HUSBAND INVOLVEMENT IN BIRTH PREPARDNESS-COMPLICATION READINESS AND ASSOCIATED FACTORS AMONG HUSBANDS IN SIYADEBRNAWAYU WOREDA, NORTH SHOA ZONE, AMHARA REGION, ETHIOPIA, 2022.

Abstract

Background: Husband involvement in maternal health services utilization remains a major public health challenge in the developing world. Therefore, increasing male awareness of danger sign of obstetric complication and involvements in BP practices is necessary to improve the women’s health and reduce maternal mortality. Objective: To assess husband's participation in birth preparedness-complication readiness and associated factors among husbands whose wife’s had infants, in Siyadebrnawayu Woreda, North Shoa zone, Amhara region, Ethiopia, 2022. Methods: Community based cross-sectional study was carried out from Jun to July 10/2022. A total of 713 husbands whose wife’s had infants, were selected from study population by using Multi stage-sampling technique. Data were collected by using an interviewer-administered structured questionnaire. The data were entered using EPI Data version 4.2 and analyzed using SPSS version 24. Descriptive analyses were computed. Bivariate and multivariate logistic regression analyses with the resulting crude (COR) and adjusted odds ratios (AOR) and associated 95% confidence interval (CI) were used to verify strength of associations between variables. Significant associations were declared at a p-value less than 0.05. Results: Data were obtained from 713 husbands, yielding a response rate 100%.The proportion of the husband’s involvement in BP/CR was 33.9% at 95% CI (30.6–37.4%). After adjusting for the effect of confounding variables using logistic regression, variables like husband’s age[AOR = 1.7, 95% CI:1.1,2.7], husband’s educational status[AOR = 2.4, 95% CI:1.3,4.6], Income[AOR = 5.5, 95% CI:2.7,11.1], husband’s knowledge of danger sign during postpartum[AOR=2.7,95% CI:1.6,4.5], Wife’s parity[AOR = 2.5, 95% CI:1.4,4.3] and made a postpartum plan with their wife[AOR = 4.4, 95% CI:2.9,6.6] have statistically significant association with husband’s involvement in BP/CR. Conclusion & Recommendations: Male involvement in BP/CR is still low in this study. The government and other responsible bodies should make efforts to increase VIII community based health education, awareness creation and improve husbands involvement in BP/CR.