ISSN: 2639-2526
Authors: Mittal A , Mahapatro M and Bhashkar S*
Introduction: The involvement of husbands in maternal healthcare is crucial during the perinatal period, encompassing pregnancy, childbirth, and the postpartum phase. Their participation can enhance the uptake of interventions to prevent maternal and infant morbidity and mortality. This study aims to evaluate any changes in spousal involvement during perinatal services over time, utilizing data from the National Family Health Surveys (NFHS-3, NFHS-4, and NFHS-5). It also examines factors influencing male involvement in healthcare utilization among women. Methodology: The data was analysed on male involvement and health service utilization from NFHS-5, a nationally representative survey that provides comprehensive health and socio-demographic data across India, collected between 2019 and 2021. Determinants of male involvement were assessed using multivariate logistic regression, with results presented as adjusted odds ratios. Results: The study found that 79% of husbands accompanied their wives during antenatal care (ANC) visits, and 83% supported institutional deliveries for their youngest child. Between NFHS-3 and NFHS-5, the proportion of women receiving adequate ANC increased significantly, rising from 77% to around 90% in NFHS-4 and reaching 96% by 2019-21. Similarly, the percentage of institutional deliveries saw remarkable growth, jumping from 42.8% in NFHS-3 to 91.6% in NFHS-5. Conclusion: To improve maternal health outcomes, it is essential to implement structural changes that promote and prioritize men’s involvement in perinatal care. The concept of fatherhood can begin when a couple plans for a child. This involvement can be nurtured through inclusive decision-making, targeted interventions, and supportive policy initiatives.
Keywords: Male Involvement; Maternal Heath; Perinatal Period; NFHS-5; NFHS-4; NFHS-3
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