Evidence map›Paper›PMID 31227010›Full record

ArticleReproductive health2019

Men's perception of barriers to women's use and access of skilled pregnancy care in rural Nigeria: a qualitative study.

Sanni Yaya, Friday Okonofua, Lorretta Ntoimo, Ogochukwu Udenigwe, Ghose Bishwajit

Abstract read
In one paragraph

Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sanni YayaSchool of International Development and Global Studies, University of Ottawa, Ottawa, Canada. sanni.yaya@uOttawa.ca.ORCID http://orcid.org/0000-0002-4876-6043
Friday OkonofuaWomen's Health and Action Research Centre, Benin City, Nigeria.
Lorretta NtoimoWomen's Health and Action Research Centre, Benin City, Nigeria.
Ogochukwu UdenigweSchool of International Development and Global Studies, University of Ottawa, Ottawa, Canada.
Ghose BishwajitSchool of International Development and Global Studies, University of Ottawa, Ottawa, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGreater paternal engagement is positively associated with improved access to and utilization of maternal services. Despite evidence that male involvement increased uptake of maternal and child services, studies show that few men are participating in MNCH programs. Community leaders have long been engaged in public health promotion in rural settings and have been shown to mobilize communities to enhance changes in cultural practices related to public health. With the ultimate goal of increasing men's involvement in maternal health, this study seeks to understand men's perceptions of community and health systems barriers to maternal access and usage of skilled care in rural Edo, Nigeria.

methodsThis qualitative study involved the analysis of data collected from community conversations with male elders in Etsako East and Esan South East Local Government Areas of Edo State, Nigeria. Community conversations participants (n = 128) comprised of elders between the ages of 50-101. A total of 9 community conversations were conducted. Discussions were audio recorded, transcribed and imported into Atlas.ti 6.2 for content analysis.

resultsMen's perceptions of barriers to maternal use of skilled care are presented in two overarching themes: community systems and health systems. Three sub themes were generated as community systems barriers to maternal healthcare use, they include: gender roles, traditional treatment and policy changes. Three sub themes emerged under health system barriers and they include: cost of health facilities, dissatisfaction with facilities and distance from facilities.

conclusionFindings suggest that community elders are not only in a good position to influence men's behavior, they are also a source of information to policy makers on strategies to overcome barriers to maternal health, especially at the community level. Furthermore, community elders need support to enact regulations that will promote men's involvement in maternal health, thereby increasing maternal use of skilled care.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityAgedAged, 80 and overDelivery, ObstetricFemaleGender IdentityHumansMaleMaternal HealthMaternal Health ServicesMenMiddle AgedNigeriaPatient Acceptance of Health CareBarriers to healthcare access and useGlobal HealthMale perceptionMaternal healthMaternal morbidityNigeriaRole of men

Identifiers

PMID31227010
PMCPMC6588905

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.