Abstract：
BACKGROUND: Globally, there are about 800 maternal deaths every day, with low-to-middle-income countries accounting for most of these deaths. A lack of access to maternal healthcare services is one of the main causes of these deaths. In sub-Saharan Africa (SSA), one of the barriers to accessing maternal healthcare services by women is a lack of their male partners\' involvement. This scoping review aimed to assess the enablers and barriers to men\'s involvement in maternal healthcare services.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) checklist was used as a guide for this review. We searched for peer-reviewed articles published between 2013 and 2023 in the English language from SCOPUS, ScienceDirect, PubMed, Africa Journals Online (AJOL), and Google Scholar databases. Two reviewers independently conducted the data extraction and article selection. All of the authors discussed and decided on the codes and categories for enablers and barriers after using NVivo to generate them.
RESULTS: Twenty-seven articles were used in this review. Of these, seventeen were qualitative studies, six were quantitative studies, and four were mixed-methods studies. The enablers of men\'s involvement in maternal healthcare were grouped into sociodemographic factors, health system factors, and policy factors, while barriers were grouped into sociodemographic, cultural, economic, and health system barriers. The lack of maternal health knowledge, insufficient economic resources, and unfriendly staff at healthcare facilities all contributed to a lack of involvement by men.
CONCLUSIONS: To improve men\'s involvement in maternal healthcare in SSA, there should be economic empowerment of both men and women, health education, and the provision of adequate infrastructure in healthcare facilities to accommodate men.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) checklist was used as a guide for this review. We searched for peer-reviewed articles published between 2013 and 2023 in the English language from SCOPUS, ScienceDirect, PubMed, Africa Journals Online (AJOL), and Google Scholar databases. Two reviewers independently conducted the data extraction and article selection. All of the authors discussed and decided on the codes and categories for enablers and barriers after using NVivo to generate them.
RESULTS: Twenty-seven articles were used in this review. Of these, seventeen were qualitative studies, six were quantitative studies, and four were mixed-methods studies. The enablers of men\'s involvement in maternal healthcare were grouped into sociodemographic factors, health system factors, and policy factors, while barriers were grouped into sociodemographic, cultural, economic, and health system barriers. The lack of maternal health knowledge, insufficient economic resources, and unfriendly staff at healthcare facilities all contributed to a lack of involvement by men.
CONCLUSIONS: To improve men\'s involvement in maternal healthcare in SSA, there should be economic empowerment of both men and women, health education, and the provision of adequate infrastructure in healthcare facilities to accommodate men.
摘要：
背景：在全球范围内，每天大约有800例产妇死亡,中低收入国家占这些死亡的大部分。缺乏获得孕产妇保健服务是这些死亡的主要原因之一。在撒哈拉以南非洲（SSA），女性获得孕产妇保健服务的障碍之一是缺乏男性伴侣的参与。这项范围审查旨在评估男性参与孕产妇保健服务的推动者和障碍。
方法：本综述使用系统综述和Meta分析扩展的首选报告项目（PRISMA-ScR）检查表作为指南。我们从SCOPUS搜索了2013年至2023年之间以英语发表的同行评审文章，ScienceDirect,PubMed,非洲在线期刊（AJOL），和谷歌学者数据库。由两名评审员独立进行数据提取和文章选择。所有作者在使用NVivo生成后，讨论并决定了启用者和障碍的代码和类别。
结果：本综述使用了27篇文章。其中,十七个是定性研究，六个是定量研究，四个是混合方法研究。男性参与孕产妇保健的推动者被分为社会人口统计学因素，卫生系统因素，和政策因素，虽然障碍被归类为社会人口统计学，文化,经济,和卫生系统的障碍。孕产妇保健知识的缺乏,经济资源不足,医疗设施和不友好的工作人员都导致男性缺乏参与。
结论：为了提高男性在SSA孕产妇保健中的参与度，应该赋予男女经济权力，健康教育,以及在医疗设施中提供足够的基础设施以容纳男性。
方法：本综述使用系统综述和Meta分析扩展的首选报告项目（PRISMA-ScR）检查表作为指南。我们从SCOPUS搜索了2013年至2023年之间以英语发表的同行评审文章，ScienceDirect,PubMed,非洲在线期刊（AJOL），和谷歌学者数据库。由两名评审员独立进行数据提取和文章选择。所有作者在使用NVivo生成后，讨论并决定了启用者和障碍的代码和类别。
结果：本综述使用了27篇文章。其中,十七个是定性研究，六个是定量研究，四个是混合方法研究。男性参与孕产妇保健的推动者被分为社会人口统计学因素，卫生系统因素，和政策因素，虽然障碍被归类为社会人口统计学，文化,经济,和卫生系统的障碍。孕产妇保健知识的缺乏,经济资源不足,医疗设施和不友好的工作人员都导致男性缺乏参与。
结论：为了提高男性在SSA孕产妇保健中的参与度，应该赋予男女经济权力，健康教育,以及在医疗设施中提供足够的基础设施以容纳男性。
