Male partner antenatal clinic attendance is associated with increased uptake of maternal health services and infant BCG immunization: a national survey in Kenya

Details

• Alternative Title:
  BMC Pregnancy Childbirth
• Personal Author:
  Odeny, Beryne ; McGrath, Christine J. ; Langat, Agnes ; Pintye, Jillian ; Singa, Benson ; Kinuthia, John ; Katana, Abraham ; Ng’ang’a, Lucy ; John-Stewart, Grace
• Description:
  Background
  
  Male partner antenatal clinic (ANC) attendance may improve maternal uptake of maternal child health (MCH) services.
  
  Methods
  
  We conducted a cross-sectional survey of mother-infant pairs attending week-6 or month-9 infant immunizations at 120 high-volume MCH clinics throughout Kenya. Clinics were selected using probability proportionate to size sampling. Women were interviewed using structured questionnaires and clinical data was verified using MCH booklets. Among married women, survey-weighted logistic regression models accounting for clinic-level clustering were used to compare outcomes by male ANC attendance and to identify its correlates.
  
  Results
  
  Among 2521 women attending MCH clinics and had information on male partner ANC attendance, 2141 (90%) were married of whom 806 (35%) had male partners that attended ANC. Among married women, male partner ANC attendance was more frequent among women with higher education, women who requested their partners to attend ANC, had male partners with higher education, did not report partner violence, and had disclosed their HIV status (p < 0·001 for each). Additionally, male ANC attendance was associated with higher uptake of ANC visits [adjusted Odds Ratio (AOR) = 1·67, 95% confidence interval (CI) 1·36–2·05,], skilled delivery (AOR = 2·00, 95% CI 1·51–2·64), exclusive breastfeeding (AOR = 1·70, 95% CI 1·00–2·91), infant Bacille Calmette Guerin (BCG) immunization (AOR = 3·59, 95% CI 1·00–12·88), and among HIV-infected women, antiretroviral drugs (aOR = 6·16, 95% CI 1·26–30·41).
  
  Conclusion
  
  Involving male partners in MCH activities amplifies benefits of MCH services by engaging partner support for maternal uptake of services.
  
  
• Subjects:
  Antenatal Care Attendance HIV Involvement Male Partner Maternal Child Health Research Article
• Source:
  BMC Pregnancy Childbirth. 19
• Pubmed ID:
  31395024
• Pubmed Central ID:
  PMC6688227
• Document Type:
  Journal Article
• Funding:
  COAG#U2GPS002047/CDC HHS/Centers for Disease Control and Prevention/United States
• Place as Subject:
  Kenya
• Volume:
  19
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:34152fc815d009bbe7e8a16189835566b16265ea9bd84253eb1ff9756b26fe3b
• Download URL:
  https://stacks.cdc.gov/view/cdc/84231/cdc_84231_DS1.pdf
• File Type:
  [PDF - 721.38 KB ]