Evidence map›Paper›PMID 38039661›Full record

ArticleSexual & reproductive healthcare : official journal of the Swedish Association of Midwives2024

Understanding male involvement in antenatal care in the Kilimanjaro region of Tanzania: Barriers, facilitators, and opportunities for engagement.

Saumya S Sao, Godfrey A Kisigo, Haika Osaki, Jessica N Coleman, Jenny Renju, Rimel N Mwamba, James S Ngocho, Blandina T Mmbaga, Melissa H Watt

Abstract read
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In one paragraph

Article in Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

6 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

9 authors.

Saumya S SaoDuke Global Health Institute, Duke University, Durham, NC, USA; Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: saosaumya@gmail.com.
Godfrey A KisigoDuke Global Health Institute, Duke University, Durham, NC, USA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania; London School of Hygiene and Tropical Medicine, London, UK; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: godfrey.kisigo@lshtm.ac.uk.
Haika OsakiUniversity of Copenhagen, Copenhagen, Denmark; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: haika.osaki@aku.edu.
Jessica N ColemanDuke Global Health Institute, Duke University, Durham, NC, USA; Duke Psychology and Neuroscience, Duke University, Durham, NC, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: jessica.coleman@duke.edu.
Jenny RenjuLondon School of Hygiene and Tropical Medicine, London, UK; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: Jenny.Renju@lshtm.ac.uk.
Rimel N MwambaDuke Global Health Institute, Duke University, Durham, NC, USA; University of Chicago Pritzker School of Medicine, Chicago, IL, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA.
James S NgochoKilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA; Kilimanjaro Christian Medical University College, Moshi, Tanzania. Electronic address: james.ngocho@kcmuco.ac.tz.
Blandina T MmbagaDuke Global Health Institute, Duke University, Durham, NC, USA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA; Kilimanjaro Christian Medical University College, Moshi, Tanzania. Electronic address: b.mmbaga@kcri.ac.tz.
Melissa H WattDuke Global Health Institute, Duke University, Durham, NC, USA; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: melissa.watt@hsc.utah.edu.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
A stigma reduction intervention at time of entry into antenatal care to improve PMTCT services in TanzaniaR21TW011053 · FIC · UNIVERSITY OF UTAH · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2018 to 2019
$424k
FIC NIH HHS R21 TW011053NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

backgroundMale engagement in antenatal care (ANC) has been recommended by the World Health Organization to improve maternal and newborn health outcomes, but implementation challenges remain. This study explored barriers, facilitators, and opportunities to improve male attendance and engagement in ANC.

methodsIn-depth interviews were conducted individually with pregnant women and male partners attending a first ANC visit at two public health facilities in Moshi, Tanzania. Interviews examined factors influencing male ANC attendance and male experiences during the clinic visit. Interviews were recorded, transcribed verbatim, and translated from Swahili into English. Transcripts were coded thematically in NVivo. MAIN

findingsConstructions of masculinity both positively and negatively influenced male involvement in ANC. Individual-level barriers included a fear of HIV testing, perceptions of pregnancy as the woman's responsibility, and discomfort with ANC as a predominantly female space. Structural barriers included inability to take time off from work and long clinic wait times. The primary facilitator to male involvement was the preferential care given in the ANC clinic to women who present with a male partner. Additionally, some men desired to learn about their family's health status and felt that attending ANC was a sign of respect and love for their partner.

conclusionsOpportunities exist to improve male involvement in ANC, namely training providers to engage men beyond HIV testing and counseling. Peer programs that promote men's engagement in pregnancy could prove useful to reduce apprehension around HIV testing and dispel conceptions of ANC as only a women's healthcare space.

Indexed as

HIV InfectionsPrenatal CareFemaleHumansInfant, NewbornMaleMasculinityMenPregnancyPregnant PeopleTanzaniaAntenatal careHIV testing and counseling (HTC)Male engagementMale reproductive health behaviorTanzania

Identifiers

PMID38039661
PMCPMC11129671

What OpenQuestion holds

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Registered trials

None linked

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.