Community Health Program on Increase of Male Involvement in Reproductive and Child Health Services at Haydom Lutheran Hospital Mbulu Manyara United Republic of Tanzania
Abstract:
Introduction: Male participation in child-bearing
decisions is crucial and also has a positive impact on the acceptability of PMTCT
interventions. Well-informed men will be more likely to participate positively in
the decision making for the well-being of the couple
There are reasons of involving men in reproductive health which are: expanding
the range of contraceptive options; supporting women’s contraceptive use preventing
the spread of sexually transmitted infections such as HIV/AIDS and to use the forum
of reproductive health programs to promote gender equity and the transformation
of men’s and women’s social roles
Statement of the problem: A study done in Magu district Shinyanga region
in Tanzania has showed that Male involvement in pregnancy and antenatal care in
Magu district is low. Barriers for male involvement included: traditional gender
roles, lack of knowledge, perceived low accessibility to join antenatal care visits
and previous negative experiences in health facilities. The data obtained at Reproductive
Health clinic at Haydom Lutheran Hospital shows that the number of male attended
for reproductive health services for the past six months i.e. January to June 2016
is 920 (18.7%), while the targeted population at this catchment area is 9798 per
year and 4899 per six months. As per this data it is obvious that male attendance
is low due to either inadequate education on the importance of attending RCHC. So
this program is done for the purpose of keeping aware men and the whole community
about the importance of their attendance to RCHC hence good number of clinic attendance.
Objectives: to increase the number of male involvement to RCH clinic services
at Haydom Lutheran Hospital
Program Stake holders: Health officers of all levels, Leaders and staff (HLH),
division, ward and village leaders, politicians, education officers who will be
involved in the program
Implementation of the program: During program implementation health education
was given to the community for five days with good attendance of 92 male and 420
female. Reasons for not attending to RCHS by men was obtained after interview to
20 men. The results was as follows: 12 (60%) men said that there was low attendance
due to sociological factors such as believes, attitudes, communication between men
and women followed by 4 (20%) who said it is due to lack of space to accommodate
partners So it shows that believes, attitude and communication plays major part
in the low attendance of men to RCHC.
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