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馬拉威男性參與 對 產前檢查利用的影響
Other Title
Impact of Male Involvement on Antenatal Care Services Utilization in Malawi
Type
thesis
Date Issued
2018-06-19
Author(s)
Christopher Lington Blair
Advisor
黃雅莉
Subjects
系所名稱：公共衛生學系暨研究所
Description
學位別：碩士
語文別：英文
指導教授：黃雅莉
口試委員：董和銳;陳怡樺
中文關鍵字：ANC services utilization;ANC timing;number of ANC visits;demographic health survey;male involvement
英文關鍵字：ANC services utilization;ANC timing;number of ANC visits;demographic health survey;male involvement
語文別：英文
指導教授：黃雅莉
口試委員：董和銳;陳怡樺
中文關鍵字：ANC services utilization;ANC timing;number of ANC visits;demographic health survey;male involvement
英文關鍵字：ANC services utilization;ANC timing;number of ANC visits;demographic health survey;male involvement
Abstract
Background: Globally, maternal and neonatal mortality rates involve some of the greatest public health disparities: 99% of related deaths occur in low- and middle-income countries. However, access to public health interventions such as antenatal care (ANC) could prevent most of these deaths. Male involvement and other factors affect ANC utilisation. This study investigated the effect of male involvement on ANC service utilisation in Malawi.
Materials and methods: A cross-sectional study was conducted using a nationally representative sample of women who had given a live birth in the 5 years preceding the 2010 and 2016 Malawi Demographic Health Surveys (MDHSs). Records of individuals and couples were analysed. A multivariate logistic regression model was used to estimate the effect of male involvement on ANC service utilisation.
Results: In the 2010 MDHS, 1063 respondents (48.2%) reported ≥4 ANC visits, and in the 2016 MDHS, only 773 (50.2%) respondents reported ≥4 ANC visits. For the 2010 MDHS, married (aOR=0.70, 0.54-0.90), respondents with 2-3 children (aOR=0.61, 95%CI=0.47 - 0.79) coming from southern region (aOR=0.74, 95%CI=0.55–0.99) children wanted later (aOR 0.73 95%CI=0.56 - 0.95) HIV test aOR=1.31 95%CI=1.01 -1.70) was associated with ≥4 ANC visits. In 2016, a decision-making power of 2-3 (aOR=0.45 95%CI=0.23-0.85), Primary (aOR=1.63, 95%CI=1.09-2.43), secondary education (aOR=1.71, 95%CI=1.12-2.62) Media (aOR=1.69, 95%CI=1.25-2.30) HIV test (aOR=1.96, 95% CI=1.18-3.27) were associated with ≥4 ANC visits. In the 2010 MDHS, 796 respondents (36.1%) initiated their ANC earlier and in the 2016 MDHS, 827 (53.7%) respondents had early ANC visits. For the 2010 MDHS, a decision-making power of 2-3 & 4 (aOR=1.95,95% CI=1.08-3.49) (aOR= 1.80 95% CI=1.02-3.18) maternal age (aOR=0.59, 95% CI=0.38-0.89) paternal age (aOR= 0.73, 95%CI=0.58-0.93) having 4 or more children 0.60 95%CI=0.42 - 0.86) was associated with early ANC visits. In 2016, paternal age (aOR=0.31 95% CI=0.19 – 0.51). Women with secondary and above education level 1.80 (1.20 – 2.72) For respondents with married marital status (aOR=1.63 95% CI=1.12 – 2.39) HIV test (aOR=1.82, 95% CI=1.11 – 2.30) was associated with early ANC visits.
Conclusion: The relationship between ANC service utilisation and male involvement remains controversial, despite some positive outcomes from strategies developed to increase male involvement in ANC services. In some developing countries such as Malawi, husbands’ attendance at ANC check-ups is stigmatised due to social-cultural factors.
Materials and methods: A cross-sectional study was conducted using a nationally representative sample of women who had given a live birth in the 5 years preceding the 2010 and 2016 Malawi Demographic Health Surveys (MDHSs). Records of individuals and couples were analysed. A multivariate logistic regression model was used to estimate the effect of male involvement on ANC service utilisation.
Results: In the 2010 MDHS, 1063 respondents (48.2%) reported ≥4 ANC visits, and in the 2016 MDHS, only 773 (50.2%) respondents reported ≥4 ANC visits. For the 2010 MDHS, married (aOR=0.70, 0.54-0.90), respondents with 2-3 children (aOR=0.61, 95%CI=0.47 - 0.79) coming from southern region (aOR=0.74, 95%CI=0.55–0.99) children wanted later (aOR 0.73 95%CI=0.56 - 0.95) HIV test aOR=1.31 95%CI=1.01 -1.70) was associated with ≥4 ANC visits. In 2016, a decision-making power of 2-3 (aOR=0.45 95%CI=0.23-0.85), Primary (aOR=1.63, 95%CI=1.09-2.43), secondary education (aOR=1.71, 95%CI=1.12-2.62) Media (aOR=1.69, 95%CI=1.25-2.30) HIV test (aOR=1.96, 95% CI=1.18-3.27) were associated with ≥4 ANC visits. In the 2010 MDHS, 796 respondents (36.1%) initiated their ANC earlier and in the 2016 MDHS, 827 (53.7%) respondents had early ANC visits. For the 2010 MDHS, a decision-making power of 2-3 & 4 (aOR=1.95,95% CI=1.08-3.49) (aOR= 1.80 95% CI=1.02-3.18) maternal age (aOR=0.59, 95% CI=0.38-0.89) paternal age (aOR= 0.73, 95%CI=0.58-0.93) having 4 or more children 0.60 95%CI=0.42 - 0.86) was associated with early ANC visits. In 2016, paternal age (aOR=0.31 95% CI=0.19 – 0.51). Women with secondary and above education level 1.80 (1.20 – 2.72) For respondents with married marital status (aOR=1.63 95% CI=1.12 – 2.39) HIV test (aOR=1.82, 95% CI=1.11 – 2.30) was associated with early ANC visits.
Conclusion: The relationship between ANC service utilisation and male involvement remains controversial, despite some positive outcomes from strategies developed to increase male involvement in ANC services. In some developing countries such as Malawi, husbands’ attendance at ANC check-ups is stigmatised due to social-cultural factors.