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首页> 外文期刊>Global health promotion >Impact of home visits to pregnant women and their spouses on gender norms and dynamics in Bauchi State, Nigeria: Narratives from visited men and women
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Impact of home visits to pregnant women and their spouses on gender norms and dynamics in Bauchi State, Nigeria: Narratives from visited men and women

机译：家访怀孕妇女和他们的影响配偶在包奇州性别规范和动力学州,尼日利亚:从访问男性和叙述女性

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摘要

Background: Maternal and newborn child health are priority concerns in Bauchi State, northern Nigeria. Increased male involvement in reproductive health is recommended by the World Health Organization. A trial of a program of universal home visits to pregnant women and their spouses, with an intention to increase male involvement in pregnancy and childbirth, showed improvements in actionable risk factors and in maternal morbidity. We used a narrative technique to explore experiences of the visits and their effect on gender roles and dynamics within the households. Methods: Trained fieldworkers collected narratives of change from 23 visited women and 21 visited men. After translation of the stories into English, we conducted an inductive thematic analysis to examine the impact of the visits on gender norms and dynamics. Results: The analysis indicated that the visits improved men’s support for antenatal care, immunization, and seeking help for danger signs, increased spousal communication, and led to changes in perceptions about gender violence and promoted non-violent gender relationships. However, although some stories described increased spousal communication, they did not mention that this translated into shared decision-making or increased autonomy for women. Many of the men’s stories described a continuing paternalistic, male-dominant position in decision-making. Conclusions: Few studies have examined the gender-transformative potential of interventions to promote male involvement in reproductive health; our analysis provides some initial insights into this.
机译：背景:孕产妇和新生儿健康重点关注在包奇州北部尼日利亚。生殖健康是推荐的世界卫生组织。普遍家访怀孕的妇女和她们的配偶,打算增加男性参与妊娠和分娩在可操作的风险因素和改善产妇的发病率。探索访问和他们的经验对性别角色和动力学的影响家庭。从23日访问收集故事的变化女人和21日访问了男人。成英语的故事,我们进行了一次归纳主题分析检查的影响访问的性别规范和动力学。结果:分析表明,访问提高男性对产前保健的支持,免疫和寻求帮助的危险信号,增加夫妻沟通,并导致在对性别暴力和变化提倡非暴力的性别关系。然而,尽管一些故事增加夫妻沟通,他们没有提到这个翻译成共享决策或增加自主权的女性。许多男人的故事描述了一个继续家长式作风,男性主导地位决策。检查的gender-transformative潜力干预措施,促进男性参与生殖健康;最初的见解。

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