Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Care | Research article

What he knows about her and how it affects her? Husband’s knowledge of pregnancy complications and maternal health care utilization among tribal population in Maharashtra, India

Authors: Suresh Jungari, Balram Paswan

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

Login to get access

Abstract

Background

Husbands’ knowledge and awareness of pregnancy complications have a positive impact on their wives’ utilization of maternal health care services. In this study, we examined whether husbands’ knowledge and awareness of pregnancy complications can serve as determinants of maternal health service utilization among wives from the tribal population.

Methods

This cross-sectional study was conducted in the rural Gadchrioli district of Maharashtra, India, during November 2014–March 2015. This study included a representative population-based sample of 385 men whose wives had given birth in last 2 years at the age of 15–49 years. A multistage sampling strategy was adopted to select the respondents. Univariate, bivariate, and binary logistic regression analyses were applied to examine the association between men’s knowledge and maternal health service utilization.

Results

The result revealed that an increase in husbands’ education level increased the wives’ utilization of antenatal (ANC) care services. The type of tribe also contributed to significant differences in ANC utilization (OR: 2.64; 95% CI: 0.847–8.24). Regarding standard of living, husbands who were poor were 22% less likely than husbands in the rich category to report the utilization of ANC by their wives. Men with partial or complete knowledge of pregnancy, childbirth, and postpartum complications were more likely to utilize all maternal health services by their wives.

Conclusions

The wives are of men who aware of complications during pregnancy and childbirth are more likely to use maternal health services. Therefore, educating and empowering men about pregnancy complications will contribute to the reduction in maternal and neonatal deaths.
Appendix
Available only for authorised users
Literature
1.
go back to reference Trends in maternal mortality. 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2015. Trends in maternal mortality. 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2015.
2.
go back to reference Adamson PC, Krupp K, Niranjankumar B, Freeman AH, Khan M, Madhivanan P. Are marginalized women being left behind? A population-based study of institutional deliveries in Karnataka, India. BMC Public Health. 2012;12(1):30.CrossRef Adamson PC, Krupp K, Niranjankumar B, Freeman AH, Khan M, Madhivanan P. Are marginalized women being left behind? A population-based study of institutional deliveries in Karnataka, India. BMC Public Health. 2012;12(1):30.CrossRef
3.
go back to reference Jungari S, Bomble P. Caste-based social exclusion and health deprivation in India. J Exclusion Stud. 2013;3(2):84–91.CrossRef Jungari S, Bomble P. Caste-based social exclusion and health deprivation in India. J Exclusion Stud. 2013;3(2):84–91.CrossRef
4.
go back to reference Jungari S, Chauhan BG. Caste, wealth and regional inequalities in health status of women and children in India. Contemp Voice Dalit. 2017;9(1):87–100.CrossRef Jungari S, Chauhan BG. Caste, wealth and regional inequalities in health status of women and children in India. Contemp Voice Dalit. 2017;9(1):87–100.CrossRef
5.
go back to reference Saxena D, Vangani R, Mavalankar D, Thomsen S. Inequity in maternal health care service utilization in Gujarat: analyses of district-level health survey data. Glob Health Action. 2013;6(1):19652.CrossRef Saxena D, Vangani R, Mavalankar D, Thomsen S. Inequity in maternal health care service utilization in Gujarat: analyses of district-level health survey data. Glob Health Action. 2013;6(1):19652.CrossRef
6.
go back to reference Singh L, Rai RK, Singh PK. Assessing the utilization of maternal and child health care among married adolescent women: evidence from India. J Biosoc Sci. 2012;44(1):1–26.CrossRef Singh L, Rai RK, Singh PK. Assessing the utilization of maternal and child health care among married adolescent women: evidence from India. J Biosoc Sci. 2012;44(1):1–26.CrossRef
7.
go back to reference Singh A, Padmadas SS, Mishra US, Pallikadavath S, Johnson FA, Matthews Z. Socio-economic inequalities in the use of postnatal care in India. PLoS One. 2012;7(5):e37037.CrossRef Singh A, Padmadas SS, Mishra US, Pallikadavath S, Johnson FA, Matthews Z. Socio-economic inequalities in the use of postnatal care in India. PLoS One. 2012;7(5):e37037.CrossRef
8.
go back to reference Ramchandani PG, Domoney J, Sethna V, Psychogiou L, Vlachos H, Murray L. Do early father–infant interactions predict the onset of externalising behaviours in young children? Findings from a longitudinal cohort study. J Child Psychol Psychiatry. 2013;54(1):56–64.CrossRef Ramchandani PG, Domoney J, Sethna V, Psychogiou L, Vlachos H, Murray L. Do early father–infant interactions predict the onset of externalising behaviours in young children? Findings from a longitudinal cohort study. J Child Psychol Psychiatry. 2013;54(1):56–64.CrossRef
9.
go back to reference Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth. 2013;13(1):70.CrossRef Redshaw M, Henderson J. Fathers’ engagement in pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth. 2013;13(1):70.CrossRef
10.
go back to reference Starrs AM. Safe motherhood initiative: 20 years and counting. Lancet. 2006;368(9542):1130–2.CrossRef Starrs AM. Safe motherhood initiative: 20 years and counting. Lancet. 2006;368(9542):1130–2.CrossRef
11.
go back to reference Martin LT, McNamara MJ, Milot AS, Halle T, Hair EC. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Matern Child Health J. 2007;11(6):595–602.CrossRef Martin LT, McNamara MJ, Milot AS, Halle T, Hair EC. The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Matern Child Health J. 2007;11(6):595–602.CrossRef
12.
go back to reference Schaffer MA, Lia-Hoagberg B. Effects of social support on prenatal care and health behaviors of low-income women. J Obstet Gynecol Neonatal Nurs. 1997;26(4):433–40.CrossRef Schaffer MA, Lia-Hoagberg B. Effects of social support on prenatal care and health behaviors of low-income women. J Obstet Gynecol Neonatal Nurs. 1997;26(4):433–40.CrossRef
13.
go back to reference Nayar KR. Social exclusion, caste & health: a review based on the social determinants framework. Indian J Med Res. 2007;126(4):355.PubMed Nayar KR. Social exclusion, caste & health: a review based on the social determinants framework. Indian J Med Res. 2007;126(4):355.PubMed
14.
go back to reference Baru R, Acharya A, Acharya S, Kumar AS, Nagaraj K. Inequities in access to health services in India: caste, class and region. Econ Pol Wkly. 2010;18:49–58. Baru R, Acharya A, Acharya S, Kumar AS, Nagaraj K. Inequities in access to health services in India: caste, class and region. Econ Pol Wkly. 2010;18:49–58.
15.
go back to reference Mullany BC, Becker S, Hindin MJ. The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ Res. 2006;22(2):166–76.CrossRef Mullany BC, Becker S, Hindin MJ. The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ Res. 2006;22(2):166–76.CrossRef
16.
go back to reference Tweheyo R, Konde-Lule J, Tumwesigye NM, Sekandi JN. Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy Childbirth. 2010;10(1):53.CrossRef Tweheyo R, Konde-Lule J, Tumwesigye NM, Sekandi JN. Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy Childbirth. 2010;10(1):53.CrossRef
17.
go back to reference Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH. Birth preparedness, complication readiness and fathers’ participation in maternity care in a Northern Nigerian community. Afr J Reprod Health. 2010;14:21–32. Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH. Birth preparedness, complication readiness and fathers’ participation in maternity care in a Northern Nigerian community. Afr J Reprod Health. 2010;14:21–32.
18.
go back to reference Char A, Saavala M, Kulmala T. Influence of mothers-in-law on young couples’ family planning decisions in rural India. Reprod Health Matters. 2010;18(35):154–62.CrossRef Char A, Saavala M, Kulmala T. Influence of mothers-in-law on young couples’ family planning decisions in rural India. Reprod Health Matters. 2010;18(35):154–62.CrossRef
19.
go back to reference Chattopadhyay A. Men in maternal care: evidence from India. J Biosoc Sci. 2012;44(2):129–53.CrossRef Chattopadhyay A. Men in maternal care: evidence from India. J Biosoc Sci. 2012;44(2):129–53.CrossRef
20.
go back to reference JHPIEGO. Maternal and Neonatal Health Pro-gram. Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibilities. Maryland: JHPIEGO; 2004. JHPIEGO. Maternal and Neonatal Health Pro-gram. Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibilities. Maryland: JHPIEGO; 2004.
21.
go back to reference Bintabara D, Mpembeni RN, Mohamed AA. Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study. BMC Pregnancy Childbirth. 2017;17(1):276.CrossRef Bintabara D, Mpembeni RN, Mohamed AA. Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study. BMC Pregnancy Childbirth. 2017;17(1):276.CrossRef
22.
go back to reference Smeele P, Kalisa R, van Elteren M, van Roosmalen J, van den Akker T. Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda. BMC Pregnancy Childbirth. 2018;18(1):190.CrossRef Smeele P, Kalisa R, van Elteren M, van Roosmalen J, van den Akker T. Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda. BMC Pregnancy Childbirth. 2018;18(1):190.CrossRef
23.
go back to reference Hailu D, Berhe H. Knowledge about obstetric danger signs and associated factors among mothers in Tsegedie district, Tigray region, Ethiopia 2013: community based cross-sectional study. PLoS One. 2014;9(2):e83459.CrossRef Hailu D, Berhe H. Knowledge about obstetric danger signs and associated factors among mothers in Tsegedie district, Tigray region, Ethiopia 2013: community based cross-sectional study. PLoS One. 2014;9(2):e83459.CrossRef
24.
go back to reference Hibstu DT, Siyoum YD. Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at health facilities of Yirgacheffe town, Gedeo zone, southern Ethiopia. Arch Public Health. 2017;75(1):35.CrossRef Hibstu DT, Siyoum YD. Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at health facilities of Yirgacheffe town, Gedeo zone, southern Ethiopia. Arch Public Health. 2017;75(1):35.CrossRef
25.
go back to reference Mwilike B, Nalwadda G, Kagawa M, Malima K, Mselle L, Horiuchi S. Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in urban Tanzania: a cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):4.CrossRef Mwilike B, Nalwadda G, Kagawa M, Malima K, Mselle L, Horiuchi S. Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in urban Tanzania: a cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):4.CrossRef
26.
go back to reference Bloom SS, Tsui AO, Plotkin M, Bassett S. What husbands in northern India know about reproductive health: correlates of knowledge about pregnancy and maternal and sexual health. J Biosoc Sci. 2000;32(2):237–51.CrossRef Bloom SS, Tsui AO, Plotkin M, Bassett S. What husbands in northern India know about reproductive health: correlates of knowledge about pregnancy and maternal and sexual health. J Biosoc Sci. 2000;32(2):237–51.CrossRef
27.
go back to reference Griffiths P, Stephenson R. Understanding users’perspectives of barriers to maternal health care use in Maharashtra, India. J Biosoc Sci. 2001;33(3):339–59.CrossRef Griffiths P, Stephenson R. Understanding users’perspectives of barriers to maternal health care use in Maharashtra, India. J Biosoc Sci. 2001;33(3):339–59.CrossRef
28.
go back to reference Jat TR, Ng N, San Sebastian M. Factors affecting the use of maternal health services in Madhya Pradesh state of India: a multilevel analysis. Int J Equity Health. 2011;10(1):59.CrossRef Jat TR, Ng N, San Sebastian M. Factors affecting the use of maternal health services in Madhya Pradesh state of India: a multilevel analysis. Int J Equity Health. 2011;10(1):59.CrossRef
29.
go back to reference Navaneetham K, Dharmalingam A. Utilization of maternal health care services in southern India. Soc Sci Med. 2002;55(10):1849–69.CrossRef Navaneetham K, Dharmalingam A. Utilization of maternal health care services in southern India. Soc Sci Med. 2002;55(10):1849–69.CrossRef
30.
go back to reference Pillai RK, Williams SV, Glick HA, Polsky D, Berlin JA, Lowe RA. Factors affecting decisions to seek treatment for sick children in Kerala, India. Soc Sci Med. 2003;57(5):783–90.CrossRef Pillai RK, Williams SV, Glick HA, Polsky D, Berlin JA, Lowe RA. Factors affecting decisions to seek treatment for sick children in Kerala, India. Soc Sci Med. 2003;57(5):783–90.CrossRef
31.
go back to reference August F, Pembe AB, Mpembeni R, Axemo P, Darj E. Men’s knowledge of obstetric danger signs, birth preparedness and complication readiness in rural Tanzania. PLoS One. 2015;10(5):e0125978.CrossRef August F, Pembe AB, Mpembeni R, Axemo P, Darj E. Men’s knowledge of obstetric danger signs, birth preparedness and complication readiness in rural Tanzania. PLoS One. 2015;10(5):e0125978.CrossRef
32.
go back to reference Barua A, Pande RP, MacQuarrie K, Walia S. Caring men? Husbands' involvement in maternal care of young wives. Econ Polit Wkly. 2004;39:5661–8. Barua A, Pande RP, MacQuarrie K, Walia S. Caring men? Husbands' involvement in maternal care of young wives. Econ Polit Wkly. 2004;39:5661–8.
33.
go back to reference Bhalerao VR, Galwankar MM, Kowli SS, Kumar RR, Chaturvedi RM. Contribution of the education of the prospective fathers to the success of maternal health care programme. J Postgrad Med. 1984;30(1):10.PubMed Bhalerao VR, Galwankar MM, Kowli SS, Kumar RR, Chaturvedi RM. Contribution of the education of the prospective fathers to the success of maternal health care programme. J Postgrad Med. 1984;30(1):10.PubMed
34.
go back to reference Narang H, Singhal S. Men as partners in maternal health: an analysis of male awareness and attitude. Int J Reprod Contracept Obstetrics Gynecol. 2016;2(3):388–92. Narang H, Singhal S. Men as partners in maternal health: an analysis of male awareness and attitude. Int J Reprod Contracept Obstetrics Gynecol. 2016;2(3):388–92.
Metadata
Title
What he knows about her and how it affects her? Husband’s knowledge of pregnancy complications and maternal health care utilization among tribal population in Maharashtra, India
Authors
Suresh Jungari
Balram Paswan
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2214-x

Other articles of this Issue 1/2019

BMC Pregnancy and Childbirth 1/2019 Go to the issue