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Table 3 Results of data analysis

From: Barriers to men’s participation in perinatal care: a qualitative study in Iran

Codes

Sub-category

Category

• Negative attitudes toward the issue of male participation

• Men’s fear of social stigma

• The community believe of the responsibility of the woman

The undesirable dominant socio-cultural climate of the society

Cultural barriers

• Unwillingness to allow husband’s presence in maternity ward and prenatal clinic

• The traditional women’s reliance on their family

Lack of request from women

• The insignificant contribution of families in learning to participate in boys

• The lack of education of men and boys in our society

Educational poverty in the society

• Unawareness of men about the importance of their collaborative role in the perinatal period

• Men’s insufficient experience about participation in pregnancy, childbirth and postpartum care

• The lack of men’s preparation at early age for fatherhood

Poverty of consciousness and men’s inadequate experiences

Personal and Interpersonal barriers

• Changing the sexual function of couples during pregnancy

• The lack of proper interaction between couples

Couple’s communicational problems

• Lack of appropriate physical space in health centers for men

• Inappropriate time to provide prenatal care for the possibility of male participation

• Restriction and even the ban on men for entering the prenatal clinic

The structural problems in the health centers

Health system-related barriers

• The negative attitude of the health providers towards the presence of men alongside the wives in health centers

• The lack of male reproductive health professionals for the education of boys and men

• The embarrassment of female medical staff to confront men in women’s care settings

Problems related to the human resources

• Applying the opinion and personal preferences of the senior managers of health centers to avoid the presence of men in these centers

• The lack of attention of policymakers to the issue of men’s participation in perinatal care in large-scale planning and policy as a community’s need despite its acceptance

• The lack of a specific program in the health ministry’s plans for male participation in perinatal care

Policymaking and managerial problems

• Lack of time for men due to long working hours

• Failure to grant and perform paternal leave

Men’s occupational problems

Socio-economic barriers

• High costs of pregnancy care and childbirth

• The lack of financial support for families during pregnancy by the government

• Low economic level of the family

Financial problems