PDF(Pubmed)
Abstract：
As notions of masculinity evolve globally, it is important to understand their dimensions within geographic regions and life contexts. African men\'s involvement in their partners\'pregnancy and childbirth has been explored to a limited extent in the peer-reviewed literature. This analysis provides a comprehensive examination of the existing literature on the diverse experiences of fathers across the African continent.
This study aims to provide an overview of fathers\' experience of involvement in their partners\' pregnancies andchildbirth in Africa.
A systematic integrative literature review guided the process. The review comprised problem identification, literature search, data evaluation, data analysis and presentation of results. Systematic searches were conducted in the Cinahl, PubMed and Scopus databases.
The search identified 70 articles of which 31, relating to 11 African countries, were used. Of these, 20 were qualitative, 9 were quantitative and 2 were mixed-methods studies. Men\'s alienation from health services, and traditional gender norms that discourage fathers\' supportive role during pregnancy were prevalent themes. Financial pressures also dominated fathers\'experiences. At the same time, in 18 studies fathers expressed motivation to be involved partners and supportive fathers, despite stigma and exclusion from maternity services.
This integrative review shows that fathers\' experiences of their involvement in their partners\' pregnancy and childbirth across African countries are influenced by multiple factors. While unwelcoming health services, traditional gender norms, and low income are barriers to male involvement, education, younger age, and modern gender norms are associated with greater male involvement.
Main findings: There is a diversity of experiences among fathers across the African continent, with healthcare system alienation, influential gender norms, and financial pressure being common themes.Added knowledge: Unwelcoming health services, traditional gender norms, and low income were found to be impediments to male involvement in their partners’ pregnancy and childbirth, while education, younger age, and modern gender norms were associated with greater male involvement.Global health impact for policy and action: Information and education for men and conducive healthcare environments would enable more positive experiences for men and encourage their greater involvement.
This study aims to provide an overview of fathers\' experience of involvement in their partners\' pregnancies andchildbirth in Africa.
A systematic integrative literature review guided the process. The review comprised problem identification, literature search, data evaluation, data analysis and presentation of results. Systematic searches were conducted in the Cinahl, PubMed and Scopus databases.
The search identified 70 articles of which 31, relating to 11 African countries, were used. Of these, 20 were qualitative, 9 were quantitative and 2 were mixed-methods studies. Men\'s alienation from health services, and traditional gender norms that discourage fathers\' supportive role during pregnancy were prevalent themes. Financial pressures also dominated fathers\'experiences. At the same time, in 18 studies fathers expressed motivation to be involved partners and supportive fathers, despite stigma and exclusion from maternity services.
This integrative review shows that fathers\' experiences of their involvement in their partners\' pregnancy and childbirth across African countries are influenced by multiple factors. While unwelcoming health services, traditional gender norms, and low income are barriers to male involvement, education, younger age, and modern gender norms are associated with greater male involvement.
Main findings: There is a diversity of experiences among fathers across the African continent, with healthcare system alienation, influential gender norms, and financial pressure being common themes.Added knowledge: Unwelcoming health services, traditional gender norms, and low income were found to be impediments to male involvement in their partners’ pregnancy and childbirth, while education, younger age, and modern gender norms were associated with greater male involvement.Global health impact for policy and action: Information and education for men and conducive healthcare environments would enable more positive experiences for men and encourage their greater involvement.
摘要：
■随着男性气概的概念在全球范围内演变，了解它们在地理区域和生活环境中的维度是很重要的。在同行评审的文献中，对非洲男性参与其伴侣怀孕和分娩的程度进行了有限的探讨。此分析对有关非洲大陆父亲的各种经历的现有文献进行了全面的研究。
本研究旨在概述非洲父亲参与伴侣怀孕和分娩的经历。
■系统综合文献综述指导了这一过程。审查包括问题识别，文献检索,数据评估，数据分析和结果呈现。在Cinahl进行了系统搜索，PubMed和Scopus数据库。
■搜索确定了70篇文章，其中31篇文章涉及11个非洲国家，被使用。其中,20是定性的，9项是定量的，2项是混合方法研究。男性与医疗服务的疏远，传统的性别规范阻碍了父亲在怀孕期间的支持作用，这是普遍的主题。财务压力也主导了父亲的经历。同时,在18项研究中，父亲表达了参与伙伴和支持父亲的动机，尽管耻辱和被排除在产妇服务之外。
■这项综合审查表明，非洲国家的父亲“参与伴侣怀孕和分娩的经历”受到多种因素的影响。虽然不受欢迎的医疗服务，传统的性别规范，低收入是男性参与的障碍，教育,年龄较小,现代性别规范与更多的男性参与有关。
主要发现：非洲大陆的父亲们有着不同的经历，随着医疗系统的疏远，有影响力的性别规范，和财务压力是共同的主题。增加的知识：不受欢迎的健康服务，传统的性别规范，低收入被发现是男性参与伴侣怀孕和分娩的障碍，而教育,年龄较小,现代性别规范与更多的男性参与有关。全球健康对政策和行动的影响：对男性的信息和教育以及有利的医疗保健环境将为男性带来更积极的体验，并鼓励他们更多地参与。
本研究旨在概述非洲父亲参与伴侣怀孕和分娩的经历。
■系统综合文献综述指导了这一过程。审查包括问题识别，文献检索,数据评估，数据分析和结果呈现。在Cinahl进行了系统搜索，PubMed和Scopus数据库。
■搜索确定了70篇文章，其中31篇文章涉及11个非洲国家，被使用。其中,20是定性的，9项是定量的，2项是混合方法研究。男性与医疗服务的疏远，传统的性别规范阻碍了父亲在怀孕期间的支持作用，这是普遍的主题。财务压力也主导了父亲的经历。同时,在18项研究中，父亲表达了参与伙伴和支持父亲的动机，尽管耻辱和被排除在产妇服务之外。
■这项综合审查表明，非洲国家的父亲“参与伴侣怀孕和分娩的经历”受到多种因素的影响。虽然不受欢迎的医疗服务，传统的性别规范，低收入是男性参与的障碍，教育,年龄较小,现代性别规范与更多的男性参与有关。
主要发现：非洲大陆的父亲们有着不同的经历，随着医疗系统的疏远，有影响力的性别规范，和财务压力是共同的主题。增加的知识：不受欢迎的健康服务，传统的性别规范，低收入被发现是男性参与伴侣怀孕和分娩的障碍，而教育,年龄较小,现代性别规范与更多的男性参与有关。全球健康对政策和行动的影响：对男性的信息和教育以及有利的医疗保健环境将为男性带来更积极的体验，并鼓励他们更多地参与。
