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What do women want? An analysis of preferences of women, involvement of men, and decision-making in maternal and newborn health care in rural Bangladesh
BMC Pregnancy and Childbirth ( IF 3.1 ) Pub Date : 2020-03-18 , DOI: 10.1186/s12884-020-2854-x
Ahmed Ehsanur Rahman , Janet Perkins , Shumona Sharmin Salam , Shema Mhajabin , Aniqa Tasnim Hossain , Tapas Mazumder , Shams EL Arifeen

To improve the utilization of maternal and newborn health (MNH) care and to improve the quality of care, the World Health Organization (WHO) has strongly recommended men’s involvement in pregnancy, childbirth, and after birth. In this article, we examine women’s preferences for men’s involvement in MNH care in rural Bangladesh and how this compares to husbands’ reported involvement by women. A cross-sectional household survey of 1367 women was administered in 2018 in the district of Brahmanbaria. Outcomes of interest included supporting self-care during pregnancy, participation in birth planning, presence during antenatal care, childbirth, and postnatal care, and participation in newborn care. Binary and multiple logistic regressions were done to understand the associations between the outcomes of interest and background characteristics. Although women preferred a high level of involvement of their husbands in MNH care, husbands’ reported involvement varied across different categories of involvement. However, women’s preferences were closely associated with husbands’ reported involvement. Around three-quarters of the women reported having been the primary decision makers or reported that they made the decisions jointly with their husbands. The likelihood of women reporting their husbands were actively involved in MNH care was 2.89 times higher when the women preferred their husbands to be involved in 3–4 aspects of MNH care. The likelihood increased to 3.65 times when the women preferred their husbands to be involved in 5–6 aspects. Similarly, the likelihood of husbands’ reported active involvement was 1.43 times higher when they jointly participated in 1–2 categories of decision-making. The likelihood increased to 2.02 times when they jointly participated in all three categories. The findings of our study suggest that women in rural Bangladesh do indeed desire to have their husbands involved in their care during pregnancy, birth and following birth. Moreover, their preferences were closely associated with husbands’ reported involvement in MNH care; that is to say, when women wanted their husbands to be involved, they were more likely to do so. Programmes and initiatives should acknowledge this, recognizing the many ways in which men are already involved and further allow women’s preferences to be realized by creating an enabling environment at home and in health facilities for husbands to participate in MNH care.

中文翻译:

女人想要什么?孟加拉国农村地区妇女的偏爱,男子的参与以及在孕产妇和新生儿保健中的决策分析

为了提高对孕产妇和新生儿保健(MNH)护理的利用并提高护理质量,世界卫生组织(WHO)强烈建议男性参与怀孕,分娩和产后。在本文中,我们研究了孟加拉国农村妇女对男性参与MNH护理的偏爱,以及与丈夫报告的女性参与度的比较。2018年,在Brahmanbaria区对1367名妇女进行了横断面家庭调查。感兴趣的结果包括支持怀孕期间的自我保健,参与计划生育,产前保健,分娩和产后保健中的存在以及参与新生儿保健。进行了二元和多元logistic回归以了解感兴趣的结果与背景特征之间的关联。尽管妇女更希望丈夫参与MNH护理,但丈夫报告的参与程度在不同类别的参与中有所不同。但是,妇女的喜好与丈夫报告的参与密切相关。大约四分之三的妇女报告说是主要决策者,或者报告说她们与丈夫共同做出决定。当妇女希望丈夫参与MNH护理的3-4方面时,妇女报告其丈夫积极参与MNH护理的可能性要高2.89倍。当妇女偏爱丈夫参加5至6个方面时,这种可能性增加到3.65倍。同样,丈夫报告称积极参与的可能性为1。当他们共同参与1-2个类别的决策时,其高出43倍。当他们共同参加这三个类别时,可能性增加到2.02倍。我们研究的结果表明,孟加拉国农村地区的妇女确实的确希望在怀孕,分娩和分娩后让丈夫参与照料。此外,她们的喜好与据报道丈夫参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过在丈夫和丈夫在家中和保健设施中创造有利环境来实现妇女的偏爱。当他们共同参加这三个类别时,可能性增加到2.02倍。我们的研究结果表明,孟加拉国农村地区的妇女确实的确希望在怀孕,分娩和分娩后让丈夫参与照料。此外,她们的喜好与丈夫据报道参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过在丈夫和丈夫在家中和保健设施中创造有利环境来实现妇女的偏爱。当他们共同参加这三个类别时,可能性增加到2.02倍。我们研究的结果表明,孟加拉国农村地区的妇女确实的确希望在怀孕,分娩和分娩后让丈夫参与照料。此外,她们的喜好与据报道丈夫参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过在丈夫和丈夫在家中和保健设施中创造有利环境来实现妇女的偏爱。我们研究的结果表明,孟加拉国农村地区的妇女确实的确希望在怀孕,分娩和分娩后让丈夫参与照料。此外,她们的喜好与据报道丈夫参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过在丈夫和丈夫在家中和保健设施中创造有利环境来实现妇女的偏爱。我们研究的结果表明,孟加拉国农村地区的妇女确实的确希望在怀孕,分娩和分娩后让丈夫参与照料。此外,她们的喜好与据报道丈夫参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过在丈夫和丈夫在家中和保健设施中创造有利环境来实现妇女的偏爱。他们的喜好与据报道丈夫参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过为丈夫和丈夫提供MNH护理的家庭和保健设施创造有利环境,进一步实现了妇女的喜好。他们的喜好与据报道丈夫参与MNH护理密切相关;也就是说,当妇女希望丈夫参与其中时,她们更有可能参与其中。方案和倡议应承认这一点,承认男子已经参与了许多方式,并通过为丈夫和丈夫提供MNH护理的家庭和保健设施创造有利环境,进一步实现了妇女的喜好。
更新日期:2020-03-19
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