மருத்துவ ஆராய்ச்சி இதழ்

Awareness and Perception of Factors Associated With Maternal Mortality among Men/ Husbands of Women Attending Antenatal at Ndola Teaching Hospital in Copperbelt Province, Zambia

Abstract

Richwell Makoli, and Paul syapila

Background: Most studies related to maternal mortality have focused mainly on women and direct clinical causes. However, it is important to look at the background predisposing factors in order to reduce maternal deaths. Men’s involvement in reproductive health is recommended. Their involvement in antenatal care service is identified as important in maternal health. Awareness of obstetric danger signs facilitates men in making a joint decision with their partners regarding accessing antenatal and delivery care. The aim of this study was to assess the level of awareness and perception of factors associated with maternal mortality among men/ husbands of women attending antenatal at Ndola Teaching Hospital in Copper belt province, Zambia. Methodology: A descriptive cross-sectional study was carried out in 2021 using a structured questionnaire to collect information on sociodemographic characteristics, awareness levels, perception, knowledge of factors associated with maternal mortality and the role of men in antenatal care. A total of 316 respondents (men/husbands of women attending antenatal care) were sampled using a simple random sampling technique. Data were analysed based on descriptive statistics, chi- square and Fisher's exact test using SPSS version 21. The level of statistical significance was set at p<0.05. The results were presented using tables and charts. Results: Awareness scores show that approximately 56% of the respondents had high awareness level, while 34.4% had low awareness level and 9.6% had average level. Delay/problems of going to the hospital in case of an emergency was the most commonly identified (97.2%) maternal mortality risk factor and Lack of preparation for a pregnancy was the least identified (31.9%). Perception of maternal mortality risk factors was negative in just above half (51.9%) of the respondents. There was a statistically significant relationship between educational level; occupation with both awareness and perception scores.