Abstract
Innovative and effective options toward reducing maternal mortality rates in African nations must include the active participation of all stakeholders. This study was carried out to assess men's level of knowledge and attitude to preventing maternal deaths. In a cross-sectional, community-based survey complemented with exploratory in-depth interviews, data were collected from men from different socio-economic areas using a two-stage cluster sampling technique. Mean age of the 316 respondents was 39.9 years (range 19–66). Nearly half (47.8%) knew someone who had died at childbirth. They blamed maternal deaths on healthcare workers not being skilled enough, financial barriers, failure to use family planning, emergency, antenatal, and delivery care services. Factors associated with knowledge and attitude to preventing maternal mortality are discussed. Healthcare reforms must be coupled with socio-economic improvements and efforts made to improve men's attitudes and knowledge in such a way as to make them active stakeholders, more supportive of preventing maternal mortality.
References
UN Millennium Project. Who's got the power? Transferring health systems for women and children. Task force on child health and maternal health UNDP 2005.
WHO, UNICEF, UNFPA Maternal mortality in 2000. Estimates developed by UNICEF, WHO, UNFPA. World Health Organization, Geneva, Switzerland 2004.
WHO. Measuring Progress Towards the Health Millennium Development Goal. www.who.int/mdg/, date retrieved 29 September 2006.
UNICEF. State of the Worlds Children 2006. New York: UNICEF.
NPC (Nigerian Population Commission) [Nigeria] and ORC Macro. Nigerian Demographic and Health Survey 2003: Key findings. Calverton, Maryland, USA: National Population Commission ORC, Macro; 2004.
Yahaya MK . Analysis of women's reproductive health situation in Bida Emirate of Niger State, Nigeria. Afr J Reprod Health. 2002;6 (1):50–64.
Wall LL . Dead mothers and injured wives: the social context of maternal morbidity and mortality among Hausa of northern Nigeria. Stud Fam Plann. 1998;29 (4):341–359.
Census News House magazine of National Population Commission, 1991 population census-provisional report. 1992; September 3(1):12.
Brieger WR, Adeniyi JD . Urban community health education in Africa. Int Quart Comm Health Edu. 1982;2:109.
Registrar General. Statistical Review of England and Wales 1928–1968. HMSO London, Series (1968) DH3, No. 2, London.
Chandola T, Jenkinson C . The new UK National statistics socio-economic classification (NS-SEC) investigating social class differences in self reported health status. J Public Health Med. 2000;22 (2):182–190.
Lawoyin TO, Larsen U . Male sexual behavior during wife's pregnancy and postpartum abstinence period in Oyo state, Nigeria. J Biosoc Sci. 2002;34 (1):51–63.
Safe Motherhood Newsletter. 1996;22 (3):1.
Okolocha C, Chiwuzie J, Braimoh S, Unigbe J, Olumeko P . Socio-cultural factors in maternal morbidity and mortality: a study of a semi-urban community in southern Nigeria. J Epidemiol Commun Health. 1998;52:293–297.
Opaneye AA . Towards safe motherhood. World Health Day. Profamilia. 1998;16 (31):19–24.
Etuk SJ, Ham H, Asuquo EE . Role of the spiritual churches in antenatal clinic default in Calabar Nigeria. E Afr Med J. 1999;76 (11):639–643.
Harrison KA . Maternal mortality in Nigeria: the real issues. Afr J Rep Health. 1997;1 (1):7–12.
Asowa-Omorodion FI . Women's perceptions of the complications of pregnancy and childbirth in two Esan communities, Edo state, Nigeria. Soc Sci Med. 1997;44 (12):1817–1824.
Adamu YM, Salihu HM . Barriers to use of antenatal and obstetric care services in rural Kano, Nigeria. J Obstet Gynaecol. 2002;22 (6):600–603.
Green A, Gerein N . Exclusion, inequality and health system development: the critical emphases for maternal, neonatal and child health. Bull World Health Organ. 2005;83 (6):402.
Raufu A . Unsafe abortions cause 20,000 deaths a year in Nigeria. BMJ. 2002;325:988.
Orji EO, Adeyemi AB, Esimai OA . Liberalization of abortion laws in Nigeria. The undergraduates’ perspective. J Obstet Gynaecol. 2003;23 (1):63–66.
Okonofua FE, Onwudiegwu U, Odunsi OA . Illegal induced abortion: a study of 74 cases in Ile-Ife, Nigeria. Trop Doctor. 1992;22 (4):175–176.
Grossmann KF, Filippi V, De Koninck M, Kanhonon L . Giving birth in maternity hospital, in Benin: testimonies of women. Rep Health Matter. 2001;9 (18):90–98.
Ronsmans C, Etard JF, Walraven G, Hoj L, Dumont A, de Bernis L . et al. Maternal maternity and access to obstetric services in West Africa. Trop Med Int Health. 2003;8 (10):940–948.
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In ground breaking research, the authors reveal ways in which men's attitudes affect women's perinatal care. This study from Ibadan, Nigeria differentiated men by social class, geographical location, age, education, religion, marital and parental status. Among many other findings we learn that half of the study participants thought abortion should be prohibited.
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Lawoyin, T., Lawoyin, O. & Adewole, D. Men's Perception of Maternal Mortality in Nigeria. J Public Health Pol 28, 299–318 (2007). https://doi.org/10.1057/palgrave.jphp.3200143
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DOI: https://doi.org/10.1057/palgrave.jphp.3200143