A phenomenological qualitative study of male-partners perspectives of maternity waiting homes in rural Ethiopia
- PMID: 38846109
- PMCID: PMC11153227
- DOI: 10.1016/j.puhip.2024.100513
A phenomenological qualitative study of male-partners perspectives of maternity waiting homes in rural Ethiopia
Abstract
Background: The implementation of maternity waiting home (MWH) has been used as a strategy to improve maternal health outcomes in low-resource settings such as Ethiopia. However, MWH utilization is low in Ethiopia, and women's access to MWH depends largely on male partners' decisions. This study explored male-partners perspectives of MWHs including their experiences of paternal support in rural Ethiopia.
Study design: An exploratory qualitative study with a phenomenological methodological orientation was performed.
Methods: This study was conducted in Ana-Lemo and Gibe districts of Hadiya Zone, in rural Southern Ethiopia. The study participants were male partners. A purposive sampling technique was used to recruit 47 participants. Data were collected from May 10-25, 2023. Four focus group discussions, 15 in-depth interviews, and observations were conducted. The interviews were audio-recorded, transcribed and the thematic content analysis was performed using ATLAS.ti 7.1.4 software.
Results: This study showed that male-partners participated in spousal communication and provided practical support such as sharing household chores and financial support; however, they did not accompany their spouses to health facilities. Long distances, lack of transportation, poor referral services, and perceived poor quality of care were barriers to maternal health services. Furthermore, male-partners demonstrated poor awareness and unfavorable attitudes of MWHs.
Conclusions: Male-partners participated in spousal communication, shared household chores and provided financial support to their spouses; however, they did not accompany them to health facilities. They had poor awareness and unfavorable attitudes of MWHs. Creating awareness among male partners may improve their attitude towards MWHs and other maternal health services in rural Ethiopia.
Keywords: Ethiopia; Male partners; Maternal health; Maternity waiting home; Paternal support; Qualitative research.
© 2024 The Authors.
Conflict of interest statement
The authors declare that they have no competing interests.
Similar articles
-
Factors influencing women's access to the maternity waiting home in rural Southwest Ethiopia: a qualitative exploration.BMC Pregnancy Childbirth. 2020 May 14;20(1):296. doi: 10.1186/s12884-020-02988-8. BMC Pregnancy Childbirth. 2020. PMID: 32408875 Free PMC article.
-
Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date.BMC Pregnancy Childbirth. 2022 Sep 2;22(1):675. doi: 10.1186/s12884-022-04954-y. BMC Pregnancy Childbirth. 2022. PMID: 36056301 Free PMC article. Review.
-
Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia.Reprod Health. 2021 Feb 2;18(1):27. doi: 10.1186/s12978-021-01086-y. Reprod Health. 2021. PMID: 33531033 Free PMC article.
-
Maternity waiting home utilization among women who gave birth in the pastoralist communities of Borana Zone, Ethiopia: A community-based mixed-method study design.Heliyon. 2024 Jun 15;10(12):e32925. doi: 10.1016/j.heliyon.2024.e32925. eCollection 2024 Jun 30. Heliyon. 2024. PMID: 38988556 Free PMC article.
-
Role of maternity waiting homes in the reduction of maternal death and stillbirth in developing countries and its contribution for maternal death reduction in Ethiopia: a systematic review and meta-analysis.BMC Health Serv Res. 2018 Oct 1;18(1):748. doi: 10.1186/s12913-018-3559-y. BMC Health Serv Res. 2018. PMID: 30285757 Free PMC article.
References
-
- World Health Organization . WHO; 2015. WHO Recommendations on Health Promotion Interventions for Maternal and Newborn Health 2015; p. 94.https://www.who.int/publications/i/item/9789241508742 [Internet] - PubMed
-
- World Health Organization . WHO; 1996. Maternity Waiting Homes: a Review of Experiences [Internet] p. 40.https://apps.who.int/iris/handle/10665/63432
-
- Gaym A., Pearson L., Soe K.W.W. Maternity waiting homes in Ethiopia: three decades experience. Ethiop. Med. J. 2012;50(3):209–219. - PubMed
-
- Kassa B.G., Ayele A.D., Belay H.G., et al. Utilisation of maternity waiting homes and its associated factors in Ethiopia: systematic reviews and meta-analysis. Clin Epidemiol Glob Heal. 2021;12:1–8. doi: 10.1016/j.cegh.2021.100891. - DOI
-
- Girma W., Tamiru D., Woldie M., et al. Exploring the experience and challenges of maternity waiting homes in Jimma, Southwest Ethiopia. Afr. J. Midwifery Women's Health. 2021;15(1):1–11. doi: 10.12968/ajmw.2020.0007. - DOI
LinkOut - more resources
Full Text Sources