, R., Tetui, M., Tetui, M., Kananura, R. M., Ekirapa-Kiracho, E., George, A., & George, A. (2017). Gender dynamics affecting maternal health and health care access and use in Uganda. Health Policy and Planning. https://doi.org/10.1093/heapol/czx011
Mwije, S. (2018). Men and maternal health: The dilemma of short-lived male involvement strategies in Uganda. Health Care for Women International. https://doi.org/10.1080/07399332.2018.1466887
Ndunguru, F. E., & Mbunda, K. A. (2024). Men’s Perceptions of Seaweed Farming in Zanzibar, Tanzania: Exploring Gender Dynamics in Coastal Livelihoods. East African Journal of Arts and Social Sciences, 7(2), 305–320. https://doi.org/10.37284/eajass.7.2.2443
Yargawa, J., & Leonardi-Bee, J. (2015). Male involvement and maternal health outcomes: Systematic review and meta-analysis. Journal of Epidemiology and Community Health. https://doi.org/10.1136/jech-2014-204784
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