{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:42:51Z","timestamp":1790707371019,"version":"4.1.0"},"reference-count":47,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["141980"],"award-info":[{"award-number":["141980"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University of the Free State","award":["141980"],"award-info":[{"award-number":["141980"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Despite efforts to promote gender-inclusive approaches to maternal health, male partner involvement (MPI) remains limited, underscoring the need for a comprehensive understanding of the factors associated with a lack of MPI. A mixed method, concurrent\/parallel design was applied to explore MPI in maternal health and to identify factors associated with limited MPI. Data collection entailed a cross-sectional survey among 407 fathers together with 16 focus group discussions with men and women of reproductive age and eight community discussions with community leaders. MPI was defined in terms of communication, decision making, physical and emotional support and physical presence at ANC. Data was subjected to descriptive, multiple linear regression and thematic analysis. Three out of five participants (63.9%) scored above the mean for higher levels of MPI in maternal health. Factors significantly associated with a lower level of MPI were younger age, unemployment, men not living with the mother of their youngest child, men who had not had a male role model involved in domestic chores, and men who were not interested in attending future maternal health programmes. In addition, the qualitative analysis also identified relationship problems, family conflicts, health systems barriers and alcohol abuse as hinderances to MPI in maternal health. Health systems capacity is required for the promotion of male partner interventions that are in line with socio-cultural practices and gender norms.<\/jats:p>","DOI":"10.3390\/ijerph21111482","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T06:41:22Z","timestamp":1730961682000},"page":"1482","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring Factors Associated with Limited Male Partner Involvement in Maternal Health: A Sesotho Socio-Cultural Perspective from the Free State, South Africa"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3970-0552","authenticated-orcid":false,"given":"Michelle","family":"Engelbrecht","sequence":"first","affiliation":[{"name":"Centre for Health Systems Research & Development, Faculty of the Humanities, University of the Free State, P.O. Box 339, Bloemfontein 9300, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3129-3577","authenticated-orcid":false,"given":"Ngwi","family":"Mulu","sequence":"additional","affiliation":[{"name":"Centre for Health Systems Research & Development, Faculty of the Humanities, University of the Free State, P.O. Box 339, Bloemfontein 9300, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7073-6561","authenticated-orcid":false,"given":"Gladys","family":"Kigozi-Male","sequence":"additional","affiliation":[{"name":"Centre for Health Systems Research & Development, Faculty of the Humanities, University of the Free State, P.O. Box 339, Bloemfontein 9300, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"ref_1","unstructured":"NDoH (2024, May 12). Guidelines for Maternity Care in South Africa, Available online: https:\/\/knowledgehub.health.gov.za\/elibrary\/guidelines-maternity-care-south-africa-2016."},{"key":"ref_2","unstructured":"UNFPA (2014). Programme of Action of the International Conference on Population Development 20th Anniversary Edition, United Nations. Available online: https:\/\/www.unfpa.org\/publications\/international-conference-population-and-development-programme-action."},{"key":"ref_3","unstructured":"WHO (2024, June 10). WHO Recommendations on Health Promotion Interventions for Maternal and Newborn Health, Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241508742."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1136\/jech-2014-204784","article-title":"Male involvement and maternal health outcomes: Systematic review and meta-analysis","volume":"69","author":"Yargawa","year":"2015","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1017\/S0021932020000292","article-title":"Male participation in antenatal care and its influence on their pregnant partners\u2019 reproductive health care utilization: Insight from the 2015 Afghanistan Demographic and Health Survey","volume":"53","author":"Alemi","year":"2021","journal-title":"J. Biosoc. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Lusambili, A.M., Muriuki, P., Wisofschi, S., Shumba, C.S., Mantel, M., Obure, J., Nyaga, L., Mulama, K., Ngugi, A., and Orwa, J. (2021). Male Involvement in Reproductive and Maternal and New Child Health: An Evaluative Qualitative Study on Facilitators and Barriers From Rural Kenya. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.644293"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e051361","DOI":"10.1136\/bmjopen-2021-051361","article-title":"Towards a global framework for assessing male involvement in maternal health: Results of an international Delphi study","volume":"11","author":"Galle","year":"2021","journal-title":"BMJ Open"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"103993","DOI":"10.1016\/j.midw.2024.103993","article-title":"Men\u2019s involvement in maternal health in sub-Saharan Africa: A scoping review of enablers and barriers","volume":"133","author":"Moyo","year":"2024","journal-title":"Midwifery"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Matseke, M.G., Ruiter, R.A.C., Barylski, N., Rodriguez, V.J., Jones, D.L., Weiss, S.M., Peltzer, K., Setswe, G., and Sifunda, S. (2017). A Qualitative Exploration of the Meaning and Understanding of Male Partner Involvement in Pregnancy-Related Care among men in rural South Africa. J. Soc. Behav. Health Sci., 11, Available online: https:\/\/scholarworks.waldenu.edu\/cgi\/viewcontent.cgi?article=1269&context=jsbhs.","DOI":"10.5590\/JSBHS.2017.11.1.15"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Matseke, M.G., Ruiter, R.A.C., Rodriguez, V.J., Peltzer, K., Setswe, G., and Sifunda, S. (2017). Factors associated with male partner involvement in programs for the prevention of mother-to-child transmission of HIV in rural South Africa. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14111333"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Roudsari, R.L., Sharifi, F., and Goudarzi, F. (2023). Barriers to the participation of men in reproductive health care: A systematic review and meta-synthesis. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-15692-x"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Mekonen, M., Shifera, N., Bogale, B., and Assefa, A. (2022). Extent of male involvement and associated factors in antenatal care service utilization in Bench Sheko zone, Southwest Ethiopia: A community-based cross-sectional study. Front. Glob. Womens Health, 3.","DOI":"10.3389\/fgwh.2022.938027"},{"key":"ref_13","first-page":"e01180","article-title":"Trends and correlates of male participation in maternal healthcare in a rural district in Ghana","volume":"16","author":"Abiiro","year":"2022","journal-title":"Sci. Afr."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Okafor, I.P., Chukwudi, C.L., Igwilo, U.U., and Ogunnowo, B.E. (2022). \u201cMen are the head of the family, the dominant head\u201d: A mixed method study of male involvement in maternal and child health in a patriarchal setting, Western Nigeria. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0276059"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e13177","DOI":"10.1111\/mcn.13177","article-title":"Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa","volume":"17","author":"Drysdale","year":"2021","journal-title":"Matern. Child Nutr."},{"key":"ref_16","first-page":"a2322","article-title":"Cultural barriers to male partners\u2019 involvement in antenatal care in Limpopo province","volume":"29","author":"Nesane","year":"2024","journal-title":"Health SA"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Boniphace, M., Matovelo, D., Laisser, R., Yohani, V., Swai, H., Subi, L., Masatu, Z., Tinka, S., Mercader, H.F.G., and Brenner, J.L. (2022). The fear of social stigma experienced by men: A barrier to male involvement in antenatal care in Misungwi District, rural Tanzania. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-022-04383-x"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Gibore, N.S., and Bali, T.A.L. (2020). Community perspectives: An exploration of potential barriers to men\u2019s involvement in maternity care in a central Tanzanian community. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0232939"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"a929","DOI":"10.4102\/phcfm.v8i2.929","article-title":"Male partners\u2019 views of involvement in maternal healthcare services at Makhado Municipality clinics, Limpopo Province, South Africa","volume":"8","author":"Nesane","year":"2016","journal-title":"Afr. J. Prim. Health Care Fam. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"a1911","DOI":"10.4102\/phcfm.v11i1.1911","article-title":"Barriers to men\u2019s involvement in antenatal and postnatal care in Butula, western Kenya","volume":"11","author":"Ongolly","year":"2019","journal-title":"Afr. J. Prim. Health Care Fam. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1186\/s12978-019-0808-4","article-title":"\u201cThat\u2019s a woman\u2019s problem\u201d: A qualitative analysis to understand male involvement in maternal and newborn health in Jigawa state, northern Nigeria","volume":"16","author":"Sharma","year":"2019","journal-title":"Reprod. Health"},{"key":"ref_22","unstructured":"StatsSA (2024, May 04). General Household Survey 2021, Available online: https:\/\/www.statssa.gov.za\/publications\/P0318\/P03182021.pdf."},{"key":"ref_23","unstructured":"StatsSA (2024, April 09). People, Available online: https:\/\/www.statssa.gov.za\/?page_id=595."},{"key":"ref_24","first-page":"23","article-title":"Folk practices regarding childrearing","volume":"25","author":"Chauke","year":"2015","journal-title":"S. Afr. J. Folklore Stud."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"569","DOI":"10.2174\/1874944502013010569","article-title":"Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa","volume":"13","author":"Drigo","year":"2020","journal-title":"Open Public Health J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"a3292","DOI":"10.4102\/phcfm.v14i1.3292","article-title":"Culturally appropriate care to support maternal positions during the second stage of labour: Midwives\u2019 perspectives in South Africa","volume":"14","author":"Musie","year":"2022","journal-title":"Afr. J. Prim. Health Care Fam. Med."},{"key":"ref_27","unstructured":"(2024, April 14). The Constitution of the Republic of South Africa, Available online: https:\/\/www.gov.za\/sites\/default\/files\/images\/a108-96.pdf."},{"key":"ref_28","unstructured":"StatsSA (2024, September 25). General Household Survey 2023, Available online: https:\/\/www.statssa.gov.za\/publications\/P0318\/P03182023.pdf."},{"key":"ref_29","unstructured":"StatsSA (2024, March 03). Census 2022, Available online: https:\/\/census.statssa.gov.za\/assets\/documents\/2022\/P03014_Census_2022_Statistical_Release.pdf."},{"key":"ref_30","unstructured":"Ndlovu, N., and Padarath, A. (2024). District Health Barometer 2022\/23, Health Systems Trust. Available online: https:\/\/www.hst.org.za\/publications\/District%20Health%20Barometers\/DHB%202022-23%20Publisher%20information.pdf."},{"key":"ref_31","unstructured":"Kortman, D. (2020). Indigenous Stories of Pregnant Women in Botshabelo on Ensuring Positive Pregnancy Outcomes. [Master\u2019s Dissertation, University of the Free State]."},{"key":"ref_32","unstructured":"Mofokeng, M.A. (2009). Beliefs and Practices of Sotho Antenatal Women. [Master\u2019s Dissertation, University of South Africa]."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Creswell, J.W., Klassen, A.C., Plano Clark, V.L., and Clegg Smith, K. (2011). Best Practices for Mixed Methods Research in the Health Sciences, Saunders.","DOI":"10.1037\/e566732013-001"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1177\/1097184X06298778","article-title":"Measuring Attitudes toward Gender Norms among Young Men in Brazil: Development and Psychometric Evaluation of the GEM Scale","volume":"10","author":"Pulerwitz","year":"2007","journal-title":"Men Masc."},{"key":"ref_35","unstructured":"(IBMCorp IBM SPSS Statistics for Windows, 2022). IBMCorp IBM SPSS Statistics for Windows, Version 29.0."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e004909","DOI":"10.1136\/bmjgh-2020-004909","article-title":"Systematic review of the concept \u2018male involvement in maternal health\u2019 by natural language processing and descriptive analysis","volume":"6","author":"Galle","year":"2021","journal-title":"BMJ Glob. Health"},{"key":"ref_37","unstructured":"Gray, J.R., Grove, S.K., and Sutherland, S. (2017). Burns and Grove\u2019s the Practice of Nursing Research, Elsevier eBook on VitalSource. [8th ed.]."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Lincoln, Y.S., and Guba, E.G. (1985). Naturalistic Inquiry, SAGE Publications.","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"ref_40","unstructured":"Fox, J. (2016). Applied Regression Analysis and Generalized Linear Models, SAGE Publications."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1111\/j.1542-2011.2011.00029.x","article-title":"Defining male support during and after pregnancy from the perspective of HIV-positive and HIV-negative women in Durban, South Africa","volume":"56","author":"Maman","year":"2011","journal-title":"J. Midwifery Womens Health"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Mullick, S., Kunene, B., and Wanjiru, M. (2005). Involving men in maternity care: Health service delivery issues. Agenda Spec. Focus Gend. Cult. Rights, 124\u2013135.","DOI":"10.31899\/rh4.1204"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Galle, A., Cossa, H., Griffin, S., Osman, N., Roelens, K., and Degomme, O. (2019). Policymaker, health provider and community perspectives on male involvement during pregnancy in southern Mozambique: A qualitative study. BMC Pregnancy Childbirth, 19.","DOI":"10.1186\/s12884-019-2530-1"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"100931","DOI":"10.1016\/j.srhc.2023.100931","article-title":"Understanding male involvement in antenatal care in the Kilimanjaro region of Tanzania: Barriers, facilitators, and opportunities for engagement","volume":"39","author":"Sao","year":"2024","journal-title":"Sex. Reprod. Healthc."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1177\/1049732315580302","article-title":"Barriers to Male Involvement in Antenatal Care in Rural Mozambique","volume":"26","author":"Audet","year":"2015","journal-title":"Qual. Health Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1080\/17441692.2016.1168863","article-title":"Evaluation of a male engagement intervention to transform gender norms and improve family planning and HIV service uptake in Kabale, Uganda","volume":"12","author":"Ghanotakis","year":"2017","journal-title":"Glob. Public Health"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Doyle, K., Levtov, R.G., Barker, G., Bastian, G.G., Bingenheimer, J.B., Kazimbaya, S., Nzabonimpa, A., Pulerwitz, J., Sayinzoga, F., and Sharma, V. (2018). Gender-transformative Bandebereho couples\u2019 intervention to promote male engagement in reproductive and maternal health and violence prevention in Rwanda: Findings from a randomized controlled trial. PLoS ONE, 13.","DOI":"10.1596\/30566"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/11\/1482\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:28:03Z","timestamp":1760113683000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/11\/1482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,7]]},"references-count":47,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["ijerph21111482"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21111482","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,7]]}}}