Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis
Objective To determine the involvement of males in antenatal care (ANC) follow-up and its determinants in Ethiopia.Design A systematic review and meta-analysis.Data sources A systematic search was done on PubMed, African Journals Online, HINARI, ScienceDirect, Google Scholar and direct Google up to...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e083492.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841536680411004928 |
|---|---|
| author | Gossa Fetene Abebe Desalegn Girma Melsew Setegn Alie Lidiya Gutema Lemu Yilkal Negesse Zewditu Alelign |
| author_facet | Gossa Fetene Abebe Desalegn Girma Melsew Setegn Alie Lidiya Gutema Lemu Yilkal Negesse Zewditu Alelign |
| author_sort | Gossa Fetene Abebe |
| collection | DOAJ |
| description | Objective To determine the involvement of males in antenatal care (ANC) follow-up and its determinants in Ethiopia.Design A systematic review and meta-analysis.Data sources A systematic search was done on PubMed, African Journals Online, HINARI, ScienceDirect, Google Scholar and direct Google up to 20 November 2023.Eligibility criteria We included cross-sectional or case–control studies reporting male involvement in ANC service and its determinants in Ethiopia, which were published as full-length articles in English.Data extraction and synthesis The Joanna Briggs Institute checklist was used to appraise the included studies, and the I2 test was used to evaluate heterogeneity among the studies. We assessed publication bias using a funnel plot and Begg’s test. The forest plot presented the combined proportion of male involvement and OR, along with a 95% CI.Results The pooled proportion of male involvement in ANC follow-up in Ethiopia was 43.3% (95% CI 31.7% to 54.8%). Male partners with secondary education or higher (Adjusted Odds Ratio (AOR) 2.72, 95% CI 1.81 to 4.10), government employment (AOR 2.09, 95% CI 1.49 to 2.94), attendance at health education (AOR 3.02, 95% CI 1.39 to 6.54) and knowledge about ANC or pregnancy danger signs (AOR 2.36, 95% CI 1.33 to 4.19) demonstrated a significant association with increased male involvement.Conclusion Male involvement in ANC in Ethiopia is low. Recommendations include targeted education for males with no formal schooling, improved health education on ANC and pregnancy risks, and interventions for males in the private sector.PROSPERO registration number CRD42021258826. |
| format | Article |
| id | doaj-art-d95c3f532d084f7382cb802386e47b0b |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d95c3f532d084f7382cb802386e47b0b2025-01-14T12:10:10ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2023-083492Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysisGossa Fetene Abebe0Desalegn Girma1Melsew Setegn Alie2Lidiya Gutema Lemu3Yilkal Negesse4Zewditu Alelign51 Department of Midwifery, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, Ethiopia1 Department of Midwifery, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, Ethiopia2 Department of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, Ethiopia1 Department of Midwifery, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, Ethiopia4 Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia3 Department of Nursing, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Aman, EthiopiaObjective To determine the involvement of males in antenatal care (ANC) follow-up and its determinants in Ethiopia.Design A systematic review and meta-analysis.Data sources A systematic search was done on PubMed, African Journals Online, HINARI, ScienceDirect, Google Scholar and direct Google up to 20 November 2023.Eligibility criteria We included cross-sectional or case–control studies reporting male involvement in ANC service and its determinants in Ethiopia, which were published as full-length articles in English.Data extraction and synthesis The Joanna Briggs Institute checklist was used to appraise the included studies, and the I2 test was used to evaluate heterogeneity among the studies. We assessed publication bias using a funnel plot and Begg’s test. The forest plot presented the combined proportion of male involvement and OR, along with a 95% CI.Results The pooled proportion of male involvement in ANC follow-up in Ethiopia was 43.3% (95% CI 31.7% to 54.8%). Male partners with secondary education or higher (Adjusted Odds Ratio (AOR) 2.72, 95% CI 1.81 to 4.10), government employment (AOR 2.09, 95% CI 1.49 to 2.94), attendance at health education (AOR 3.02, 95% CI 1.39 to 6.54) and knowledge about ANC or pregnancy danger signs (AOR 2.36, 95% CI 1.33 to 4.19) demonstrated a significant association with increased male involvement.Conclusion Male involvement in ANC in Ethiopia is low. Recommendations include targeted education for males with no formal schooling, improved health education on ANC and pregnancy risks, and interventions for males in the private sector.PROSPERO registration number CRD42021258826.https://bmjopen.bmj.com/content/14/12/e083492.full |
| spellingShingle | Gossa Fetene Abebe Desalegn Girma Melsew Setegn Alie Lidiya Gutema Lemu Yilkal Negesse Zewditu Alelign Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis BMJ Open |
| title | Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis |
| title_full | Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis |
| title_short | Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis |
| title_sort | male involvement in antenatal care follow up and its determinants in ethiopia a systematic review and meta analysis |
| url | https://bmjopen.bmj.com/content/14/12/e083492.full |
| work_keys_str_mv | AT gossafeteneabebe maleinvolvementinantenatalcarefollowupanditsdeterminantsinethiopiaasystematicreviewandmetaanalysis AT desalegngirma maleinvolvementinantenatalcarefollowupanditsdeterminantsinethiopiaasystematicreviewandmetaanalysis AT melsewsetegnalie maleinvolvementinantenatalcarefollowupanditsdeterminantsinethiopiaasystematicreviewandmetaanalysis AT lidiyagutemalemu maleinvolvementinantenatalcarefollowupanditsdeterminantsinethiopiaasystematicreviewandmetaanalysis AT yilkalnegesse maleinvolvementinantenatalcarefollowupanditsdeterminantsinethiopiaasystematicreviewandmetaanalysis AT zewditualelign maleinvolvementinantenatalcarefollowupanditsdeterminantsinethiopiaasystematicreviewandmetaanalysis |