Husbands Involvement And Womens Utilization Of Maternal Health Care In Sidama Zonesouthern Ethiopia.

Background: Husband involvement is an important intervention for improving maternal health, rnand is considered as a crucial step in scaling up women’s use of prenatal care. The idea of men’srninvolvement in reproductive health was first emerged at Cairo’s conference in 1994.rnNevertheless, to implement this idea into practice several challenges have been faced. Evenrntoday, emphasis has not been given to the concept of men involvement in maternal health inrnmost developing countries. Until recently, there is limited evidence of husbands’ involvementrnand its contribution for women’s use of skilled maternity care in Ethiopia, a country with lowrncoverage of maternal health care but with high maternal and neonatal mortality. Therefore, therernis a need to generate contextual evidence for policy formulation, designing and implementingrnprograms that remove barriers and to promote husbands’ involvement in maternal health care. rnObjectives: The aims of this study were to assess the magnitude and determinants of husbands’rninvolvement in maternal health care, and to examine its association with women’s utilization ofrnskilled birth attendants and postnatal care services in Sidama zone, Southern Ethiopia.rnMethods: The study used mixed research methods. The quantitative methods employed bothrncross-sectional and follow-up study designs. Data were collected from sample of 1318 men andrn709 antenatal women using interview questionnaires from December 2014 to January 2015 andrnJune 01 to November 30, 2015, respectively. The data were analyzed using SPSS ver.20. Arndescriptive statistics: univariate and bivariate analyses, and inferential statistics: a chi-square test,rnand binary logistic regression analyses with the corresponding odds ratios, 95% confidencernintervals (CI), and p-values were computed. The qualitative method was also employed tornexplore contextual evidences on barriers to husbands’ involvement in maternal health care. Therndata were collected using open-ended questions and analyzed thematically using ATLAS.tirnsoftware. Before data collection, ethical clearance was assured at every steps of the datarncollection process.rnResults: Husbands’ involvement during antenatal care (ANC), skilled delivery care, andrnpostnatal care (PNC), in this study, were 19.9%, 42.7%, and 11.8%, respectively. In thernmultivariate analysis, offering an invitation letter [adjusted odds ratio (aOR) 6.1, 95% CI: 4.0,rn9.1], having

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