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South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis
No full textManagement of patients with type 2 diabetes mellitus at a district hospital in Gauteng, South Africa: a retrospective review of patient medical records
No full textSouthern African HIV Clinicians Society guideline on the management of nontuberculous mycobacteria in people with HIV
No full text
ETV6 Molecular heterogeneity in salivary secretory carcinoma A case series report and literature review
No full textAlleviating the public health burden of hypertension debating precision prevention as a possible solution
No full textAdapting and testing measures of organizational context in primary care clinics in KwaZuluNatal South Africa
No full textImpact of foreign direct investment on carbon emission in SubSaharan Africa The mediating and moderating roles of industrialization and trade openness
No full textRefusal of male partner responsibility and pregnancy support: prevalence, associated factors and health outcomes in a cross sectional study in Harare, Zimbabwe
No full textBackground The phenomenon of fathers refusing responsibility during pregnancy has not received adequate
attention in African studies. This paper assesses associated factors and pregnancy-related outcomes when fathers
refuse to support partners’ pregnancies and undertake parental responsibilities.
Methods A cross-sectional survey of 15–49-year-old postnatal (1–6 weeks) women was conducted at six urban
health facilities in Harare. Participants were interviewed about their male partners’ refusal to support their pregnancies
and parenting, bride price payments (indicating marriage commitment), partner violence and control, alcohol abuse
and family planning decision-making. Pregnancy health outcome data including antenatal care attendance, low
birth weight (LBW)(<2500 g) and postnatal depression were collected through interviews and clinic records. Multiple
regression models were built to assess gender-related factors and health outcomes associated with male partners’
refusal of parenting responsibilities.
Results Of the 2042 women interviewed, 6.4% reported partner refusal to support the pregnancy or parenting.
Higher odds of partner refusal of fathering responsibility were associated with partners not paying bride price (aOR
9.31; 95% CI 1.16–74.59), violence perpetration during pregnancy (aOR 2.84; 1.28–6.23), highly controlling behaviours
(aOR 4.96; 2.83–8.69), alcohol abuse (aOR 1.78; 1.05–3.02), unintended pregnancy (aOR 3.72; 1.84–7.53) and partner
refusal to use contraceptives (aOR 3.64; 1.86–7.14). Women who used contraceptives (aOR 0.40; 0.23–0.71), made joint
(aOR 0.30; 0.14–0.67) or individual (aOR 0.25; 0.07–0.94) pregnancy decisions were protected from partner refusal of
parenting responsibility. Women’s depressive symptomatology (aOR2.64; 1.52–4.59), LBW (aOR5.30; 1.18–23.74) and
partner discouragement of antenatal care attendance (aOR 3.86; 1.13–13.17) were pregnancy outcomes associated
with partner refusal of parenting responsibility.
Conclusions Male partners’ refusal to acknowledge parenting responsibility was associated with men’s abusiveness,
absence of commitment to long-term relationship/marriage, gender unequal practices and negative maternal and child health outcomes. Parenting programmes must be instituted and prioritise transforming traditional gender
norms to improve fathering responsibilities.Flemish interuniversity cooperation (VLIR-UOS).PM202
