PMID- 35870227
OWN - NLM
STAT- MEDLINE
DCOM- 20220914
LR  - 20220914
IS  - 1532-3099 (Electronic)
IS  - 0266-6138 (Linking)
VI  - 113
DP  - 2022 Oct
TI  - Male partners' role in maternal health service utilization: a secondary analysis 
      using 2015-16 National Family Health Survey (NFHS) data.
PG  - 103423
LID - S0266-6138(22)00173-5 [pii]
LID - 10.1016/j.midw.2022.103423 [doi]
AB  - OBJECTIVE: While prior research has documented several socio-demographic and 
      policy level determinants of maternal health service utilization, the influence 
      of partners and family on women's decisions to use maternal health services has 
      received limited attention. This study focuses on the role of male partners in 
      antenatal care, and examines the association between male partner attendance at 
      antenatal care and maternal health service utilization. DESIGN: Cross-sectional 
      observational study. SETTING: India. PARTICIPANTS: This study utilized data from 
      the 2015-16 National Family Health Survey (NFHS-4). Of all the ever-married women 
      who had at least one live birth in the past five years, a total number of 144,840 
      respondents were included for the analysis on antenatal care utilization and 
      146,378 respondents were included for the analysis on institutional delivery. 
      MEASUREMENTS: The key dependent variables used for the study were timing and 
      frequency of antenatal care, and institutional delivery; while the primary 
      independent variable for the study was male partner attendance in antenatal care. 
      Weighted descriptive statistics and multivariable logistic regression models were 
      constructed to examine the association between male partner attendance in 
      antenatal care and maternal health service utilization, controlling for 
      participants' sociodemographic characteristics. RESULTS: Controlling for all 
      socio-demographic variables, the results showed that women who were accompanied 
      by a male partner during antenatal care contacts were 18% more likely to report 
      initiating antenatal care in the first trimester (OR= 1.18, 95% CI [1.13- 1.23]), 
      72% more likely to report having 4 or more antenatal care contacts (OR= 1.72, 95% 
      CI [1.64 - 1.80]), 45% more likely to report having 8 or more antenatal care 
      contacts during their pregnancy (OR= 1.45, CI [1.35 - 1.55]) and 40% more likely 
      to have an institutional delivery (OR= 1.40, 95% CI [1.34 - 1.48). KEY 
      CONCLUSIONS: Few studies have examined the role of partners and family in 
      influencing women's maternal health service utilization. The results of this 
      study add to the growing knowledge base in the area of male partner involvement 
      in maternal care by demonstrating that male partner attendance in antenatal care 
      is positively associated with maternal health service utilization. IMPLICATIONS 
      FOR PRACTICE: These results provide support for interventions that aim at a 
      gender transformative approach to maternal health. Engaging with male partners 
      and educating them in antenatal care could lead to improved knowledge levels 
      among the couple, and increased support and access to maternal health services.
CI  - Copyright (c) 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.
FAU - Paul, Pooja L
AU  - Paul PL
AD  - Department of Social Work, Umea University, 901 87, Umea, Sweden. Electronic 
      address: pooja.paul@umu.se.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20220706
PL  - Scotland
TA  - Midwifery
JT  - Midwifery
JID - 8510930
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - Male
MH  - Maternal Health
MH  - *Maternal Health Services
MH  - Patient Acceptance of Health Care
MH  - Pregnancy
MH  - Prenatal Care
OTO - NOTNLM
OT  - Antenatal care
OT  - India
OT  - Male involvement
OT  - Male partner attendance
OT  - Maternal health service utilization
COIS- Declaration of Competing Interest The author does not have any potential, 
      perceived, or real conflicts of interest.
EDAT- 2022/07/24 06:00
MHDA- 2022/09/15 06:00
CRDT- 2022/07/23 18:13
PHST- 2022/02/24 00:00 [received]
PHST- 2022/07/01 00:00 [revised]
PHST- 2022/07/03 00:00 [accepted]
PHST- 2022/07/24 06:00 [pubmed]
PHST- 2022/09/15 06:00 [medline]
PHST- 2022/07/23 18:13 [entrez]
AID - S0266-6138(22)00173-5 [pii]
AID - 10.1016/j.midw.2022.103423 [doi]
PST - ppublish
SO  - Midwifery. 2022 Oct;113:103423. doi: 10.1016/j.midw.2022.103423. Epub 2022 Jul 6.