The impact of “male clinics” on health-seeking behaviors of adult men in rural Kenya


Autoři: Justine Dowden aff001;  Ivy Mushamiri aff002;  Eric McFeely aff001;  Donald Apat aff003;  Jilian Sacks aff001;  Yanis Ben Amor aff001
Působiště autorů: Center for Sustainable Development, Earth Institute, Columbia University, New York, NY, United States of America aff001;  Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States of America aff002;  Columbia Global Centers East and Southern Africa, Nairobi, Kenya aff003
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224749

Souhrn

Background

In most parts of the world, men access health services less frequently than women, and this trend is unrelated to differences in need for services. While male involvement in healthcare as partners or fathers has been extensively studied, less is known about the health-seeking behavior of men as clients themselves. This interventional research study aimed to determine how the introduction of male-friendly clinics impacted male care-seeking behavior and to describe the reasons for accessing services among men in rural Kenya.

Methods and findings

We questioned men to assess utilization and perceptions of existing health clinics, then designed and evaluated a “male clinics” intervention where dedicated male health workers were hired for one year to offer routine, free services exclusively to men within existing healthcare facilities. Results were compared between data from Male Clinics in specific health facilities, the same facilities concurrently, nearby control facilities concurrently, and intervention facilities historically.

Costs of services, distance to facilities, and quality of care were the main barriers to healthcare access reported. The number of total visits was significantly higher than control groups (p<0·0001). In the intervention group, 18·6% of visits were for a checkup compared to almost none in control groups. The most common diagnoses overall were upper respiratory tract infections, malaria and injury. A major limitation of this study is the non-comparability in information captured using the Male Clinic registers compared to control registers.

Conclusions

Costs and quality of services deter men from seeking healthcare. The introduction of male-friendly health services could encourage men to seek preventive care and increase service uptake.

Klíčová slova:

Behavior – Behavioral and social aspects of health – Fungal diseases – Health systems strengthening – Hypertension – Malaria – Quality of care


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Článek vyšel v časopise

PLOS One


2019 Číslo 11