Background
Methods
The qualitative phase: development of the tool
Design of the study
The participants
Sampling
Setting
Tool of the study
Procedure of the study
Data analysis
Data trustworthiness
The review process
GS-PNCS development
Item generation
Scoring
Quantitative part: psychometric assessment of GS-PNCS
Face validity assessment
Content validity assessment
Construct validity assessment
Design of the study
Subjects of the study
Sampling
Setting
Tool for data collection
Data analysis
Reliability assessment
The internal consistency assessment
Stability assessment
Results
Qualitative phase: designing of the questionnaire
Quantitative phase: assessment of psychometric properties of GS-PNCS
Face validity assessment
Content validity assessment
Construct validity assessment
Characteristics | Category | Number | Percent |
---|---|---|---|
Age | 20–30 | 171 | 60.0 |
31–40 | 112 | 23.8 | |
> 40 | 42 | 16.2 | |
Education | Midwife (Bachelor) | 235 | 82.5 |
Midwife (Graduate Diploma) | 22 | 7.7 | |
Midwife (Master) | 17 | 6.0 | |
Health educator (Bachelor) | 9 | 3.1 | |
Job experience (Years) | 2–5 | 137 | 48.1 |
6–10 | 78 | 27.3 | |
11–15 | 40 | 14.0 | |
16–25 | 30 | 10.6 |
Items | Factors | |||||||
---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
1 Planning programs for enhancing male participation in perinatal care | 0.689 | |||||||
2 Education about preventing son preference in schools | 0.622 | |||||||
3 Women’s education about male participation in perinatal care | 0.617 | |||||||
4 Planning to help single pregnant women | 0.573 | |||||||
5 Educating men about problems related to unwanted pregnancy and abortion | 0.567 | |||||||
5 Correcting women’s misconceptions about male participation in perinatal care | 0.558 | |||||||
6 Adolescents’ education about the risks of pregnancy and abortion | 0.553 | |||||||
7 Academic researches to eliminate son preference | 0.541 | |||||||
8 Gaining support from policy makers to promote the male participation in perinatal care | 0.540 | |||||||
9 Develop community educational programs to promote male participation in perinatal care | 0.526 | |||||||
10 Promotion of male participation in perinatal care services through the media | 0.499 | |||||||
Teaching “Parenting” in schools | 0.493 | |||||||
Considering male personnel to provide perinatal services to men | 0.462 | |||||||
Training male perinatal care providers to respond to men’s problems | 0.416 | |||||||
Promoting male participation for making informed decision about method of childbirth | 0.405 | |||||||
Promoting men’s awareness about methods of childbirth | 0.402 | |||||||
Devoting appropriate time for men’s perinatal services | 0.693 | |||||||
Engaging volunteers to help in providing “parenting” services | 0.626 | |||||||
Employment of personnel to provide services to without any discrimination for men or women | 0.518 | |||||||
Providing services for diagnosis, treatment and follow up of male sexually transmitted diseases | 0.478 | |||||||
Providing counseling services for high-risk sexual behavior cases | 0.447 | |||||||
Providing sexual health counseling services by trained personnel | 0.409 | |||||||
Considering appropriate physical conditions for men’s attendance in perinatal services | 0.699 | |||||||
Integrating prenatal health comments in premarital counseling programs | 0.613 | |||||||
Planning to correct misbeliefs of the providers about male participation providers about male participation | 0.605 | |||||||
Providing friendly care services for pregnant women with AIDS | 0.554 | |||||||
Recommending condom use to men with high-risk sexual behaviors | 0.489 | |||||||
Management of workload for integrating paternal services in perinatal care services | 0.442 | |||||||
Education of reproductive health rights in universities | 0.668 | |||||||
Developing guidelines to protect rights of pregnant mothers in temporary marriage | 0.552 | |||||||
Girls’ education about the risks of pregnancy and abortion in schools | 0.491 | |||||||
Training care providers about sexual health and rights of pregnant mothers | 0.478 | |||||||
Developing guidelines to protect abused pregnant women | 0.440 | |||||||
Providing effective counseling for post-abortion clients | 0.686 | |||||||
Providing premarital counseling about risks of adolescents’ pregnancy for teenage couples | 0.598 | |||||||
Providing counseling to men about paternal role | 0.419 | |||||||
Providing counseling for post-abortion clients | 0.676 | |||||||
Providing special care and counseling before and after HIV testing of parents | 0.691 | |||||||
Scheduling perinatal care visits for men | 0.534 | |||||||
Evaluation of men’s health in perinatal care services | 0.423 | |||||||
Defining the Indices for Men’s Participation for quality of care assessment | 0.401 | |||||||
Increasing personnel’s awareness about male participation | 0.551 | |||||||
Paternal needs assessment using indicators | 0.530 | |||||||
Counseling for solving paternal adaptation problems | 0.522 | |||||||
Monitoring the performance of the private sectors in promoting male participation | 0.514 | |||||||
Couple’s training about methods of childbirth | 0.409 | |||||||
Educating couples about the effect of partner’s sexual high-risk behaviors on maternal and fetus health | 0.516 | |||||||
Men’s education about sexual health by educational booklets | 0.490 | |||||||
Providing special sexual health education for pregnant adolescents | 0.593 |
Dimensions | Categories (Qualitative study) | Sub-Scales (Factor Analysis) |
---|---|---|
Gender Sensitive Policies | Supportive policies | Supportive policies to promote gender sensitive services |
Community empowerment | ||
Intersectional cooperation | Women’s rights promotion | |
Gender Sensitive Structure | Human resources | Structural reforms |
Facilities | Facilitating male participation | |
Management | Management considerations | |
Gender Sensitive Process | Care | Care considerations |
Education | Educational considerations | |
Sexual health Education |
Reliability
Factors | Cronbach’s α coefficient | Interclass correlation coefficient | Test–retest Pearson correlation coefficient |
---|---|---|---|
Supportive policies to promote gender sensitive services | 0.905 | 0.817 | 0.895 |
Women’s rights promotion | 0.952 | 0.956 | 0.968 |
Structural reforms | 0.780 | 0.927 | 0.927 |
Faclitating male participation | 0.864 | 0.916 | 0.948 |
Management considerations | 0.836 | 0.977 | 0.979 |
Care considerations | 0.889 | 0.971 | 0.972 |
Educational considerations | 0.896 | 0.973 | 0.980 |
Sexual Health education | 0.889 | 0.991 | 0.999 |
Total | 0.880 | 0.973 | 0.980 |
Scoring procedure by GS-PNCS
Factors/Subscalesa | NO Items | Range of scores |
---|---|---|
Supportive policies to promote the gender sensitive services | 16 | 16–48 |
Women’s rights promotion | 5 | 5–15 |
Structural reforms | 6 | 6–18 |
Facilitating male participation | 5 | 5–15 |
management considerations | 6 | 6–18 |
care considerations | 5 | 5–15 |
educational considerations | 3 | 3–9 |
Sexual Health education | 3 | 3–9 |
Total | 49 | 49–147 |
Description of GS-PNC
Please show your opinion (by √) about the following needs for your perinatal care services to be gender sensitive (GS-PNCS)? | ||||
---|---|---|---|---|
How much the following "supportive policies" are necessary? | Not at all | Little | Much | |
1 | Gaining support from policy makers to promote the male participation in perinatal care | |||
2 | Develop community educational programs to promote male participation in perinatal care | |||
3 | Promotion of male participation in perinatal care services through the media | |||
4 | Correcting women’s misconceptions about male participation in perinatal care | |||
5 | Women’s education about male participation in perinatal care | |||
6 | Educating men about problems related to unwanted pregnancy and abortion | |||
7 | Adolescents’ education about the risks of pregnancy and abortion | |||
8 | Teaching "Parenting" in schools | |||
9 | Education about preventing son preference in schools | |||
10 | Academic researches to eliminate son preference | |||
11 | Planning to help single pregnant women | |||
12 | Planning programs for enhancing male participation in perinatal care | |||
13 | Considering male personnel to provide perinatal services to men | |||
14 | Training male perinatal care providers to respond to men’s problems | |||
15 | Promoting men’s awareness about methods of childbirth | |||
16 | Promoting male participation for making informed decision about method of childbirth | |||
How much the following strategies for "Women’s rights promotion" are necessary? | ||||
17 | Developing guidelines to protect abused pregnant women | |||
18 | Developing guidelines to protect rights of pregnant mothers in temporary marriage | |||
19 | Training care providers about sexual health and rights of pregnant mothers | |||
20 | Girls’ education about the risksof pregnancy and abortion in schools | |||
21 | Education of reproductive health rights in universities | |||
How much the following "Structural reforms" are necessary for the perinatal care services? | ||||
22 | Devoting appropriate time for men’s perinatal services | |||
23 | Providing services for diagnosis, treatment and follow up of male sexually transmitted diseases | |||
24 | Providing counseling services for high-risk sexual behavior cases | |||
25 | Providing sexual health counseling services by trained personnel | |||
26 | Employment of personnel to provide services to without any discrimination for men or women | |||
27 | Engaging volunteers to help in providing "parenting" services. | |||
How much the following strategies are necessary to "Facilitating male participation"? | ||||
28 | Increasing personnel’s awareness about male participation | |||
29 | Paternal needs assessment using indicators | |||
30 | Counseling for solving paternal adaptation problems | |||
31 | Monitoring the performance of the private sectors in promoting male participation | |||
32 | Couple’s training about methods of childbirth | |||
How much the following "management considerations" are necessary for gender sensitive Perinatal services? | ||||
33 | Considering appropriate physical conditions for men’s attendance in perinatal services | |||
34 | Integrating prenatal health comments in premarital counseling programs | |||
35 | Planning to correct misbeliefs of the providers about male participation | |||
36 | Providing friendly care services for pregnant women with AIDS | |||
37 | Recommending condom use to men with high-risk sexual behaviors | |||
38 | Management of workload for integrating paternal services in perinatal care services | |||
How much the following "care considerations" are necessary for gender sensitive perinatal care services? | ||||
39 | Scheduling perinatal care visits for men | |||
40 | Evaluation of men’s health in perinatal care services | |||
41 | Defining the Indices for Men’s Participation for quality of care assessment | |||
42 | Providing care for post abortion patients | |||
43 | Providing special care and counseling before and after HIV testing of parents | |||
How much the following "educational considerations" are necessary for gender sensitive perinatal care services? | ||||
44 | Providing counseling to men about paternal role | |||
45 | Providing premarital counseling about risks of adolescents’ pregnancy for teenage couples | |||
46 | Providing counseling for post-abortion clients | |||
How much the following "sexual health education" are necessary in the perinatal care services" | ||||
47 | Educating couples about the effect of partner’s sexual high-risk behaviors on maternal and fetus health | |||
48 | Men’s education about sexual health by educational booklets | |||
49 | Providing special sexual health education for pregnant adolescents |