Promoting men’s involvement in antenatal care (ANC) requires an understanding of their views on how they ought to be involved. Their involvement in ANC services can help in reducing delay in deciding to seek care and facilitate women’s access to skilled antenatal services. This study sought to determine men’s views and knowledge on, and challenges to, involvement in ANC services in Tanzania. The cross-sectional study was carried out in four districts of Dodoma Region in November 2014 and June 2016. A multi-stage sampling strategy was used to select the study respondents. Data were collected by interviewing 966 men using a structured questionnaire. Univariate, bivariate and multivariate logistic regression analyses were used to examine the association between men’s involvement in ANC services and their background characteristics. About 63.4% of respondents accompanied their partners to ANC services. Men’s view was that they can be involved through accompanying their partner to ANC clinics and providing money for health services. Men who had poor knowledge on ANC services were two times less likely to be involved in ANC services. Similarly, long waiting times at the antenatal clinics decreased the likelihood of service utilization by their partners. Men from a two-income household were more likely to be involved in ANC services than men from households where the men’s earnings were the only source of income. Challenges encountered by men during attendance at ANC services included: perception of antenatal clinics as places only for women, financial difficulties, influence of peer pressure and lack of time due to occupational demands. There is a need to establish community outreach ANC services that offer couple-friendly services in Tanzania. Also, it is crucial to have a policy for men’s involvement in maternal health care that addresses cultural practices that hinder men’s involvement in ANC services.

中文翻译：

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孕产妇保健中的男性：多多马地区坦桑尼亚社区男性对参与产前保健服务的看法、知识和挑战分析

促进男性参与产前保健 (ANC) 需要了解他们对如何参与的看法。她们参与 ANC 服务有助于减少决定寻求护理的延误，并促进妇女获得熟练的产前服务。本研究旨在确定男性对坦桑尼亚参与 ANC 服务的看法、知识和挑战。横断面研究于 2014 年 11 月和 2016 年 6 月在多多马地区的四个区进行。采用多阶段抽样策略来选择研究对象。通过使用结构化问卷采访 966 名男性来收集数据。单变量、双变量和多变量逻辑回归分析用于检查男性参与 ANC 服务与其背景特征之间的关联。大约63。4% 的受访者陪同他们的合作伙伴使用 ANC 服务。男性的观点是，他们可以通过陪同伴侣去 ANC 诊所并为医疗服务提供资金来参与其中。对 ANC 服务知之甚少的男性参与 ANC 服务的可能性要低两倍。同样，产前诊所的长时间等待降低了他们的合作伙伴使用服务的可能性。来自两个收入家庭的男性比来自男性收入是唯一收入来源的家庭的男性更有可能参与 ANC 服务。男性在参加 ANC 服务期间遇到的挑战包括：将产前诊所视为仅供女性使用的场所、经济困难、同伴压力的影响以及因职业需求而缺乏时间。有必要建立社区外展 ANC 服务，在坦桑尼亚提供适合夫妻的服务。此外，制定一项关于男性参与孕产妇保健的政策，以解决阻碍男性参与 ANC 服务的文化习俗，这一点至关重要。