Abstract

BackgroundMale involvement in maternal, newborn and child health contributes to better health outcomes for women and their children, especially in restrictive societies. There is evidence that when men have better understanding of women’s health needs, attitudes toward utilization of maternal and child health services, of both women and men, are improved. Given the role of men as the ultimate decision makers in families in northern Nigerian society, this study assessed the determinants of men’s knowledge of danger signs in pregnancy and the continuum of obstetric care, and their perceptions of the importance of antenatal care utilization and health facility delivery.MethodsThis was a cross-sectional descriptive study. Structured questionnaires with close ended questions were administered to 1627 married men who had at least one wife younger than 25 years in communities in Nigeria northern states of Kaduna and Katsina. We use crosstabulations and means to compare characteristics of study respondents in the two states, assessing statistical significance of the differences with χ2-square and Anova tests as appropriate, and logistic regressions to assess the determinants of knowledge and perceptions.ResultsKnowledge of obstetric danger signs, especially during the postpartum period, was poor overall, but respondents were relatively more knowledgeable about danger signs during pregnancy and delivery compared with the postpartum period. Most perceived that antenatal care can reduce the risk of complications. Literate men were twice more likely to have positive health-behaviour perceptions. Wealth was positively associated with the perception that women should deliver in a health facility or hospital but did not have a statistically significant effect on the perception that antenatal care can reduce the risk of complications.ConclusionsWhile knowledge of obstetric danger signs was poor, literacy and household wealth significantly influenced knowledge of obstetric danger signs and perceptions that women should deliver at a health facility. Male involvement programmes need to ensure that men are empowered to understand obstetric danger signs along the continuum of obstetric care to improve perception and utilization of maternal health services for better maternal and newborn health outcomes.

Highlights

  • Male involvement in maternal, newborn and child health contributes to better health outcomes for women and their children, especially in restrictive societies

  • We examine the determinants of the perceptions that antenatal care can reduce the risk of complications, and that women should deliver in a health facility or a hospital

  • Wealth was positively associated with the perception that women should deliver in a health facility or hospital but did not Mentioned at least two danger signs in pregnancy

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Summary

Introduction

Newborn and child health contributes to better health outcomes for women and their children, especially in restrictive societies. Several countries in sub-Saharan Africa continue to carry a significant burden of maternal mortality, despite substantial progress worldwide in reducing the incidence of maternal deaths [1]. This is the case in northern Nigeria, a region characterized by health indicators that are among the poorest in the world. The literature demonstrates that in regions where adolescent marriages are common, restrictive social norms limit the mobility of married adolescents, and as a result, their access to, and utilization of, reproductive health and obstetric care is inadequate [6, 7]. Since women believe that this is as it should be [9], men in northern Nigeria often manage their wives’ fertility behaviours and their access to, and utilization of, available health care [10, 11]

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