Male involvement in antenatal care and associated factors among married men with wives who recently gave birth in Debre Tabor town, North West Ethiopia

Abstract

BACKGROUND: Globally, maternal mortality remains a critical issue, with male involvement during antenatal care (ANC) recognized as pivotal in reducing maternal deaths. Limited evidence on male involvement exists in low and middle-income countries, including Ethiopia. This study aimed to assess male involvement during antenatal care and associated factors among married men whose wives gave birth within the last 6 months in Debretabor town, North West Ethiopia in 2023. OBJECTIVE: Evaluate the level of male involvement during antenatal care and identify associated factors in the specified study area. METHODS: A community-based cross-sectional study involved 404 married men, whose wives had given birth within the past 6 months in Debretabor town. Data were collected using face-to-face interviews, entered into EpiData version 4.6, and analyzed using SPSS version 25. Logistic regression analyses determined associations. RESULTS: Male involvement during antenatal care in the study area was 46.8% (CI: 41.6, 51.5). Factors influencing involvement included men's attitude (AOR = 2.365), lack of male invitation to the examination room (AOR = 0.370), couples' living status (AOR = 4.461), men with secondary education (AOR = 4.052), men with diploma and above (AOR = 4.276), and complications during pregnancy (AOR = 6.976). CONCLUSION AND RECOMMENDATION: The observed low level of male involvement underscores the need for targeted interventions. Stakeholders should promote male participation through counseling, community mobilization, and awareness campaigns.