BARRIERS TO MALE INVOLVEMENT IN ANTENATAL CARE IN UGANDA. A SYSTEMATIC LITERATURE REVIEW.

Authors

  • ANDREW TUMWINE Diploma in Medical Education of Makerere University
  • MR. KIRUMIRA Diploma in Medical Education of Makerere University

DOI:

https://doi.org/10.51168/sjhrafrica.v6i3.1559

Keywords:

Barriers, Antenatal Care Services, Male Involvement, Uganda

Abstract

Background

Globally, men are significant figures in the decision-making processes of the family, especially to their expectant partner. During this period, mothers, their unborn babies, family members, and more so their husbands are excessively worried. This study aimed to assess the barriers to male involvement in ANC services in Uganda.

Methods.

A systematic review of journal articles was carried out using the search words “Barriers”, “Male involvement,” and “Antenatal Care”. Different medical databases, such as Google Scholar, Research Gate, and PubMed, were used.  A total of 134 relevant articles were published between 2010 and 2020 but were reduced to 36 most relevant full-text articles, of which 20 were Ugandan studies hinting at male involvement in Antenatal Care (ANC) services.

Findings.

The review revealed that barriers to male involvement in ANC services in Uganda were classified as gender and cultural norms, lack of services targeting male partners, poor ANC service delivery, free availability of TBAs, poverty, long distances to ANC clinics and long waiting time at health centers, fear of HIV/AIDs testing and lack of specific services targeting men.

Conclusion.

There are many barriers to male involvement in ANC services in Uganda. Husbands are vital in the lives of pregnant mothers; thus, attending to these barriers could significantly increase male involvement in ANC services.

Recommendations.

The government of Uganda should involve community extension workers in sensitizing households on the benefits of husband involvement in ANC as well as improving service delivery and health care centers.

References

Ahumuza, S. E., Matovu, J. K., Damulira, J. B., & Muhanguzi , K. F. (2014). Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda. Reproductive Health journal.

Alupo, P. (2020). Male partner involvement in the utilization of Antenatal care services in Kidera Buyende District, Uganda: A cross-section mixed methods study. Research Square journal, 1-24.

Anastasi, E., Borchert, M., & Campbell, M. R. (2015). Losing women along the path to safe motherhood: why is there such a gap between women’s use of antenatal care and skilled birth attendance? A mixed methods study in northern Uganda. BMC Pregnancy and Childbirth Journal, 1-8.

Bhatta, D. N. (2013). Involvement of males in antenatal care, birth preparedness, exclusive breastfeeding, and immunizations for children in Kathmandu, Nepal. BMC Journal of Pregnancy and Childbirth, 2-7.

Bull, S., Nabembezi, D., Birungi, R., & Kiwanuka , J. (2010). Cyber senga; Ugandan youth preferences for content in an internet-delivered comprehensive sexuality Education Programme. East African Journal of Public Health, 1-19.

Byamugisha, R., Tumwine,, J. K., Semiyaga, N., & Tylleskär , T. (2010). Determinants of male involvement in the prevention of mother-to-child transmission of HIV program in Eastern Uganda: a cross-sectional survey. Reproductive Health Journal, 1-8.

Dantas, J. R., Singh, D., & Lample, M. (2020). Factors affecting utilization of health facilities for labor and childbirth: a case study from rural Uganda. BMC Journal of pregnancy and childbirth, 1-9.

Ditekemena, J., Koole, O., Engmann, C., Matendo, R., Tshefu, A., Ryder, R., & Colebunders, R. (2012). Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review. Reproductive Health Journal, 1-9.

Ediau, M., Wanyenze, R. K., Machingaidze, S., Otim, G., Olwedo, A., Iriso , R., & Tumwesigye , N. M. (2013). Trends in antenatal care attendance and health facility delivery following community and health facility systems strengthening interventions in Northern Uganda. BMC Pregnancy and Childbirth Journal, 1-8.

Gibore, N. S., Bali, T. A., & Kibusi, S. M. (2019). Factors influencing men’s involvement in antenatal care services: a cross-sectional study in a low resource setting, Central Tanzania. Reproductive Health-Journal, 1-10.

Gopal, P., Fisher, D., Seruwagi , G., & Taddese, H. B. (2020). Male involvement in reproductive, maternal, newborn, and child health: evaluating gaps between policy and practice in Uganda. Reproductive Health Journal, 1-18.

Jefferys, L. F., Nchimbi, P., Mbezi, P., Sewangi, J., & Theuring, S. (2015). Official invitation letters to promote male partner attendance and couple voluntary HIV counseling and testing in antenatal care: an implementation study in Mbeya Region, Tanzania. Reproductive Health Journal, 1-7.

Kabagenyi, A., Jennings, L., & Reid, A. (2014). Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reproductive Health Journal, 1-9.

Kabanga, E., Chibwae, A., Basinda, N., & Morona, D. (2019). Prevalence of male partners' involvement in antenatal care visits in Kyela district, Mbeya. ,. BMC Journal of Pregnancy and Childbirth, 1-14.

Kariuki, K. F., & Seruwagi, G. K. (2016). Determinants of Male Partner Involvement in Antenatal Care in Wakiso District, Uganda. Journal of Advances in Medicine and Medical Research, 1-8.

Kaye, D. K., Kakaire, O., Nakimuli, A., Osinde, M. O., Mbalinda, S. N., & Kakande , N. (2014). Male involvement during pregnancy and childbirth: men’s perceptions, practices and experiences during the care for women who developed childbirth complications in Mulago Hospital, Uganda. BMC journal of pregnancy and childbirth.

Konje, E. T., Magoma, M. N., Hatfield, J., Kuhn, S., Sauve , R. S., & Dewey, D. M. (2018). Missed opportunities in antenatal care for improving the health of pregnant women and newborns in Geita district, Northwest Tanzania. BMC Pregnancy and Childbirth Journal, 1-8.

Kululanga, L. I., Sundby, J., Malata, A., & Chirwa, E. (2012). Male involvement in maternity health care in Malawi. African Journal of Reproductive Health, 1-9.

Kululanga, L., Sundby, J., Malata, A., & Chirwa, E. (2012). Male Involvement in Maternity Health Care in Malawi. African Journal of Reproductive Health, 145-155.

Larsson, E. C., Thorson, A., Nsabagasani , X., Namusoko, S., Popenoe, R., & Ekström, A. M. (2010). Mistrust in marriage- Reasons why men do not accept couple HIV testing during antenatal care- a qualitative study in eastern Uganda. BMC Public Health journal, 1-9.

Maly, C., McClendon, A. K., Baumgartner, J. N., & Nakyanjo , N. (2017). Perceptions of Adolescent Pregnancy Among Teenage Girls in Rakai, Uganda. Global Journal of Qualitative Nursing Research.

Mbonye, A. K., Hansen, K. S., Wamono, F., & Magnussen, P. (2010). Barriers to prevention of mother-to-child transmission of HIV services in Uganda. Journal of biosocial science, 42 (2). pp. 271-283. ISSN 0021-9320 DOI: https://doi.org/10.1017/S002193200999040X.

Medly, A., Mugerwa, G. W., Kennedy, C. E., & Sweat, M. (2012). Ugandan men's attitudes towards their partner's preparation in Antenatal HIV testing. International journal of healthcare for women, 1-12.

Mohammed, B. H., Johnston, J. M., & Vackova, D. (2019). The role of the male partner in the utilization of maternal health care services in Ethiopia: a community-based couple study. BMC Journal of Pregnancy and Childbirth, 1-9.

Morgan, R., Tetui, M., Kananura, R. M., Kiracho, E. E., & George, A. S. (2017). Gender dynamics affecting maternal health and health care access and use in Uganda. Health policy and planning journal, 1-7.

Muheirwe , F., & Nuhu, S. (2019). Men’s participation in maternal and child health care in Western Uganda: perspectives from the community. BMC Public Health Journal, 1-7.

Odeny, B. (2019). Male partner antenatal clinic attendance is associated with increased uptake of maternal health services and infant BCG immunization: a national survey in Kenya. MMC journal of pregnancy and child health.

Peneza, A. K., & Maluka, S. O. (2018). Unless you come with your partner you will be sent back home’: strategies used to promote male involvement in antenatal care in Southern Tanzania. 1-11.

Singh, D., Lample, M., & Dantas, A. R. (2014). The involvement of men in maternal health care: Cross-sectional, pilot case studies from Maligita and Kibibi, Uganda. Reproductive Health Journal, 1-9.

Teklesilasie, W., & Derressa, W. (2020). Barriers to husbands’ involvement in maternal health care in Sidama zone, Southern Ethiopia: a qualitative study. 1-9.

Turinawe, E. B., Rwemisisi, J. T., Musinguzi, L. K., Groot, M., Muhangi, D., Vries, D. H., . . . Pool, R. (2016). Traditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness: insights from a rural community in Uganda. BMC journal of reproductive health.

Tweheyo, R., Lule, J. K., & Tumwesigye, N. M. (2010). Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Journal of Pregnancy and Childbirth., 1-8.

Twinomuhangi, S., & Mugyenyi, R. (2018). Factors Leading to Low Male Partner Involvement during Child Birth in Kambuga Subcounty Kanungu District. Acta Scientific Paediatrics Journal, 1-4.

Waiswa , P., Kemigisa,, M., Kiguli, J., Naikoba, S., Pariyo, G. W., & Peterson, S. (2010). Acceptability of evidence-based neonatal care practices in rural Uganda - implications for programming. BMC pregnancy and childbirth.

WHO. (2020). 3rd WHO Country Cooperation Strategy in Uganda. . 1-50.

Wilunda, C. (2014). A qualitative study on barriers to utilization of institutional delivery services in Moroto and Napak districts, Uganda: implications for programming. BMC Pregnancy and Childbirth Journal, 1-19.

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Published

2025-03-02

How to Cite

TUMWINE , A., & KIRUMIRA, . J. (2025). BARRIERS TO MALE INVOLVEMENT IN ANTENATAL CARE IN UGANDA. A SYSTEMATIC LITERATURE REVIEW. Student’s Journal of Health Research Africa, 6(3), 7. https://doi.org/10.51168/sjhrafrica.v6i3.1559

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Section

Section of Obstetrics and Gynecology Research