Who is most vulnerable? Factors associated with presenting to antenatal care without a male partner in Northern Tanzania.
Saumya S Sao, Jessica N Coleman, Linda Minja and 6 others
PMID 38489854WHAT IT FOUND
Women without a male partner came to first antenatal care later in pregnancy.
Married, younger, Muslim, first-pregnancy and first HIV-testing women were more likely to have a partner present. This does not prove partner presence caused earlier care.
Key findings
0153.9% of the 1007 women presented to first antenatal care with a male partner, and 46.1% did not.
02In the adjusted model, women were more likely to present with a male partner if they were younger than 25 years, married, Muslim, in their first pregnancy, or testing for HIV for the first time.
03Women presenting without a male partner had a later mean gestational age at first antenatal care, 17.26 weeks versus 16.40 weeks.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study observed associations at one antenatal visit and did not test whether male partner attendance policies caused delay or whether changing clinic practice improves outcomes. Findings were self-reported and could be affected by social desirability, although audio computer-assisted self-interviews were used to reduce this. The analysis focused on women's characteristics and did not measure male partners' attitudes, masculinity, or reasons for not attending. The sample was from urban clinics in one region of Tanzania, so it may not apply to other settings. The paper says 32 women living with HIV were excluded from analysis, but later describes and analyses 1007 participants, so the final analysed sample is unclear. Gestational age was based on self-reported last menstrual period, not clinical dating.
Declared interests
The supplied text gives no funding or competing-interest declaration; the metadata labels the work as NIH extramural research support.
The easy way to misread this
Do not conclude that requiring male partners improves care or that women without partners are responsible for delayed presentation. The study did not test the policy and only showed that partner presence was associated with earlier gestational age.