Male involvement in antenatal care follow-up and its determinants in Ethiopia: a systematic review and meta-analysis

ObjectiveTo determine the involvement of males in antenatal care (ANC) follow-up and its determinants in Ethiopia.DesignA systematic review and meta-analysis.Data sourcesA systematic search was done on PubMed, African Journals Online, HINARI, ScienceDirect, Google Scholar and direct Google up to 20...

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Bibliographic Details
Published in:BMJ open 2024-12, Vol.14 (12), p.e083492
Main Authors: Abebe, Gossa Fetene, Alie, Melsew Setegn, Alelign, Zewditu, Negesse, Yilkal, Lemu, Lidiya Gutema, Girma, Desalegn
Format: Article
Language:English
Subjects:
Antenatal
Childrens health
Content analysis
Cross-sectional studies
EPIDEMIOLOGY
Evidence Based Practice
Health services
Males
Maternal mortality
Meta-analysis
OBSTETRICS
Original Research
Participation
Pregnancy
Pregnant Women
Prenatal care
Software
Systematic review
Womens health
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Summary:ObjectiveTo determine the involvement of males in antenatal care (ANC) follow-up and its determinants in Ethiopia.DesignA systematic review and meta-analysis.Data sourcesA systematic search was done on PubMed, African Journals Online, HINARI, ScienceDirect, Google Scholar and direct Google up to 20 November 2023.Eligibility criteriaWe 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 synthesisThe 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.ResultsThe 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.ConclusionMale 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 numberCRD42021258826.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2023-083492