ArticlePloS one2022
Prevalence and barriers to male involvement in antenatal care in Dar es Salaam, Tanzania: A facility-based mixed-methods study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Male involvement interventions influencing maternal reproductive health outcomes: a narrative synthesis using RE-AIM with implications for maternal mortality in Africa.Frontiers in health services · 2025Pooled it
- Barriers to the participation of men in reproductive health care: a systematic review and meta-synthesis.BMC public health · 2023Pooled it
- Factors influencing husbands' participation in antenatal care: A study in Maluku, Indonesia.Health SA = SA Gesondheid · 2026Article
- Access to essential medicines and vaccines among hard-to-reach populations in Tanzania: evidence from a cross-sectional study of artisanal miners, fisherfolk, and pastoralists.Journal of pharmaceutical policy and practice · 2026Article
- Male involvement and its influencing factors in maternal health care: Perspectives of women and husbands from northern India.Journal of family medicine and primary care · 2025Article
- Article
- Perceptions and satisfaction among couples on male involvement during pregnancy: a cross-sectional study.Frontiers in public health · 2025Article
- Budget Impact Analysis of Implementing Antenatal Care Recommendations for Positive Pregnancy Outcomes at Public Primary Facilities in Tanzania.Applied health economics and health policy · 2025Article
- Gender dynamics in nursing profession: impact on professional practice and development in Tanzania.BMC health services research · 2024Article
- Exploring Perceptions about Enablers of Women's Attendance and Adherence to the Recommended Antenatal Care Visits in Rwanda: A Qualitative Study.Rwanda journal of medicine and health sciences · 2024Article
- Husbands' knowledge and involvement in sexual and reproductive health rights of women in Bahir Dar City, Northwest Ethiopia: a community-based study.Frontiers in public health · 2024Article
- Prevalence and predictors of men's involvement in pregnancy care in Modakeke, Southwest Nigeria.Frontiers in global women's health · 2024Article
- Cultural barriers to male partners' involvement in antenatal care in Limpopo province.Health SA = SA Gesondheid · 2024Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMen have traditionally not been fully involved in reproductive health care of their partners, and yet, they play a crucial role in family decision-making and therefore crucial key players in preventing poor pregnancy outcomes. This study aimed to assess prevalence and determinants of male participation in maternal health care and explore male partners' perspective of their involvement in antenatal care at an urban tertiary referral facility.
methodsA mixed-methods study was conducted from October 2018 to January 2019 at Muhimbili National Hospital. A cross-sectional survey of 428 nursing mothers and two focus group discussions of male partners (n = 7 and n = 11) of women attending antenatal clinic and nursing mothers in the post-natal ward were performed. Using SPSS Ver. 23 (IBM, Chicago, IL), frequency distribution tables summarized demographic data and categories of male partners' involvement in antenatal care. Focus group discussions included male partners of age from 24 to 55 years at their first to fifth experience of pregnancy and childbirth. Interviews were audio-recorded, and then transcribed and coded. Thematic analysis was applied.
resultsThe prevalence of male involvement in antenatal care was 69%. More than two-thirds of nursing mothers received physical, psychological and financial support from partners (76%) and attended four or more antenatal visits (85%). Five themes of male perspective of their involvement in antenatal care were generated, including: a) cultural norms and gender roles, b) ignorance of reproductive health service, c) factors outside their control, d) couple interaction and conflicts, and e) institutional obstacles.
conclusionThe prevalence of male partners' involvement in antenatal care was relatively high. Men's involvement in antenatal care depended on access to antenatal care education, standards of structure and process of antenatal service and how well their role was defined in the maternal health care system. Interactions and practice in society, employment sector and government health system should complement strategies to promote men's involvement in maternal health.
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