Background: Understanding the strategies that health care providers employ in order to invite men to participate\r\nin maternal health care is very vital especially in today�s dynamic cultural environment. Effective utilization of such\r\nstrategies is dependent on uncovering the salient issues that facilitate male participation in maternal health care.\r\nThis paper examines and describes the strategies that were used by different health care facilities to invite\r\nhusbands to participate in maternal health care in rural and urban settings of southern Malawi.\r\nMethods: The data was collected through in-depth interviews from sixteen of the twenty health care providers\r\nfrom five different health facilities in rural and urban settings of Malawi. The health facilities comprised two health\r\ncentres, one district hospital, one mission hospital, one private hospital and one central hospital. A semi-structured\r\ninterview guide was used to collect data from health care providers with the aim of understanding strategies they\r\nused to invite men to participate in maternal health care.\r\nResults: Four main strategies were used to invite men to participate in maternal health care. The strategies were;\r\nhealth care provider initiative, partner notification, couple initiative and community mobilization. The health care\r\nprovider initiative and partner notification were at health facility level, while the couple initiative was at family level\r\nand community mobilization was at village (community) level. The community mobilization had three sub-themes\r\nnamely; male peer initiative, use of incentives and community sensitization. The sustainability of each strategy to\r\nsignificantly influence behaviour change for male participation in maternal health care is discussed.\r\nConclusion: Strategies to invite men to participate in maternal health care were at health facility, family and\r\ncommunity levels. The couple strategy was most appropriate but was mostly used by educated and city residents.\r\nThe male peer strategy was effective and sustainable at community level. There is need for creation of awareness\r\nin men so that they sustain their participation in maternal health care activities of their female partners even in the\r\nabsence of incentives, coercion or invitation.
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