Frontiers in global women's health最新文献

{"title":"An exploration of sub-national variability in institutional maternal mortality ratios in Kenya: a meta-analysis of the 2021 health facility data.","authors":"Francis G Muriithi, Christina Easter, Alfred Osoti, Zahida Qureshi, Adam Devall, Arri Coomarasamy","doi":"10.3389/fgwh.2025.1481495","DOIUrl":"10.3389/fgwh.2025.1481495","url":null,"abstract":"<p><strong>Background: </strong>In many countries in sub-Saharan Africa, the burden of preventable maternal deaths is still unacceptably high. Most Maternal Mortality Ratio (MMR) estimates are national, rarely sub-national. This study explores Kenya's 2021 national health facility dataset on maternal deaths and live births for sub-national variability to describe the pattern and trend in variation in institutional maternal mortality ratios (iMMRs).</p><p><strong>Methods: </strong>Country-wide health facility data on live births and maternal deaths for 2021 were requested from the District Health Information System (DHIS-2). A descriptive comparison of sub-national (Regional and County) iMMRs to national iMMR was carried out. Against a national average iMMR for Kenya of about 100 per 100,000 live births, those regions and counties with an iMMR <75 per 100,000 live births were defined as positive outliers, and those with an iMMR >125 were defined as negative outliers.</p><p><strong>Results: </strong>In 2021, 1,162 maternal deaths and 1,174,774 live births occurred within Kenya's health facilities. The annual national average iMMR was 99 per 100,000 live births [95% confidence interval (CI): 93.3, 104.8]. There was sub-national variability in iMMR at both regional and county levels. Central, Western and Rift Valley regions were positive outliers; North-Eastern Coast and Nairobi regions were negative outliers, while Nyanza and Eastern regions had an iMMR consistent with the national average. Seventeen counties were positive outliers, namely Baringo, Siaya, Nyamira, Elgeyo-Marakwet, West Pokot, Nandi, Kiambu, Laikipia, Nyeri, Samburu, Marsabit, Vihiga, Bungoma, Nyandarua, Kajiado, Murang'a and Trans-Nzoia. Ten counties were negative outliers: Tana River, Mandera, Machakos, Kilifi, Taita-Taveta, Kisumu, Nairobi, Garissa, and Mombasa and Isiolo. The iMMR in the remaining twenty counties was consistent with the national average. The effect sizes of the observed health facility variation were zero and there was no evidence of month-to-month variation.</p><p><strong>Conclusion: </strong>There is evidence of sub-national variability in Kenya's iMMRs. Understanding these reasons for the variability is crucial for developing strategies for improving maternal health outcomes. If positively deviant behaviours and practices are identified, they could form the basis for adopting asset-based approaches such as the positive deviance approach to improve maternal healthcare delivery processes and outcomes and reduce preventable maternal deaths.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1481495"},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: Social and behavioral research with end-users and healthcare providers into understanding perceptions of and reactions to a monthly oral contraceptive capsule in Bangladesh, Senegal and Zimbabwe.","authors":"Moushira El-Sahn, Rose Elliott, Trisha Wood Santos, Mona El-Sahn, Jeff Lucas","doi":"10.3389/fgwh.2025.1578982","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1578982","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fgwh.2024.1433189.].</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1578982"},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of risk factors for depression and anxiety in women with polycystic ovary syndrome.","authors":"Yanting Yang, Lin Liu, Ning Hu, Huyan Huo, Xin Yang, Fang Wang","doi":"10.3389/fgwh.2025.1520641","DOIUrl":"10.3389/fgwh.2025.1520641","url":null,"abstract":"<p><strong>Background: </strong>Polycystic ovary syndrome (PCOS) is one of the most common reproductive endocrine disorders among women of reproductive age, often accompanied by a series of symptoms such as hirsutism, hair loss, menstrual disorders and obesity, resulting in an increasing risk of depression and anxiety in such patients.</p><p><strong>Methods: </strong>A total of 413 patients in the Reproductive Medicine Center of the Second Hospital of Lanzhou University from June 2021 to June 2023 were enrolled. We collected sociodemographic information and lifestyle-related factors using a structured questionnaire. Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Scale (GAD-7) were used to evaluate the psychological status of the subjects. Sleep-related variables were assessed using the Pittsburgh Sleep Quality Index (PSQI), and metabolic measures were collected from patients' medical records.</p><p><strong>Results: </strong>Compared with the control group, PCOS patients were younger, the average age was (27.39 ± 3.48) years old, and the BMI value was higher, the difference was statistically significant (<i>p</i> < 0.05). The proportions of depression and anxiety in PCOS patients were 47.7% and 39.9%, respectively. In PCOS patients with depressive anxiety symptoms, the proportions of mild, moderate, moderately severe and severe depression were 31.6%, 12.4%, 1.6% and 2.1%, respectively. The proportions of mild, moderate, moderately severe and severe anxiety were 30.6%, 6.2%, 1.0% and 2.1%, respectively. Depression was significantly associated with serum free triiodothyronine (FT3) OR (95% CI) = 3.33 (1.30-8.55), sleep duration 4.99 (1.45-17.23) and daytime dysfunction 8.24 (3.53-19.22). Anxiety was significantly associated with daytime dysfunction OR (95% CI) = 3.45 (1.78-6.70). No association was found between mental health and other metabolic characteristics in PCOS patients (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>According to the results of the current study, a high proportion of women with PCOS have mental health disorders, and there is a significant correlation between mental health disorders and sleep conditions.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1520641"},"PeriodicalIF":2.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mixed methods in promoting contraceptive decision-making after voluntary-termination-of-pregnancy.","authors":"Sara Palma, Ricardo São-João, Mónica Antunes, Helena Presado","doi":"10.3389/fgwh.2025.1543778","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1543778","url":null,"abstract":"<p><strong>Aim: </strong>Contraception aims to protect women from unplanned and unwanted pregnancies. The number of voluntary-terminations-of-pregnancy is an indicator that highlights issues such as difficulty accessing health services and women's lack of knowledge about contraceptives. These factors complicate choosing, adhering to, continuing, and achieving satisfaction with a contraceptive method. Mixed studies have gained prominence in health research with significant implications for care quality, particularly in nursing.</p><p><strong>Objectives: </strong>Analyze the applicability of mixed-method research in promoting contraceptive decision-making for women undergoing voluntary termination of pregnancy.</p><p><strong>Methods: </strong>A theoretical-reflective essay based on a theoretical framework guiding reflections on mixed research. This reflection explores the basic theoretical constructs of mixed methods and their applicability in promoting contraceptive decision-making for women in the process of voluntary pregnancy termination.</p><p><strong>Results: </strong>Categories emerging from qualitative study participants' statements were consolidated with quantitative data from women's responses to questionnaires. Integrating these two data types facilitated a robust analysis, discussion, and inference of results, leading to proposals for future interventions.</p><p><strong>Conclusions: </strong>Due to the advantages of the multimethod approach, we aim to disseminate its use in health research, demonstrating that combining quantitative and qualitative approaches provides greater insights into research phenomena and problems compared to using each method in isolation. This ultimately enhances care quality and contributes to scientific knowledge development.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1543778"},"PeriodicalIF":2.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral delays in seeking care among post-acute myocardial infarction women: a qualitative study following percutaneous coronary intervention.","authors":"Vincenza Giordano, Caterina Mercuri, Silvio Simeone, Teresa Rea, Michele Virgolesi, Rita Nocerino, Vincenzo Bosco, Assunta Guillari","doi":"10.3389/fgwh.2025.1501237","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1501237","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVD) remain the leading cause of mortality worldwide, with ischemic heart disease contributing significantly to female morbidity and mortality. Despite this, women often delay seeking medical help during acute myocardial infarction (AMI), leading to poorer outcomes compared to men.</p><p><strong>Objective: </strong>To describe the early experiences of Italian women with AMI, focusing on behaviors that delay access to care.</p><p><strong>Methods: </strong>Using a phenomenological approach, in-depth interviews were conducted with 22 women hospitalized in Campania, Italy, within five days of an AMI event and their Percutaneous Coronary Intervention (PCI), to capture vivid recollections of the experience. Thematic analysis was employed to identify key themes regarding risk behaviors and delays in care.</p><p><strong>Results: </strong>Five key themes emerged: (1) vivid recollection of symptoms and experience, (2) lack of knowledge and risk perception of AMI, (3) decision-making process in seeking assistance, (4) influence of family and others on decision-making, and (5) post-AMI reflections on seeking medical care. Delays in seeking care stemmed from symptom misrecognition, social responsibilities, past healthcare experiences, and the role of family in decision-making, which either facilitated or hindered access to care.</p><p><strong>Conclusion: </strong>The findings highlight the need for targeted educational interventions that address barriers specific to women in recognizing and responding to AMI symptoms. Gender-specific training for healthcare professionals is essential to ensure timely and appropriate care for women.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1501237"},"PeriodicalIF":2.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal substance use during pregnancy and associated factors in Adama, central Ethiopia.","authors":"Kimiya Mohammed, Mihiret Shawel Getahun, Yohanes Abera Belachwe, Nesra Mohammed Fati, Yohannes Mekuria Negussie","doi":"10.3389/fgwh.2025.1540814","DOIUrl":"10.3389/fgwh.2025.1540814","url":null,"abstract":"<p><strong>Background: </strong>Substance use, including tobacco, alcohol, khat, and illicit drugs, is a significant preventable contributor to the global burden of disease. Women are particularly vulnerable during their reproductive years, with substance use during pregnancy posing serious risks to maternal and fetal health. Therefore, this study aimed to assess of prevalence of substance use and determine associated risk factors among pregnant women in Adama, Central Ethiopia.</p><p><strong>Methods: </strong>A health facility-based cross-sectional study was conducted among 472 pregnant women. Participants were selected using a systematic sampling technique. Data were collected through an interviewer-administered structured questionnaire. Binary logistic regression was employed to model the association between substance use and explanatory variables. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were used to estimate the strength of association. Statistical significance was determined at a <i>p</i>-value < 0.05.</p><p><strong>Result: </strong>The overall prevalence of substance use during pregnancy was 22.0% (95% CI: 18.2-26.0). Unplanned pregnancy (AOR = 3.49, 95% CI: 1.23-9.89), pre-pregnancy substance use (AOR = 24.16, 95% CI: 11.49-40.82), husband/partner substance use (AOR = 4.51, 95% CI: 1.44-14.20), and ever heard about the side effects of substance use (AOR = 14.60, 95% CI: 5.31-17.65) were factors significantly associated with maternal substance use during pregnancy.</p><p><strong>Conclusion: </strong>Nearly one in four pregnant women reported using substances during pregnancy. Educational and counseling interventions during antenatal care should emphasize the risks of substance use on maternal health and fetal development, particularly targeting women with a history of substance use or unplanned pregnancies. Efforts should also involve partners and employ community-based strategies to raise awareness of these risks.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1540814"},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and fetal outcomes in gestational diabetes mellitus: a narrative review of dietary interventions.","authors":"Anuja Phalle, Devaki Gokhale","doi":"10.3389/fgwh.2025.1510260","DOIUrl":"10.3389/fgwh.2025.1510260","url":null,"abstract":"<p><strong>Introduction: </strong>Gestational diabetes mellitus (GDM) is associated with a myriad of maternal and fetal complications that severely compromise the mother and child's future health. Dietary interventions are effective in reducing the risk of GDM. However, when diagnosed with GDM in 2nd and 3rd the effectiveness of these interventions on maternal and fetal health remains unexplored. Therefore, this review critically examines existing literature for short- and long-term maternal and fetal outcomes of dietary interventions followed after GDM diagnosis.</p><p><strong>Methodology: </strong>An extensive literature search through Scopus, PubMed, and Web of Science was conducted to include original, full-text articles published in English between 2013 and April 2024. All randomized controlled trials, case-control, prospective cohort studies, and longitudinal follow-up trials that recruited GDM mothers following dietary interventions upon diagnosis were included. However, pre-pregnancy interventional, retrospective, and prospective studies reporting maternal and fetal outcomes in healthy pregnant women were excluded. This review followed the Narrative Review Checklist by the Academy of Nutrition & Dietetics, Elsevier.</p><p><strong>Results: </strong>We reviewed the effects of eight popular dietary interventions on various short and long-term materno-fetal outcomes in women recently diagnosed with GDM. Dietary interventions such as Mediterranean, Dietary Approaches to Stop Hypertension (DASH), and low-GI positively affected both short and long-term maternal and fetal outcomes. In contrast, fasting during Ramadan negatively affected maternal and fetal outcomes. Studies with low-carb, high-protein, and calorie restriction reported mixed findings for materno-fetal outcomes. Although certain dietary interventions have shown beneficial effects in the past literature, their findings were limited by small sample size, short intervention duration, and inconsistencies in the outcomes and population studied, compromising the quality of evidence. Further, we observed a scarcity of studies exploring the effect of dietary interventions followed during 2nd and 3rd trimesters after being diagnosed with GDM on long-term materno-fetal outcomes.</p><p><strong>Conclusion: </strong>Dietary interventions followed during 2nd and 3rd trimesters after the diagnosis of GDM may be crucial for preventing short and long-term materno-fetal complications; however, there is a lack of strong evidence to support this notion. Future studies are recommended to monitor the long-term materno-fetal outcomes of GDM.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1510260"},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"COVID-19 affected me greatly (sigh), imagine I'm being called a mother and yet I'm also a child\": the effect of COVID-19 on fertility management practices among women in Nairobi and Kisumu cities, Kenya.","authors":"Zachary Arochi Kwena, Pauline Wekesa, Serah Gitome, Sarah Okumu, Louisa Ndunyu, Elizabeth Bukusi, Emily Himes, Kelsey Holt, Jenny Liu, Janelli Vallin, Lauren Suchman","doi":"10.3389/fgwh.2025.1428133","DOIUrl":"10.3389/fgwh.2025.1428133","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic strained the provision of sexual and reproductive health services, including family planning, which were categorized as non-essential services at the peak of COVID-19 infection control in Kenya. We set out to assess the effect of COVID-19 on fertility management practices among Kenyan women in two cities to inform mitigation measures in future similar disruptions.</p><p><strong>Methods: </strong>This was a qualitative study to describe the effect of the COVID-19 pandemic on women's fertility management practices from 61 in-depth interviews (IDIs) with women aged 15-45 years residing in Nairobi and Kisumu, Kenya, between February and May 2021. Identified participants were consented and interviewed at convenient locations. We used a constant comparative analysis that compared emergent themes across topics and transcripts to identify and group those that are similar or dissimilar to arrive at insights that informed our conclusions.</p><p><strong>Results: </strong>Our findings show that COVID-19 affected women's fertility management practices at individual, interpersonal, and organizational levels. At the individual level, lack of money due to COVID-19-induced economic difficulties made family planning services unaffordable to women. Other women delayed their conception plans until their financial situation improved. At the interpersonal level, travel restrictions separated couples, making it challenging for those who had plans to conceive to actualize their fertility plans. Additionally, women who reported to be sexually inactive relaxed adherence to their contraceptive use schedule because of the reduced risk of unintended pregnancy. Finally, at the organizational level, provider shortages, long queues, and contraceptive stockouts during COVID-19 compromised women's access to family planning services. We also found that a minority of women who were either not using contraceptives or who were on long-acting methods perceived little or no effect of COVID-19 on their fertility management practices.</p><p><strong>Conclusion: </strong>COVID-19's effect on women's fertility management practices manifested at individual, interpersonal, and organizational levels. There is a need to devise strategies that empower women to deal with their family planning needs and those that make healthcare systems resilient enough to handle the effects of emergent crises without compromising the provision of existing services.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1428133"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of influencing factors and establishment of prediction model for successful vaginal delivery after cesarean section.","authors":"Hongxia Zhang, Lin Yu, Songquan Wei, Guiming Li","doi":"10.3389/fgwh.2025.1447569","DOIUrl":"10.3389/fgwh.2025.1447569","url":null,"abstract":"<p><strong>Objective: </strong>To explore the influencing factors of vaginal delivery after cesarean section, establish a predictive model, and identify potential factors for perinatal complications.</p><p><strong>Materials and methods: </strong>This is a retrospective analysis of women who attempted a trial of labor after cesarean section(TOLAC) at the Third Affiliated Hospital of Guangzhou Medical University and subsequently gave birth in this hospital between 31 December 31 2017 and December 2023. Associations between maternal characteristics and success of TOLAC were assessed using univariate and logistic regression. A predictive model was developed and performance was assessed using the acceptor-operator curve (ROC).</p><p><strong>Results: </strong>A total of 10,277 pregnant women with a history of previous cesarean section were identified during the observation period, 1,065 attempted TOLAC, which 839 were successful vaginal birth after cesarean (VBAC) and 226 failed vaginal trials. We have developed and validated a simple nomogram prediction model based on common antenatal predictors, which are independently associated with successful TOLAC, including maternal age, height, cervical Bishop score, estimated fetal weight, and use of oxytocin and artificial rupture of membranes to induce labor. The prediction model has been established and verified, and the model demonstrates good prediction efficiency, with an area under the ROC curve of 83.1%. Compared with the TOLAC-failure group and the ERCD group, the VBAC group had the lowest amount of bleeding in intrapartum and 24 h after delivery, puerperal infection, and uterine rupture. Nevertheless, the prevalence of placental abruption and the incidence of neonatal neonatal intensive care unit were higher in this cohort.</p><p><strong>Conclusion: </strong>TOLAC is an important public health strategy in China. The results of our study can be used to improve counselling, reduce decision-making conflicts and increase the success rate of trials of vaginal delivery, ultimately improving the prognosis for mother and baby, by providing case-specific possibilities for counselling and management of women with a history of caesarean section and according to the characteristics of each pregnancy.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1447569"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male partner involvement in postnatal care service utilization and its associated factors in Wolaita Sodo, southern Ethiopia, 2023.","authors":"Aklilu Adisu, Wubshet Estifanos, Genet Asefa, Fikre Moga Lencha, Addisalem Haile, Fekadu Abera Kebede","doi":"10.3389/fgwh.2025.1481164","DOIUrl":"10.3389/fgwh.2025.1481164","url":null,"abstract":"<p><strong>Background: </strong>Involvement of male partners in postnatal care (PNC) is an effective approach to improving maternal and child health outcomes. Despite this, it has been perceived as a woman's responsibility and continues to be a significant problem in developing countries, including Ethiopia. Furthermore, there is a paucity of evidence regarding male involvement during postnatal care in Ethiopia, particularly in the study area. Therefore, the purpose of this study was to assess the current status of male partners' involvement in postnatal care and associated factors in the study area, Wolaita Sodo, in southern Ethiopia in 2023.</p><p><strong>Methods: </strong>A community-based cross-sectional study design was conducted on 629 participants from 1 April to 1 May 2023 using a multistage sampling technique. A pre-tested and structured questionnaire was used to collect data. Data were entered into EpiData version 4.6 and exported to Statistical Package for Social Science (SPSS) version 25 for analysis. Bivariable and multivariable logistic regression analyses were employed to identify factors associated with male partner involvement during postnatal care. The level of significant association in the multivariable analysis was determined based on a <i>P</i>-value of <0.05.</p><p><strong>Results: </strong>This study found that 32.95% [95% confidence interval (CI): 29.2-36.8] of male partners are involved in postnatal care service utilization. A higher maternal educational level [adjusted odds ratio (AOR): 2.95, 95% CI: 1.76-4.94], good knowledge of postnatal care services (AOR: 3.2, 95% CI: 1.93-5.3), good knowledge of danger signs and complications (AOR: 4.5, 95% CI: 2.39-8.48), a favorable attitude (AOR: 4.02, 95% CI: 2.50-6.45), distance (AOR: 1.91, 95% CI: 1.15-3.17), and cesarean delivery (AOR: 2.5, 95% CI: 1.39-4.60) were significantly associated with male partner involvement in postnatal care services.</p><p><strong>Conclusion: </strong>In this study, a male partner's involvement in their spouse's PNC service utilization was found to be low. Maternal educational status, good knowledge of PNC services, good knowledge of danger signs and complications, a favorable attitude, distance, and cesarean delivery were associated with male partner's involvement in PNC. Therefore, strengthening awareness about postnatal care services and danger signs through health education and promoting a positive attitude toward postnatal services are essential.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1481164"},"PeriodicalIF":2.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143559434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}