ArticleBMC pregnancy and childbirth2020
A cross-sectional study of the role of men and the knowledge of danger signs during pregnancy in southern Mozambique.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Men's knowledge of obstetrics danger sign and associated factors in low-income countries: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Male partners' participation in birth preparedness and complication readiness in low- and middle-income countries: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2021Pooled it
- Systematic review of the concept 'male involvement in maternal health' by natural language processing and descriptive analysis.BMJ global health · 2021Pooled it
- Factors influencing male involvement in maternal and child health care from the health center of Xai-Xai city, Mozambique: a cross-sectional qualitative study.Frontiers in reproductive health · 2026Article
- The mental health impact on women of engaging men in health interventions in low- and middle-income countries: A systematic review.PLOS global public health · 2025Article
- Effect of male partners' involvement and support on reproductive, maternal and child health and well-being in East Africa: A scoping review.Health science reports · 2024Article
- Sex Disparities: Couple's Knowledge and Attitude Towards Obstetric Danger Signs and Maternal Health Care: in Rural Jimma Zone of Ethiopia.International journal of women's health · 2024Article
- Towards a global framework for assessing male involvement in maternal health: results of an international Delphi study.BMJ open · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of the male partner and wider family in maternal health, especially in case of emergencies, has been receiving increasing attention over the last decade. Qualitative research has highlighted that women depend on others to access high quality maternity care. Currently little is known about these factors in relation to maternal health in Mozambique.
methodsA cross sectional household survey was conducted with men and women in southern Mozambique about decision making, financial support and knowledge of danger signs. A multivariable logistic model was used to identify factors associated with knowledge of danger signs and Cohen's kappa for agreement among couples.
resultsA total of 775 men and women from Marracuene and Manhica districts were interviewed. Maternal health care decisions were frequently made jointly by the couple (32-49%) and financial support was mainly provided by the man (46-80%). Parental and parent-in-law involvement in decision making and financial support was minimal (0-3%). The average number of danger signs respondents knew was 2.05 and no significant difference (p = 0.294) was found between men and women. Communication with the partner was a significant predictor for higher knowledge of danger signs for both men (p = 0.01) and women (p = 0.03). There was very low agreement within couples regarding decision making (p = 0.04), financial support (p = 0.01) and presence at antenatal care consultations (p = 0.001). Results suggest women and men have a high willingness for more male participation in antenatal care, although their understanding of what constitutes this participation is not clear.
conclusionThe study findings highlight the important role men play in decision making and financial support for maternal health care issues. Strengthening male involvement in antenatal care services, by investing in counselling and receiving couples, could help accelerate gains in maternal health in Mozambique. Maternal health care studies should collect more data from men directly as men and women often report different views and behavior regarding maternal health care issues and male involvement.
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