Men's Role in Emergency Obstetric Care in Osun State of Nigeria

Clifford Odimegwu, Alfred Adewuyi, Tanwa Odebiyi, Bisi Aina, Yinka Adesina, Olu Olatubara, Femi Eniola

Abstract

This study was conducted among the Yoruba of South-West Nigeria to examine the role of men in emergency obstetric care, as men determine whether and when their spouses visit health clinics in most cultures. Simple random sampling was used to select 900 households from three communities in Osun State, south-west Nigeria. Separate interviewers interviewed the man and his wife in each of the households. In polygamous families, two wives of reproductive age were also interviewed. The quantitative survey was complemented with a number of focus group discussions, in-depth interviews and key informant interviews. There was high level of awareness of emergency obstetric conditions by men, particularly in relation to pregnancy signs and labour pains (53.2%). Respondents reported that men play useful roles during their partner?s obstetric conditions (89.2%). Women take decisions on health-seeking behaviour during emergency obstetric conditions in the absence of the male partner. Education is found to be the major determinant of this change in male knowledge and behaviour. There is a need to further promote universal basic education in the country especially in areas where the observable change in this study has not been noted. There is also a need to extend the study to other zones in Nigeria in order to have a national picture. (Afr J Reprod Health 2005; 9[3]:59-71)

 

Keywords: Cultures, Polygamous families, Emergency, Male

Full Text:

PDF

References

UNFPA. The State of the World Population. New York, 2001.

Harrison KA and John CT. Maternal mortality in developing countries. Lancet 1996; 347(8998): 400.

Maine D. Studying maternal morbidity in developing countries: rates and causes: a g u i d e b o ok . W H O / F H E / 8 7 .7 .

Unpublished, 1987.

Main D. Safe Motherhood Programs: Options and Issues. New York: Columbia University Center for Population and Family Health, 1987.

Rosenfield A and Maine D. Maternal health in third world. Lancet 1987; 1(8534): 691.

Royston E and Armstrong S. Preventing Maternal Deaths. Geneva: WHO, 1989; 233p.

Durfee RB. Obstetric complications or pregnancy. In: ML Pernell and RC Benson (Eds.). Current Obstetrics and Gynecologic Diagnosis and Treatment. Connecticut: Appleton and Large, 1987; 255pp.

Adewuyi AA. Pregnancy Care: Understanding Male Involvement in Maternal Emergencies. Nigeria: CRERD, 1999.

Obermeyer CM. Culture, maternal health care and women's status: a comparison of Morocco and Tunisia. Stud FamPlann 1993; 24(6): 354?365.

United Nations. Program of Action: International Conference on Population and Development. Cairo: United Nations, 1994.

Ezeh Alex C. The influence of Spouses over each other's contraceptive attitudes in Ghana. Stud FamPlann 1993; 24(3):

?174.

Feyisetan BJ, K Oyediran and G Ishola. Role of Men in Family Planning in Imo State, Nigeria. Nigeria: NISER, 1998; 1? 64.

Murphy M and Baba TM. Rural dwellers and health care in Northern Nigeria.SocSci Med 1981; 15A(3/1): 265-271.

Stock R. Distance and utilization of health facilities in rural Nigeria. SocSci Med 1983; 17(9): 563-570.

Robey B, Rutstein SO, Morris L and Blackburn R. The reproductive revolution: new survey findings. Pop Reports 1992; Series M, No. 11.

Lauman EO, Gagnon GH, Michael RT and Michaels S. The Social Organization of Sexuality: Sexual Practices in the United States. Chicago: University of Chicago Press, 1994.

Odebiyi AI and Ondolo O. Female involvement in intervention programs: the EPI experience in Saradidi, Kenya. E Afr Med J 1993; 70(1): 25-33.

Orubuloye IO. Male Sexual Behavior and Its Cultural, Social and Attitudinal Context: Report

De Zalduindo BO, Msamanga GI and Lincoln Chen. AIDS in Africa: diversity in the global pandemic. Daedalus 1989; 118(3):165–204.

Adamchak Donald and Akin Adebayo. Male fertility attitudes: a neglected dimension in Nigeria fertility research. Social Biology 1987; 34(1): 57–67.

KaranjaWambuiWa. “Outside wives” and“inside wives” in Nigeria: a study of changing perceptions in marriage. In: David Parkin and David Nyamwaya (Ed.). Transformation of African Marriages. Manchester: Manchester University Press,

Afonja Simi. Women, power and authority in traditional Yoruba society. In: L Dube, E Leacock and S Ardener (Eds.). Visibility and Power. South Hadley: Bergin and Garvey, 1996; 136–157.

Renne Elisha P. Gender ideology and fertility strategies in an Ekiti Yoruba village. Stud FamPlann 1993; 24(6): 343–353.

Ware Helen. Female and male life cycles. In: C Oppong (Ed.). Female and Male in West Africa. London: Allen and Unwin,

Desai S. The Influence of Family Structure on Child Welfare in Latin America and West Africa: Understanding how Resources are Allocated within Households. New York: World Bank, 1992.

Castle S. Intra-household differentials in women’s status: household functions and focus as determinants of children’s illness management and care in rural Mali. Health Trans Rev 1993; 3(2): 137–158.

National Population Commission (Nigeria). Nigeria Demographic and Health Surveys 1999. Calverton: National Population Commission and ORC/Macro, 2000.

Refbacks

  • There are currently no refbacks.