Men’s Knowledge and Attitudes toward Cultural Practices Influencing Maternal Health Outcomes in North West Nigeria

Abstract

Background: Despite numerous maternal health interventions in Nigeria, harmful cultural practices and patriarchal norms continue to impede women's access to safe maternal healthcare, particularly in the North West region. While existing studies have explored women's experiences, limited attention has been given to men's knowledge and attitudes, despite their decisive role in maternal health decisions. This study examined men's knowledge and attitudes toward cultural practices influencing maternal health outcomes in North West Nigeria.

Materials and Methods: A descriptive cross-sectional research design was employed, and data were collected from 165 men across selected states in the region using a semi-structured questionnaire. The instrument's reliability coefficient was 0.79, confirming internal consistency. Data were entered into SPSS version 25.0 and analysed using frequency distribution table and percentages, mean, and standard deviation and chi-square statistics were used to test the level of knowledge and attitude with socio-demographic data at a 5% significance level.

Results: Findings revealed that 96.9% of men possessed high knowledge regarding cultural practices affecting maternal health, while 61.1% demonstrated negative attitudes toward cultural practices. The study found no significant relationship between men's knowledge and attitudes, suggesting that awareness alone does not necessarily translate into behavioural change. Moreover, only religion showed a
significant association with men's knowledge, while no socio-demographic variable significantly influenced their attitudes.

Conclusion: The study concludes that although men are well-informed about the dangers of harmful cultural practices, their attitudes remain largely shaped by patriarchal and religious ideologies. It recommends community-based male-targeted education, religious engagement, and behavioural change campaigns to promote positive male participation in maternal health decision-making.