Male Involvement in Birth Preparedness in Ogun State, Nigeria: A Rural/Urban Comparative Cross-sectional Study

Kolawole J Sodeinde, Olorunfemi E Amoran, Olumide A Abiodun


Though male involvement is associated with improved maternal and child health outcomes, the practice is low in developing counties like Nigeria. This comparative cross-sectional study described and compared male involvement in birth preparedness between rural and urban areas of Ogun State, Nigeria. It was carried out among 440 fathers of under-fives each from rural and urban local governments using multistage sampling to select participants. Data were collected using an interviewer-administered questionnaire and Focused Group Discussions (FGDs) and analyzed using SPSS version 20. Thematic analysis of FGD was done. Relevant descriptive and inferential statistics were calculated and results presented in frequency tables. Male involvement was statistically significantly better in rural areas than in urban areas (P=<0.001). Tertiary education (AOR= 2.446, 95% C. I= 1.559-3.838) remained significant predictor of male involvement in birth preparedness in the urban area while predictors in rural area were young paternal age (AOR 0.465, 95% C.I= 0.223-0.967) and tertiary education (AOR= 6.241, 95% C.I=1.827-21.317). This implies that male involvement in birth preparedness was better among educated men in both urban and rural areas. (Afr J Reprod Health 2020; 24[2]:70-84).

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McPherson RA, Khadka N, Moore JM and Sharma M.

Are birth-preparedness programs effective? Results from a field trial in Siraha district, Nepal. Journal of Health Population and Nutrition. 2006; 24(4): 479-88

Ekabua JE, Ekabua KJ, Odusolu P, Agan TU, Iklaki CU,

and Etokidem AJ. Awareness of birth preparedness and complication readiness in southeastern Nigeria. ISRN Obstetrics and Gynaecology 2011; 2011(1):560641

United Nations Population Fund. A new role for men:

Partners for Women’s Empowerment. NY: UNFPA; 1997.

Federal Ministry of Health. National Programme on

Immunization. IPDs Field Guide 2006 (3):1-20.

Bhatta DN. Involvement of males in antenatal care, birth

preparedness, exclusive breast-feeding and immunizations for children in Kathmandu, Nepal. BMC Pregnancy Childbirth. 2013; 13(1):14

Kakaire O, Kaye DK and Osinde MO. Male involvement

in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health 2011; 8(12):12

Vehvilainen-Julkunen K and Emelonye AU. Spousal

Participation in labour and delivery in Nigeria. Ann Med Health Sci Res. 2014; 4(4): 511-515.

United Nations Population Fund. Male involvement in

reproductive health, including family planning and sexual health.1995. Available at>node. Accessed on 11/06/18

Dunn A, Haque S and Innes M. Rural Kenyan men’s

awareness of danger signs of obstetric complications. Pan Afr Med J 2011; 10:39

Yargawa J and Leonardi-Bee J. Male involvement and

maternal health outcomes: systematic review and meta-analysis. J epidemiol Community Health 2015; 69(6): 604-612

Illiyasu Z, Abubakar IS, Galadanci HS and Aliyu MH.

Birth preparedness, complication readiness and fathers' participation in maternity care in a northern Nigerian community. Afr J Reprod Health, 2010; 14(1):21-32.

Pembe AB, Urassa DP, Darj E, Carlsted A, and Olsson

Pia. Qualitative study on maternal referrals in rural Tanzania: decision making and acceptance of referral advice. Afr J Reprod Health, 2008; 12(2):120-131

Mutiso SM, Qureshi Z and Kinuthia J. Birth

Preparedness among antenatal clients. East Afr Med J. 2008; 85(6):275-83

Lawrence AL, Jimmy JA, Okoye V, Abdulraheem AI,

Igbans RO and Uzere M. Birth preparedness and complication readiness among pregnant women in Okpatu community, Enugu State, Nigeria. Int J of immunization and applied studies 2015; 11(3): 644-9

August F, Pembe AB, Mpembeni R, Axemo P and Darj

E. Men’s Knowledge of Obstetric Danger Signs, Birth Preparedness and Complication Readiness in Rural Tanzania. PLoS One. 2015; 10(5): e0125978

Tamiso A, Merdekios B and Tilahum M. Association of

men’s awareness of danger signs of obstetric complication and male involvement in birth preparedness practices at South Ethiopia. International Journal of Public Health Science 2015; 4(1):63-70.

Markos D and Bogade D. Birth preparedness and

complication readiness among women of the childbearing age group in Giba Woreda Oromia Region, Ethiopia. BMC pregnancy and childbirth 2014: 14(1):282

Redshaw M and Henderson J. Fathers’ engagement in

pregnancy and childbirth: evidence from a national survey. BMC Pregnancy Childbirth 2013;13(70): 1-15

Martin LT, McNamara MJ and Milot AS. The effects of

father’s involvement during pregnancy on receipt of prenatal care and maternal smoking. Matern Child Health J 2007; 11(6):595-602

Kiernan K and Pickett KE. Marital status disparities in

maternal smoking during pregnancy, breastfeeding and maternal depression. Soc Sci Med 2006; 63(2):335-46

Bielinski-Blattman D, Lemola S and Jaussi C.

Postpartum depressive symptoms in the first 17 months after childbirth: the impact of an emotionally supportive partnership. Int J Public Health 2009; 54: 333-9.

Plantin L, Olukoya AA and Ny P. Positive health

outcomes of father’s involvement in pregnancy and childbirth paternal support: a scope study literature review. Fathering 2011; 9(1): 87-102

Stapleton LR, Schetter CD and Westling E. Perceived

partner support in pregnancy predicts lower maternal and infant distress. J Fam Psychol 2012;26(3):453-63

Mekkonen W and Worku A. Determinants of low family

planning use and high unmet need in Butajira District, South Central Ethiopia. Reprod Health 2011; 8(1):1-8.

Yue K, O’Donnell C and Sparks PL. The effect of

spousal communication on contraceptive use in central Terai, Nepal. Patient Educ Couns 2010; 81(3):402-8

Babirye JN, Rutebemberwa E, Kiguli J, Wamani H,

Nuwaha F and Engebretsen IMS. More support for mothers: a qualitative study on factors affecting immunization behaviour in Kampala, Uganda. BMC Public Health. 2011; 11: 723.

Helzner JF. Men’s involvement in Family Planning.

Reproductive Health matters; 1996; 7: 146-54

National Population Commission, Nigeria and ICF

International. Nigeria Demographic Health Survey Report 2013, Abuja Nigeria.

Fernandez RC, Awofeso N and Rammohan A.

Determinants of apparent rural-urban differential in measles vaccination uptake in Indonesia. The International Electronic Journal of Rural and Remote Health Research 2011; 11:1702.

Adogu PO, Egenti BN, Ubajaka C, Onwasigwe C and

Nnebue CC. Utilization of maternal health services in urban and rural communities of Anambra State, Nigeria. Niger J Med 2014; 23(1):61-9.

Sinha KC. Male involvement and utilization of maternal

health services in India. International Journal of Scientific and Research Publications 2014; 4(11): 1-13

Shehu D. Community participation and mobilization in

the prevention of maternal mortality in Kebbi, Northwestern Nigeria. In Berer M, Ravinda TK, editors. Safe Motherhood Initiatives: Critical Issues. London: Blackwell Science Limited; 1999. P. 218-26

Aarnio P, Olsson P, Chimbiri A and Kulmala T. Male

involvement in antenatal HIV counseling and testing: exploring men’s perceptions in rural Malawi. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV. 2009; 21:1537-1546

Olugbenga-Bello A, Asekun-Olarinmoye EO, Adewole

AO, Adeomi AA and Olanrewaju SO. Perception, attitude, and involvement of men in maternity health care in a Nigerian Community. J Pub Health Epidemiology. 2013; 5(6): 262-70.

Ogun State Ministry of Health. Ogun State Health

Bulletin 2010. Available at Accessed on 04/10/15.

Ogun State Nigeria Population Statistics Charts, Map

and Location. Available at>php>nigeria. Accessed on 20/06/12

Odeda-Ogun Statebiz. Available at Accessed on 11/08/17

Ogun State. Health Facility Listing in Ogun State.

Available at Accessed on 12/06/18

Ogun State biz. Abeokuta South. Available at Accessed on 11/08/17

Imoh G. communication for social mobilization: an

evaluative study of the National Immunization Campaign in Nigeria. Journal of Humanities and Focal Science 2013; 13(6):78-88

Agboola SM, Busari OA, Segun-Agboola BT, Olajide

TJ, Shabi OM and Elegbede OT. Knowledge, Attitude and Perceptions of Adult Males towards Childhood Immunizations in Southwest Nigeria. American Journal of Health Research 2015;3(1): 8-12

Obi AI, Abe E and Okojie OH. Male and community

involvement in birth preparedness and complication readiness in Benin City, Southern Nigeria. IOSR Journal of Dental and Medical Sciences 2013; 10(6): 27-32.

Naeem M, Khan MZU, Adil M, Abbas SH, Khan MU,

Khan A and Naz SM. Inequity in childhood immunization between urban and rural areas of Peshawar. J Ayub Med Coll Abbottab 2011; 23(3): 134-137.

Kululanga L, Sundby J, Malata A and Chirwa E. Striving

to promote male involvement in maternal health care in rural and urban settings in Malawi- a qualitative study. Reprod Health 2011; 8(8):36

Semba RD, Pee SD, Sun K, Sarl M, Akhter N and Bloem

MW. Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: a cross-sectional study. The Lancet 2008, 371(9609): 322-328

King R, Mann V and Boone PD. Knowledge and

reported practices of men and women on maternal and child health in rural Guinea Bissau: a cross-sectional survey. BMC Public Health 2010; 10(1): 319

Gebrehiwot H, Gebregziabher W and Gidey G.

Assessment of husbands’ participation in birth preparedness and complication readiness in Enderta Woreda, Tigray Region, Ethiopia, 2012. J Women’s Health Care 2013; 3(1):140

Mullany BC, Becker S and Hindin MJ. The impact of

including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial urban Nepal. Health Educ Res. 2007;22(2):166–176

Adeniran AS, Aboyeji AP, Fawole AA, Balogun RO,

Adesina KT and Adeniran PI. Male partner’s role during pregnancy, labour, and delivery: expectation of pregnant women in Nigeria. Int J Health Sci (Qassim) 2015; 9(3):305-313.

Dumbaugh M, Tawiah-Agyemang C, Manu A, Haten-

Asbroek G, Kirkwood B and Hill Z. Perception of, attitude towards and barriers to male involvement in newborn care in rural Ghana, West Africa: a qualitative analysis. BMC Pregnancy and childbirth 2014. 14:269.

Odimegwu C, Adewuyi A, Odebiyi T, Aina B, Adesina

Y, Olatubara O and Eniola F. Men’s role in emergency obstetric care in Osun State of Nigeria. Afr J Reprod Health. 2005; 9(3):59-71

Mullany BC. Barriers to and attitudes towards promoting

husbands' involvement in maternal health in Katmandu, Nepal. Social Science and Medicine. 2006; 62(11): 2798-809.

Seyed MT, Tahere M, Mohammed S and Mehdi M.

Rural-Urban differences in reasons for incomplete vaccination in children under six years, Southeast Iran 2013. Int J Infect 2015;2(3): e28109.


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