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Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi.
BMC Pregnancy Childbirth. 2017 Sep 25; 17(1):321.BP

Abstract

BACKGROUND

For years, Malawi remained at the bottom of league tables on maternal, neonatal and child health. Although maternal mortality ratios have reduced and significant progress has been made in reducing neonatal morality, many challenges in achieving universal access to maternal, newborn and child health care still exist in Malawi. In Malawi, there is still minimal, though increasing, male involvement in ANC/PMTCT/MNCH services, but little understanding of why this is the case. The aim of this paper is to explore the role and involvement of men in MNCH services, as part of the broader understanding of those community system factors.

METHODS

This paper draws on the qualitative data collected in two districts in Malawi to explore the role and involvement of men across the MNCH continuum of care, with a focus on understanding the community systems barriers and enablers to male involvement. A total of 85 IDIs and 20 FGDs were conducted from August 2014 to January 2015. Semi-structure interview guides were used to guide the discussion and a thematic analysis approach was used for data analysis.

RESULTS

Policy changes and community and health care provider initiatives stimulated men to get involved in the health of their female partners and children. The informal bylaws, the health care provider strategies and NGO initiatives created an enabling environment to support ANC and delivery service utilisation in Malawi. However, traditional gender roles in the home and the male 'unfriendly' health facility environments still present challenges to male involvement.

CONCLUSION

Traditional notions of men as decision makers and socio-cultural views on maternal health present challenges to male involvement in MNCH programs. Health care provider initiatives need to be sensitive and mindful of gender roles and relations by, for example, creating gender inclusive programs and spaces that aim at reducing perceptions of barriers to male involvement in MNCH services so that programs and spaces that are aimed at involving men are designed to welcome men as full partners in the overall goals for improving maternal, neonatal and child health outcomes.

Authors+Show Affiliations

University of Malawi, College of Medicine, Blantyre, Malawi. mandal@medcol.mw.University of Malawi, College of Medicine, Blantyre, Malawi.University of Malawi, College of Medicine, Blantyre, Malawi.Royal College of Surgeons in Ireland, Dublin, Ireland.Dublin City University, Dublin, Ireland.Royal College of Surgeons in Ireland, Dublin, Ireland.University of Malawi, College of Medicine, Blantyre, Malawi.Royal College of Surgeons in Ireland, Dublin, Ireland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28946847

Citation

Manda-Taylor, Lucinda, et al. "Changing Times? Gender Roles and Relationships in Maternal, Newborn and Child Health in Malawi." BMC Pregnancy and Childbirth, vol. 17, no. 1, 2017, p. 321.
Manda-Taylor L, Mwale D, Phiri T, et al. Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi. BMC Pregnancy Childbirth. 2017;17(1):321.
Manda-Taylor, L., Mwale, D., Phiri, T., Walsh, A., Matthews, A., Brugha, R., Mwapasa, V., & Byrne, E. (2017). Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi. BMC Pregnancy and Childbirth, 17(1), 321. https://doi.org/10.1186/s12884-017-1523-1
Manda-Taylor L, et al. Changing Times? Gender Roles and Relationships in Maternal, Newborn and Child Health in Malawi. BMC Pregnancy Childbirth. 2017 Sep 25;17(1):321. PubMed PMID: 28946847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changing times? Gender roles and relationships in maternal, newborn and child health in Malawi. AU - Manda-Taylor,Lucinda, AU - Mwale,Daniel, AU - Phiri,Tamara, AU - Walsh,Aisling, AU - Matthews,Anne, AU - Brugha,Ruairi, AU - Mwapasa,Victor, AU - Byrne,Elaine, Y1 - 2017/09/25/ PY - 2017/04/28/received PY - 2017/09/20/accepted PY - 2017/9/27/entrez PY - 2017/9/28/pubmed PY - 2018/5/31/medline KW - Access KW - Antenatal care KW - Barriers KW - Community systems KW - Health systems KW - Malawi KW - Male involvement KW - Maternal and child health KW - Pregnancy SP - 321 EP - 321 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 17 IS - 1 N2 - BACKGROUND: For years, Malawi remained at the bottom of league tables on maternal, neonatal and child health. Although maternal mortality ratios have reduced and significant progress has been made in reducing neonatal morality, many challenges in achieving universal access to maternal, newborn and child health care still exist in Malawi. In Malawi, there is still minimal, though increasing, male involvement in ANC/PMTCT/MNCH services, but little understanding of why this is the case. The aim of this paper is to explore the role and involvement of men in MNCH services, as part of the broader understanding of those community system factors. METHODS: This paper draws on the qualitative data collected in two districts in Malawi to explore the role and involvement of men across the MNCH continuum of care, with a focus on understanding the community systems barriers and enablers to male involvement. A total of 85 IDIs and 20 FGDs were conducted from August 2014 to January 2015. Semi-structure interview guides were used to guide the discussion and a thematic analysis approach was used for data analysis. RESULTS: Policy changes and community and health care provider initiatives stimulated men to get involved in the health of their female partners and children. The informal bylaws, the health care provider strategies and NGO initiatives created an enabling environment to support ANC and delivery service utilisation in Malawi. However, traditional gender roles in the home and the male 'unfriendly' health facility environments still present challenges to male involvement. CONCLUSION: Traditional notions of men as decision makers and socio-cultural views on maternal health present challenges to male involvement in MNCH programs. Health care provider initiatives need to be sensitive and mindful of gender roles and relations by, for example, creating gender inclusive programs and spaces that aim at reducing perceptions of barriers to male involvement in MNCH services so that programs and spaces that are aimed at involving men are designed to welcome men as full partners in the overall goals for improving maternal, neonatal and child health outcomes. SN - 1471-2393 UR - http://www.nlm.medscape.idmu.unboundmedicine.unboundmedicine.com/medline/citation/28946847/Changing_times_Gender_roles_and_relationships_in_maternal_newborn_and_child_health_in_Malawi_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1523-1 DB - PRIME DP - Unbound Medicine ER -