UNASSIGNED: Ten databases were searched to identify quantitative data on male\'s involvement in East Africa. Studies reporting qualitative data, \"intention to use\" data or only reporting on male partner\'s education or economic status were excluded. Studies were organized into five a priori categories: antenatal care (ANC), human immunodeficiency virus, breastfeeding, family planning, and intimate partner violence with further categories developed based on studies included.
UNASSIGNED: A total of 2787 records were identified; 644 full texts were reviewed, and 96 studies were included in this review. Data were reported on 118,967 mothers/pregnant women and 15,361 male partners. Most of the studies (n = 83) were reported from four countries Ethiopia (n = 49), Kenya (n = 14), Tanzania (n = 12) and Uganda (n = 10). The evidence indicates that male partner involvement and support is associated with improved reproductive, MCH across a wide range of outcomes. However, the studies were heterogeneous, using diverse exposure and outcome measures. Also, male partners\' lack of practical and emotional support, and engagement in violent behaviors towards partners, were associated with profound negative impacts on MCH and well-being.
UNASSIGNED: The body of evidence, although heterogeneous, provides compelling support for male involvement in reproductive health programs designed to support MCH. To advance research in this field, an agreement is needed on a measure of male partner \"involvement.\" To optimize benefits of male partners\' involvement, developing core outcome sets and regional coordination are recommended.
■搜索了十个数据库,以确定有关男性参与东非的定量数据。报告定性数据的研究,排除了“使用意向”数据或仅报告男性伴侣的教育或经济状况。研究分为五个先验类别:产前护理(ANC),人类免疫缺陷病毒,母乳喂养,计划生育,和亲密伴侣暴力,并根据纳入的研究制定了进一步的类别。
■共确定了2787条记录;审查了644篇全文,本综述纳入了96项研究.报告了118967名母亲/孕妇和15361名男性伴侣的数据。大多数研究(n=83)来自埃塞俄比亚四个国家(n=49),肯尼亚(n=14),坦桑尼亚(n=12)和乌干达(n=10)。证据表明,男性伴侣的参与和支持与生殖能力的提高有关,MCH跨越广泛的结果。然而,这些研究是异质的,使用不同的暴露和结果测量。此外,男性伴侣缺乏实际和情感支持,以及对伴侣的暴力行为,对妇幼保健和福祉产生了深远的负面影响。
■证据体,虽然异质,为男性参与旨在支持妇幼保健的生殖健康计划提供了令人信服的支持。为了推进这一领域的研究,需要就男性伴侣的参与程度达成协议。“为了优化男性伴侣的参与利益,建议制定核心成果集和区域协调。