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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Male involvement in maternal healthcare through Community- based Health Planning and Services: the views of the men in rural Ghana

Authors: Bassoumah Bougangue, How Kee Ling

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

The need to promote maternal health in Ghana has committed the government to extend maternal healthcare services to the door steps of rural families through the community-based Health Planning and Services. Based on the concerns raised in previous studies that male spouses were indifferent towards maternal healthcare, this study sought the views of men on their involvement in maternal healthcare in their respective communities and at the household levels in the various Community-based Health Planning and Services zones in Awutu-Senya West District in the Central Region of Ghana.

Methods

A qualitative method was employed. Focus groups and individual interviews were conducted with married men, community health officers, community health volunteers and community leaders. The participants were selected using purposive, quota and snowball sampling techniques. The study used thematic analysis for analysing the data.

Results

The study shows varying involvement of men, some were directly involved in feminine gender roles; others used their female relatives and co-wives to perform the women's roles that did not have space for them. They were not necessarily indifferent towards maternal healthcare, rather, they were involved in the spaces provided by the traditional gender division of labour. Amongst other things, the perpetuation and reinforcement of traditional gender norms around pregnancy and childbirth influenced the nature and level of male involvement.

Conclusions

Sustenance of male involvement especially, husbands and CHVs is required at the household and community levels for positive maternal outcomes. Ghana Health Service, health professionals and policy makers should take traditional gender role expectations into consideration in the planning and implementation of maternal health promotion programmes.
Literature
1.
Ntsua S, et al. Repositioning community-based family planning in Ghana: a case study of community-based health planning and services. Washington DC: (CHPS); 2012.
2.
Awoonor-Williams JK, et al. Lessons learned from scaling up a community-based health program in the Upper East Region of northern Ghana. Glob Health Scie Pract. 2013;1(1):117–33.CrossRef
3.
Ghana Statistical Service, G.H.S.M.I.I. Ghana maternal health survey 2007. Calverton: Ghana Statistical Service, Ghana Health Service and Macro International Inc; 2008.
4.
United Nations Population Division. International conference on population and development. Cairo: United Nations; 1994.
5.
Bougangue B. Maternal Health in Awutu-Senya District. M. phil. Thesis submitted to the Department of Population and Health: University of Cape Coast, Cape Coast; 2010.
6.
Binka F, Aikins M, Sackey SO, Aryeetey R, Dzodzomenyo M, Esena R, Adongo P, Akueongo P, Opoku-Mensah K. In-Depth Review of CHPS Programme: a Report of the Annual Health Sector Review 2009. Ghana: School of Public Health UG; 2009.
7.
Ampim AG, Men’s Involvement in Maternal Healthcare in Accra, Ghana. From Household to Delivery Room. M. Phil Thesis, Gender and Development: Universitas Bergensis; 2013.
8.
Plan Ghana. Male involvement in maternal, neonatal and child health. The watch project on gender discriminatory roles in maternity care (undated); Google scholar.
9.
10.
Baru VR. Socio-economic inequalities in access to maternal health care in India: Challenges for policy. Google scholar; 2013.
11.
12.
Story WT, et al. Husbands' involvement in delivery care utilization in rural Bangladesh: A qualitative study. BMC pregnancy and childbirth. 2012;12(1):1–28.
13.
Mitchell GT. Male Involvement in Maternal Health Decision-Making in Nkwanta South District, Ghana. Legon: University of Ghana; 2012.
14.
Senah K. Maternal mortality in Ghana: the other side. Institute of African Studies. Legon: University of Ghana. 2003. p. 47–56.
15.
Nukunya GK. Tradition and change in Ghana: an introduction to sociology. Accra: Ghana Universities Press; 2003.
16.
Nyanzi S. Empowering traditional birth attendants in The Gambia: a local strategy to redress issues of access, equity and sustainability. Governing health system in Africa. Dakar: Codesria; 2008. p. 225–34.
17.
Nwokocha EE. Maternal crises and the role of African men: the case of Nigerian Community. Afr Popul Stud. 2007;22(1):39–62.
18.
Baer RD, Salazar D. A quick guide to ethnic health beliefs and dietary patterns. Centre for Applied Anthropology, University of South Florida Tampa, Florida, Gulf Coast North; 1988.
19.
AbouZahr C. Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and the World Bank. Geneva: World Health Organization; 2007.
20.
Oppong C. Some biosocial aspects of childcare in Ghana: decades of change. In: Oppong C, Badasu DM, Wærness K, editors. Childcare in a globalizing world: perspectives from Ghana; 2012. p. 38–63.
21.
22.
Paruzzolo SMR, Kes A, Ashbaugh C, editors. ICRW. Targeting poverty and gender inequality to improve maternal health. Washington DC: International Center for Research on Women; 2010.
23.
Nyonator FK, et al. The Ghana community-based health planning and services initiative for scaling up service delivery innovation. Health Policy Plan. 2005;20(1):25–34.CrossRefPubMed
24.
Hagman M. Maternal mortality: gender and access to health services–the case of Ghana. J Politic Int Stud. 2013;9:173–211.
25.
Bougangue B, Kumi-Kyereme A. Maternal health clinic attendance in Awutu-Senya District, Ghana. Int J Econ Soc Sci. 2015;5:65–79.
26.
Tsikata D. Women in Ghana at 50 still struggling to achieve full citizenship? Ghana Studies. 2007;10:163–206.
27.
Nukunya GK. Tradition and change in Ghana: an introduction to sociology. 2nd ed. Legon: University Press; 2003.
Metadata
Title
Male involvement in maternal healthcare through Community- based Health Planning and Services: the views of the men in rural Ghana
Authors
Bassoumah Bougangue
How Kee Ling
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4680-2

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