Exploring The Benefits, Facilitators And Barriers To Male Involvement In Sexual And Reproductive Health: A Qualitative Study Of Nurses’ And Midwives’ Perspectives In Ghana

Abstract

Background: Male involvement in sexual and reproductive health (SRH) though a relatively old concept in Ghana continues to evolve traditionally focusing on women’s health. The World Health Organization has encouraged gender- inclusive maternal health services to leverage men’s roles in supporting their partners’ health. Aim: This study aims to explore the perspectives of nurses and midwives on male involvement in SRH, identifying benefits, challenges, and strategies for enhancement. Method: A qualitative exploratory design was employed in Greater Accra Region, Ghana, engaging 32 nurses and midwives through five focus group discussions. Data collection involved using a semi-structured interview guide and recorded interviews. Data analysis was based on Braun and Clark’s thematic analysis framework. Results: Findings revealed three primary themes: benefits of male involvement, barriers to participation, and strategies to enhance engagement. Participants noted significant positive outcomes, including improved health outcomes for women, reduced complications due to emotional and logistical support by male partners. However, barriers such as cultural norms, societal expectations and inadequate knowledge hindered active male involvement. This notwithstanding, participants have a strong desire to promote male involvement. Discussion: Results underscore the necessity of comprehensive education and community engagement to reshape attitudes towards male involvement. The lack of formal training for healthcare providers on facilitating male participation was identified as a critical gap. Conclusion: Enhancing male involvement in SRH can significantly improve maternal health outcomes. Nurses and midwives play a pivotal role in promoting this initiative through targeted education, outreach programs, and policy advocacy, ultimately fostering healthier family dynamics in Ghanaian society.