Men's motivations, barriers to and aspirations for their families' health in the first 1000 days in sub-Saharan Africa: a secondary qualitative analysis.

Autor:	Watson D; Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.; SAMRC/Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, University of the Witwatersrand, Johannesburg, South Africa.; Global Health & Social Medicine, King's College London, London, UK., Chatio S; Navrongo Health Research Centre, Ghana Health Service, Accra, Ghana., Barker M; MRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; School of Health Sciences, Faculty of Environment and Life Sciences, University of Southampton, Southampton, UK., Boua PR; Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Sante, Nanoro, Burkina Faso., Compaoré A; Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Sante, Nanoro, Burkina Faso., Dalaba M; Navrongo Health Research Centre, Ghana Health Service, Accra, Ghana.; Institute for Health Research, University for Health and Applied Sciences, Ho, Ghana., Erzse A; SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Godfrey K; Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.; MRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK., Hofman K; SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Kehoe S; MRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK., McGrath N; School of Primary Care, Population Science and Medical Education, Faculty of Medicine, University of Southampton, United KingdomSchool of Primary Care, Population Science and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.; School of Economic, Social and Political Sciences, Faculty of Social Sciences, University of Southampton, Southampton, UK., Mukoma G; SAMRC/Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, University of the Witwatersrand, Johannesburg, South Africa., Nonterah EA; Navrongo Health Research Centre, Ghana Health Service, Accra, Ghana.; Julius Global Health, Julius Centre for Health Sciences and primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands., Norris SA; Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.; SAMRC/Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, University of the Witwatersrand, Johannesburg, South Africa., Sorgho H; Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Sante, Nanoro, Burkina Faso., Ward KA; Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.; MRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Hardy-Johnson P; Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.; MRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, University of Southampton, Southampton, UK.
Jazyk:	angličtina
Zdroj:	BMJ nutrition, prevention & health [BMJ Nutr Prev Health] 2023 Jun; Vol. 6 (1), pp. 39-45. Date of Electronic Publication: 2023 Jan 17.
DOI:	10.1136/bmjnph-2022-000423
Abstrakt:	Introduction: The first 1000 days of life are a critical period of growth and development that have lasting implications for health, cognitive, educational and economic outcomes. In sub-Saharan Africa, gender and social norms are such that many men have little engagement with maternal and child health and nutrition during pregnancy and early childhood. This study explores how men perceive their role in three sites in sub-Saharan Africa. Methods: Secondary qualitative analysis of 10 focus group discussions with 76 men in Burkina Faso, Ghana and South Africa. Data were thematically analysed to explore men's perceptions of maternal and child health and nutrition. Results: Men considered themselves 'providers' and 'advisors' within their families, particularly of finances, food and medicines. They also indicated that this advice was out of care and concern for their families' health. There were similarities in how the men perceive their role. Differences between men living in rural and urban settings included health priorities, the advice and the manner in which it was provided. Across all settings, men wanted to be more involved with maternal and child health and nutrition. Challenges to doing so included stigma and proscribed social gender roles. Conclusion: Men want a greater engagement in improving maternal and child health and nutrition but felt that their ability to do so was limited by culture-specified gender roles, which are more focused on providing for and advising their families. Involving both men and women in intervention development alongside policymakers, health professionals and researchers is needed to improve maternal and child health and nutrition. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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