坦桑尼亚西北部辛扬加区男性伴侣接受不同生殖健康服务的情况。

Q4 Medicine

Tanzania Journal of Health Research Pub Date : 2018-04-01 DOI:10.4314/THRB.V20I2.9

Alfred Chibwae, A. Kapesa, O. Jahanpour, J. Seni, Namanya Basinda, Emmanuel Kadelya, E. Konje, E. Nyanza, S. Ngallaba, D. Dewey

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引用次数: 14

摘要

背景:在非洲，男性参与生殖健康服务与改善孕产妇和儿童健康结果有关。本研究的目的是确定坦桑尼亚西北部辛扬加地区男性伴侣接受现有生殖健康服务的情况和影响因素。方法:采用结构化问卷对随机抽取的已婚男性进行逐户调查。在参加生殖健康服务的已婚男性中进行了进一步的深入访谈。探讨了促使他们与其合作伙伴一起接受当地可用的生殖健康服务的因素。结果:共有204名男性参与了这项研究，其中94.4%(193/204)的人报告曾与女性伴侣至少参加过一次生殖健康服务，50.6%(103/204)的人至少参加过三次。四分之三(154/204)参加了艾滋病毒咨询和检测，63%(129/204)参加了产前服务。据报告，接受性传播感染(STIs/STDs)、预防艾滋病毒母婴传播(PMTCT)和生殖健康癌症服务的人数均不到13%。男性伴侣年龄组别(25-34岁;χ 2 =9.347, df= 3 p值<0.001)、女性伴侣被邀请参加人力资源服务(χ 2 = 29.901, df=1, p值<0.001)、子女少于2名(χ 2 = 6)。2011, df = 2, p值< 0.05)与较高的RH服务出勤率相关。只有20%(4/20)的已婚男性参加生殖健康治疗，因为他们希望在自己在场的情况下获得更好的健康结果，而大多数人参加生殖健康治疗是因为他们被召唤或碰巧出于其他目的来到诊所。结论:信阳县农村男性与女性伴侣共同接受生殖健康服务的主要集中在ANC和VCT。大多数男性参加是因为他们的伴侣口头邀请他们参加。在参加生殖健康诊所的妇女中开展增强夫妻沟通能力的教育，可以持续提高所有生殖健康服务的使用率。

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Attendance of male partners to different reproductive health services in Shinyanga District North western Tanzania.

Background: Male involvement in reproductive health (RH) services in Africa has been associated with improved maternal and child health outcomes. The objective of this study was to determine the prevalence and factors affecting male partner attendance to available reproductive health services in Shinyanga district, north-western Tanzania. Methods: A house to house survey using a structured questionnaire was conducted among randomly selected married men. Additional in-depth interviews were conducted among married men found attending RH services. Factors that motivates the uptake of locally available RH services together with their partners were explored. Results: A total of 204 men participated in the study, 94.4 % (193/204) of them reported to have ever attended the RH service with their female partners at least once whereas 50.6% (103/204) of them attended at least thrice. Three quarters (154/204) attended HIV counselling and testing (VCT) and 63% (129/204) attended antenatal services (ANC). Reported attendance to sexually transmitted infections (STIs/STDs), prevention of HIV transmission from mother to child (PMTCT), and reproductive health cancer services were all less than 13%. The male partners age group (25-34 years; χ 2 =9.347, df =3 p-value < 0.001), female partner invitation to HR services (χ 2 = 29.901, df=1, p-value <0.001) and having less than 2 children (χ 2 = 6. 201, df = 2, p -value < 0.05) were associated with higher RH service attendance. Only 20% (4/20) of married men attended RH because they expected better health outcomes in their presence whilst majority attended because they were summoned or just happen to be at the clinic for other purposes. Conclusion: The male attendance to RH services together with their female partners’ in rural Shinyanga was mainly focused ANC and VCT. Most of men attended because were verbally invited by their partners. Education on couple communication empowerment among women attending RH clinics could sustainably improve attendance to all RH services.

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来源期刊

Tanzania Journal of Health Research Medicine-Medicine (all)

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0.20

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0.00%

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