Utilization of Safe Motherhood Services, Effects of Male Involvement Study of Ilesa East Local Government, Osun State

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DOI: 10.21522/TIJNR.2015.02.01.Art019

Authors : Omolola Oluwakorede A, Obayori Christianah Olufunke, Okimi Olagoke Peter


The study focused on the male involvement in utilization of safe motherhood services of their spouses in Ilesa East Local Government, Osun state. It assessed the level of married men’s involvement in ante, intra and post-partum health care, the relationship between selected demographic factors and a review of identified barriers to safe motherhood services utilization. It also examined the barriers to male involvement in maternal health care in Ilesa East Local Government.

A cross-sectional descriptive design was employed using a semi structured questionnaire to gather information from 500 married men with at least one child. A multi stage sampling procedure was employed. Data was collected using interviewer administered questionnaire. Analysis of data was done using appropriate descriptive and inferential statistical techniques.

The results of the study revealed that about 85% of respondents were less than 55 years of age, majority of them (92.6%) were of Yoruba ethnicity and were predominantly Christian (74%). About 40% of them had tertiary education with over 60% in monogamous relationship. Majority (60.2%) have between 1 and 4 children with 65% of respondents having a last child less than 4 years of age. Also, 362 (72.4%) of respondents were well involved in Maternity care services, while 138 (27.6%) were partially involved; none of the respondents was not involved in maternity care services. Also, majority of respondents agree with the named role of men in safe motherhood services at the prenatal level. The highest proportion of agreement was with regards to “Ensuring that the pregnant mother gets proper antenatal care” (97.8%), while the lowest proportion was obtained with regards to “learning the symptoms of imminent delivery and of delivery complications” (66.2%). Most (93.2%) of the respondents support ensuring that their children receive all the needed immunization and 6.8% did not support it as the role of men. Furthermore, majority supported the role of men in family planning. In addition, 86.2% supported “Helping mothers to use modern methods correctly” while, 68.8% supported the role of men in “Preventing unintended or unwanted pregnancies”. The respondents supported factors identified as barriers to male involvement in maternity care services and were able to name: Financial constraint, Poor health of husband and Ignorance as factors hindering them from participation in maternal care. No statistically significant relationship was obtained between each of age, religion and ethnicity and level of involvement of men in maternal care. However the relationship between educational status and level of involvement in maternity care was statistically significant. Also, there was a significant relationship between number of wives and the level of involvement in maternal care among men. (P=0.001)


[1.] Adewuyi A.A. (2003) Pregnancy Care: Understanding male involvement in maternal emergencies. Centre for Research, evaluation, resources and development, Ede, Osun State, Nigeria,

[2.] Akafuati et.al. (June 2008) Attitudes toward and use of knowledge about family planning among Ghanian men. Inetrnational journal of men’s health online library.

[3.] Armstrong, B. (May 2004.) (Columbia School of Public Health) [Cyclical level of interest in men's participation in reproductive health] Personal communication

[4.] Bang et.al. (2007) Effect of Home Based Neo natal care and management of sepsis on neonatal mortality: field trial in rural India,

[5.] Bankole A and Singh S. (2008)couples’ fertility and contraceptive decision-making in developing countries: hearing the man’s voice. International family planning perspectives; 24 (1): 15-24

[6.] Barbara F et al (2002) Bailliere’s Nurses’ Dictionary, Twenty-second edition. Bailliere Tindall London.

[7.] BBC English Dictionary 1st edition 1992, HarperCollins Publishers 77-85 Fulham Palace Road Hammersmith London W6 8 JB.

[8.] Beckman, L. , (2003). Communication, power and the influence of social networks in couple decisions on fertility. In: Bulatao, R.A., Lee, R.D., Hollerbach, P.E., and Bongaarts, J., eds. Determinants of fertility in developing countries. Vol. 2: Fertility regulation and institutional influences. New York, Academic Pressp. 415-443

[9.] Bertrand et al (2007) The male versus female perspective on family planning: Kinshasa, Zaire. Journal of Biosocial Science 28(1): 37-55.

[10.] Binyange et al. (2003) Vasectomy decision-making in Rwanda. New York, AVSC International, 44 p.

[11.] Blanc et al,(2006). Negotiating reproductive outcomes in Uganda. Calverton, Maryland, Macro International, 214 p.

[12.] Brugha, et al. (Aug. 2006). An investigation of the role of fathers in immunization uptake. International Journal of Epidemiology 25(4): 840-845

[13.] Bulatao, R.A., Lee, R.D., Hollerbach, P.E., and Bongaarts, J.(2003), eds. Determinants of fertility in developing countries. Vol. 2: Fertility regulation and institutional influences. New York, Academic Press, p. 381-414. Byrne, G.(2007) Father may not know best, but what does he know? Population Today 25(10): 1-2 Centre for diseases control and prevention (CDC). HIV/AID surveillance Report, Atlanta, GA, USA: CDC 2000, table1, pp.5 and table 25, pp. 34

[14.] Danforth, N. (Consultant) [Risks of men's gender roles] Personal communication, Aug. 2008.

[15.] Edwards, S.R. The role of men in contraceptive decision-making: Current knowledge and future implications. Family Planning Perspectives 26(2): 77-82. Apr. 2008.

[16.] Engender Health, Global Issues and Trends, New York: Engender Health, 2009.

[17.] E.O.OrjiC.A.AdegbenroB.I.AkinniranyeG.O.OgunbayoA.E.Oyebadejo (2007). Spousal communication on family planning as a safe motherhood option in sub-saharan African communities.

[18.] Ezeh A.C, Seroussi M and Raggers H (2003) Men's fertility, contraceptive use, and reproductive preferences, Calverton, MD, USA: Macro International, Inc.

[19.] Fatima, N.B. (2001) The plight of rural women. In: Raj, S.L., ed. Quest for gender justice: A critique of the status of women in India. Madras, India, Satya Nilayam Publishers,. p. 12-26.

[20.] Feyisetan B.J. Bamiwuye S.O. (2000). Postpartum counseling and contraceptive use in Nigeria. Ife Soc Science , vol. 15: 30-41

[21.] Feyisetan B.J.(2000) Spousal communication and contraceptive use among the Yoruba of Nigeria. Population Research and Policy vol. 19: 29-45.

[22.] Fortney, J.A., Susanti, I., Gadalla, S., Saleh, S., Feldblum, P.J., and Potts, M(2005). Maternal mortality in Indonesia and Egypt. International Journal of Gynaecology and Obstetrics 26(1): 21-32.

[23.] Freedman R. and Sun T.(2003) Comparison of the reporting of the use of contraception by husbands and wives, as related to their desire for additional children, Taiwan Population Studies Working Paper, Ann Arbor, MI, USA: University of Michigan Population Studies Center, No. 28.

[24.] Grady, W.R., Tanfer, K., Billy, J.O.G., and Lincoln J. (Sep./Oct. 2006) Men's perceptions of their roles and responsibilities regarding sex, contraception and childrearing. Family Planning Perspectives 28(5): 221-226.

[25.] Green, C.P., Cohen, S.I., and Belhadj E.L. Ghouayel, H. (2005) Male involvement in reproductive health, including family planning and sexual health. New York, United Nations Population Fund, Nov. 104 p.

[26.] Griffin, D., & Ringheim, K. (1999). they? Plan Parent Chall(2),

[27.] Heinemann, K., Saad, F., Wiesemes, M., White, S., & Heinemann, L. (2005). Attitudes toward male fertility control: results of a multinational survey on four continents. Hum Reprod,

[28.] Hollerbach, P.E., and Bongaarts, J., eds.(2004) Determinants of fertility in developing countries. Vol. 2: Fertility regulation and institutional influences. New York, Academic Press, p. 381-414.

[29.] Isiugo-Abanihe, U.C. (May/June2004) Reproductive motivation and family size preference among Nigerian men. Studies in Family Planning 25(3): 149-161.

[30.] Jimoh A.A.G (2003) Utilization of Antenatal services at the provincial hospital, mongumo,. Women’s Health and Action Research center (WHARC). Guinea equatorial.

[31.] Jones, J.(2006) Urban fatherhood program. Presented at Johns Hopkins Center for Communication Programs, Baltimore

[32.] Karra, M.,V., Stark, N.N., and Wolf, J.(2007) Male involvement in family planning: A case study spanning five generations of a South Indian family. Studies in Family Planning vol. 28(1): 24-34.

[33.] Koblinsky, M.A., Campbell, O.M., and Harlow, S.D. (2003). Mother and more: A broader perspective on women's health. In: Koblinsky, M., Timan, J., and Gay, J. eds. The health of women: A global perspective. Boulder, Colorado, Westview Press, p. 33-62.

[34.] Kuala Kumpur (1996) Men’s role and responsibilities in reproduction. Arroe for change journal.

[35.] Kulu, I.(2000) Husbands as decision-makers in relation to family size: East-west differentials in Turkey. Turkish Journal of Population Studies, Vol. 12.

[36.] Lasee, A. and Becker, S. (March 2007) Husband-wife communication about family planning and contraceptive use in Kenya. International Family Planning Perspectives 23(1): 15-20.

[37.] Lucas A.O, Gilles H.M (2003) Short Textbook of Public Health Medicine for the Tropics. 4th Edition. Malta. Book Power

[38.] Mccauley, A.P., Robey, B., Blanc, A., and Geller, J.(2008) Opportunities for women through reproductive choice. Population Reports, Series M, No. 12. Baltimore, Johns Hopkins School of Public Health, Population Information Program.

[39.] Mekonnen (2003) patterns off maternity care service utilization in southern Ethiopia. Evidence from a community and family survey. Ethiopia journal of health development

[40.] Millennium Development Goal Report (MDG) United Nations Department of Economic and Social Affairs (DESA) July 2009.

[41.] Morgan SP and Niraula B, (2005). Gender inequality and fertility in two Nepali villages, Population and Development Review, 21(3):541–561.

[42.] Mumford, S. (March 2003) The vasectomy decision-making process. Studies in Family Planning 14(3): 83-88.

[43.] Murphy M, Baba T M. Rural (2005). Dwellers and health care in Northern Nigeria. Soc Sci Med, 15A(3/1):265-271

[44.] National population commission (NPC) Nigeria and ORC macro 2004. Nigeria Demographic and health survey 2003. Calverton, Maryland: National population commission ORC Macro

[45.] National Population Commssion(NPC).The 2006 Population Census of Nigeria. Analytical Report New York Population council 1997

[46.] Nigerian Demographic and Health Survey Fact sheet (2008).

[47.] Odimegwu, Adewuyi, Odebiyi, Aina, Adesina, Olatubera and Eniola (3rd December 2005 pp 59-71) Men’s role in emergency obstetric care in osun state of Nigeria Africa journal of reproductive health womens health and Action Research center

[48.] Ogawa, N. and Hodge, R.W. (2003).Fertility and the locus of family control in contemporary Japan. Bangkok, Thailand, Population Division, Economic and Social Commission for Asia and the Pacific, 29 p.

[49.] Ojofeitimi, E.O Ogunjuyigbe O.P, Ayotunde L,(2009). Spousal communication, changes in partner attitude, and contraceptive use among the Yorubas of Southwest, Indian journal of community medicine Vol. 34 Nigeria

[50.] Orji E, Adegbenro C, Akinniranye B, Ogunbayo G, Oyebadejo E (2007) Spousal communication on family planning as a safe motherhood option in sub-saharan African communities. Journal of Chinese Clinical Medicine, vol. 2(6):319-32

[51.] Orji E, Adegbenro C, Olakanmi O, Omolayo T , Olowojure A (2007). men involvement in safemotherhood. J Turkish German Gynecol Assoc. 8(3): 240-248

[52.] Pauliina Aarnio, Agnes Chimbiri, Teija Kulmala (2001) Male involvement in safemotherhood. www.uta.fi/dih/safemotherhood.

[53.] Population Reports. New perspectives on men’s participation: An ICPD issue. Volume XXX, Number 2 october, 2008. series J, Number 46

[54.] Raymond, Joseph, Tumwesigye Juliet (2010) Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda

[55.] Renne, E. (Nov./Dec. 2003).Gender ideology and fertility strategies in an Ekiti Yoruba village. Studies in Family Planning 24(6): 343-353.

[56.] Robey, B. and Drennan, M.(2008) Male participation in reproductive health Network (Family Health International) vol. 18

[57.] Roudi, F. and Ashford, L.(2006) Men and family planning in Africa. [chart book of DHS data] Washington, DC, Population Reference Bureau.

[58.] Sharma, R. and Desai, S. (Apr./Jun. 2002) Vitamin A in pregnancy: A review. Indian Journal of Maternal and Child Health 3(2): 36-40.

[59.] Sherpa, H. and RAI, D. (2004) Safe motherhood: It is a family responsibility. Report on national Safe Motherhood Awareness Campaign. Kathmandu, Nepal, Centre for Development and Population Activities. 72 p.

[60.] Suvi kupari(2005): Acess and attitudes towards antenatal care and skilled birth attendance in oyo state, Nigeria Public Health Exchange report. Collage of medicine, university of Ibadan, Nigeria

[61.] Thaddeus, S. and Maine, D.(2004) Too far to walk: Maternal mortality in context. Social Science and Medicine 38(8).

[62.] UNDP/UNFPA/WHO/World Bank special programme of research, development and Research training in human reproduction. (2004). Nigeria men seek status and security through large families. Progress in human reproduction research; 32: 2-4

[63.] United Nations Development Programme (UNDP). (2005) Human development report: Consumption for human development. Geneva.

[64.] United nations fund for children (UNICEF).(2007) The role of men in the lives of children. New York, UNICEF, Dec. vol 39

[65.] United Nation (UN) Report of the international conference on population and Development, Cario, 5-13 September, 2004, New York: UN, 2004.paragraphs.4, 24 and 4, 29 pp. 300-31

[66.] Wambui, Catherine. (2005). Parents, Kenya: Male Only Centers: A New Concept in Family Planning, published in Conveying Concerns: Women Write on Male Participation in the Family. Publications of the Women’s Edition Project, Population Reference Bureau, Inc.

[67.] Westoff, C.F. and Bankole, A. The time dynamics of unmet need: An example from Morocco. International Family Planning Perspectives 24(1): 12-14, 24. Mar. 2008.

[68.] Wilkinson, D., Ward, V., Landry, E., and Behrman, L. (March 2002) Vasectomy decision-making in Kenya. New York, AVSC International, 32 p.

[69.] World Health Organization(WHO) and United Nations Children Fund(2008). Estimates of maternal mortality.A new approach by WHO and UNICEF. Geneva.