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Item Male involvement in maternal health care in Karonga District, Malawi.(2021) Soko, M.; Oluwasola, T. A. O.; Olayemi, O.Background: Male involvement in maternal health has been of interest since the Cairo International Conference on Population and Development (ICPD) programme of action in 1994 outlined the role of men in reproductive health. This study aimed to evaluate the level of male involvement in maternal health in Malawi. Methods: A cross sectional study, involving 408 men, was conducted in Karonga distuict of Malawi. Men whose spouses delivered a child within a period of 2 years preceding the study were selected using random sampling procedures. The study design adopted an explanatory mixed-method approach making use of questionnaires and focus group discussions for data collection. The quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) version 24 while the qualitative data analysis was guided by the thematic content analysis. Ethical approval was duly obtained before commencing the study. Results: Most of the participants had secondary education (54%), were businessmen (40.7%). had one or two children (53.7%) while 80% were aged between 21 and 40 years. Of the 408 participants, about three-fifths, 244 (59.8%) had accompanied their wives for antenatal care (ANC) during last pregnancy, 230 (56.4%) were present at delivery while 210 (51.5%) accompanied their wives for postnatal care services. Overall, only 185 (45.5%) of the patticipants had accompanied their wives for all the three services. Aside accompanying their wives for care, more than two-thirds of the participants, 284 (69.6%) planned ANC with their wives, about three-quarters. 304 (74.5%) helped with household chores and more than half, 223(54.7%) discussed their wives' health issues with health workers. Conclusion: There is a high level of male involvement in maternal health care services in Karonga district of Malawi, However, few men are involved in accompanying the wife to all the maternal health care services, There is need to improve male involvement in maternal health thereby warranting a need for clearly stated policies that address male involvement in maternal health care.Item Attitude to caesarean section amongst antenatal clients in Ibadan, Nigeria(College of Health Sciences, University of Ilorin, 2011-01) Bello, F. A.; Olayemi, O.; Ogunbode, O. O.; Adekunle, A. O.This was a cross-sectional study carried out on 372 clients receiving antenatal care at a rural, suburban and urban centres, in order to assess the acceptance of caesarean delivery amongst them and the factors influencing their attitude. Caesarean section was acceptable to 65.7%. Many respondents will refuse the surgery, because they do not think abdominal delivery is natural or necessary. However, if indicated by their health caregiver to be necessary to save life, 78.3% would comply. Others would leave for a religious healing home, another hospital, a traditional birth attendant or be delivered at home. The cultural reasons why some women decline include feeling that caesarean delivery is due to “spiritual attacks”, retribution for maternal infidelity and failure of a woman to fulfil her reproductive function. Respondents were more likely to accept the surgery if they had heard of it before or had a previous caesarean delivery. They were less likely to accept it if they were Christians or attended the rural health centre. Age, parity and educational level had no influence. Only 4% of the respondents would request a caesarean section for non-medical reasons. Health education needs to be carried out in the community, as well as during antenatal classes, to address the cultural beliefs. Means of involving religious bodies in enlightenment campaigns to improve women's attitude should be explored.Item Management of shoulder dystocia(Inspiration House Publishing, 2020) Ogunbode, O. O.; Akinwumi, B.