I-Fight for Fathers in Maternity Care e-Uganda

Amaphuzu avelele

• Bangaphansi kwengxenye yamadoda asemaphandleni ase-Uganda abambe iqhaza ekukhulelweni nasekubelethweni kwabalingani babo.
• Amadoda afisa ukuzibandakanya ekukhulelweni nasekubelethweni kwengane kodwa azabalaza ukufeza izindima ezicatshangwayo njengobaba abakahle ngenxa yezithiyo ezihlukahlukene ezifana nezimo zengqondo, izinkambiso zomphakathi, umuzwa wokulawula, nezithiyo zesistimu yezempilo.
• Ukungenelela okuphelele, okufana nokufundisa amadoda ngokubeletha, ukuqeqesha abasebenzi bezempilo ekukhulumisaneni okungcono, nokudala izindawo ezengeziwe ezibhedlela ezamukelayo zabalingani besilisa, kuyadingeka ukuze kwandiswe ukuzibandakanya kwabesilisa ekunakekelweni kwezempilo komama.

Isendlalelo: Ukuzibandakanya kwabesilisa ngesikhathi sokukhulelwa kanye nokubeletha kubalulekile ekwenzeni ngcono imiphumela yezempilo kamama nengane. Kuholela ekufinyeleleni okungcono ekunakekelweni, ukuzizwisa okuthuthukisiwe kokukhulelwa, nokuncipha kokushona kwezinsana. Nokho, naphezu kokubaluleka kwayo, ukubandakanyeka kwabesilisa kuhlala kuphansi ezindaweni eziningi. E-Uganda, nakuba kunenqubomgomo esekela ukubamba iqhaza kwabesilisa, ukuqaliswa kubhekene nezinselelo ezinkulu. Imiphumela yokuzibandakanya kwabesilisa empilweni kamama neyengane mikhulu. Uma obaba bematasatasa, kunamathuba amaningi okuthi abesifazane baye ekuvakasheni kokunakekelwa kwabakhulelwe, babeletha ezikhungweni, futhi banciphise ukucindezeleka ngesikhathi sokukhulelwa. Lokhu kubandakanyeka kuhlotshaniswa cishe namathuba aphindwe kabili aphezulu okuba khona kwamakhono ekuzalweni kanye nokuncipha kokushona kwezinsana. Izibalo zamanje zikhomba ukuthi ukuzibandakanya kwabesilisa empilweni kamama kusalokhu kuphansi emazweni amaningi ase-Afrika. Ngokwesibonelo, eBurundi, indoda eyodwa kuphela kwamahlanu iba khona okungenani ukuvakasha kokubeletha okukodwa, kuyilapho eRwanda, izinga liphakeme, njengoba kuba nengxenye engaphezu kweyodwa kuwo wonke amadoda amabili. E-Uganda ngokukhethekile, cishe amaphesenti angu-6 kuphela amadoda ahlala ephelezela abalingani bawo lapho beyovakashela khona lapho bekhulelwe. Ukubandakanyeka kwabesilisa ngesikhathi sokukhulelwa kanye nokubeletha kuphansi e-Uganda. Ngokubheka okwenzeka emadodeni abalingane babo ababa nezinkinga zokukhulelwa esibhedlela sase-Mulago, singathola izindlela zokukhuthaza amadoda amaningi ukuthi abambe iqhaza. Ukuqonda ukuthi yini esiza nokuthi yini evimbela ukubandakanyeka kwabesilisa ngokombono wobaba kuzosiza ekwakheni izinqubomgomo nezinhlelo ezingcono. Lokhu kungaholela ekutheni amadoda amaningi abambe iqhaza ekunakekelweni komama, okuzokwenza ngcono imiphumela yezempilo komama nezingane e-Uganda nasezindaweni ezifanayo. Izindlela: Lolu cwaningo lusebenzise izingxoxo ezisezingeni eliphezulu namadoda angu-16 esibhedlela sase-Mulago e-Kampala, e-Uganda ukuze kuqondwe izici ezithonya ukubandakanyeka kwabesilisa ekukhulelweni nasekubelethweni kwengane. Okutholakele okubalulekile:

1. Amadoda afuna ukuzibandakanya ekukhulelweni nasekubelethweni kwezingane kodwa abhekane nezingqinamba. Lokhu kuhlanganisa imisebenzi yomsebenzi, ukuntula ulwazi ngokukhulelwa, izindima ezingacacile, izinkambiso zendabuko zobulili, kanye nokuhlelwa kwesibhedlela okungenabungane.
2. Izibhedlela zivame ukuvalela amadoda ngaphandle, naphezu kwezinqubomgomo zokubandakanyeka. Amadoda awakwazi ukungena emagumbini okubelethisa, awatholi indawo emitholampilo yabakhulelwe, futhi abasebenzi abanakwa.
3. Amadoda azizwa eshiywe ngaphandle futhi engaqiniseki ngesikhathi sokubeletha. Babizwa ngokuthi “izivakashi” esikhundleni sokuba ngabalingani, bazizwa bengenakuzisiza, futhi abazi ukuthi bazokweseka kanjani amakhosikazi abo. Asikho isiqondiso esicacile endimeni yabo.
4. Abasebenzi bezempilo abaxhumani kahle namadoda. Abesilisa bakuthola kunzima ukuthola ulwazi mayelana nempilo yabalingani babo, abashiywa ngaphandle ezinqumweni zokunakekelwa, futhi bathola ulwazi olungacacile lapho belunikezwa.

Isiphetho: Ucwaningo lukhombisa ukuthi ukwanda kokuzibandakanya kwabesilisa ekunakekelweni komama kudinga okungaphezu nje kokukhuthaza amadoda ukuthi abambe iqhaza. Kudinga ukushintsha imiqondo, ukubhekana nezithiyo ezingokoqobo, kanye nokuguqula izinqubo zesistimu yezempilo. Izinkolelo zamadoda, izingcindezi zenhlalo, ikhono elibonwayo lokunqoba izithiyo, nolwazi ngohlelo lwezempilo konke kuneqhaza elibalulekile. Ukwenza inqubekelaphambili yangempela, kudingeka indlela ebanzi yokubhekana nazo zonke lezi zindawo. Imithelela Yenqubomgomo:

• Imizamo yamanje yokukhuthaza ukubandakanyeka kwabesilisa ayanele. Amasu amasha, abanzi ayadingeka.
• Ukunikeza ulwazi kukodwa akwanele. Ukubunjwa okusebenzayo kwezimo zengqondo kanye nezinkambiso zomphakathi mayelana nokubandakanyeka kwabesilisa kuyadingeka.
• Ukuguqulwa kwesistimu yezempilo kubalulekile. Izibhedlela zidinga ukwakha izindawo zokwamukela amadoda.
• Ukuthuthukisa ukuxhumana phakathi kwabasebenzi bezempilo namadoda kungaba nomthelela omuhle ekuzibandakanyeni kwabesilisa.
• Izithiyo ezisebenzayo ezenza amadoda azizwe engakwazi ukubamba iqhaza zidinga ukubhekwana nazo.

Izincomo:

1. Imikhankaso yomphakathi: Yethula imikhankaso esabalele yomphakathi yokuthuthukisa ulwazi nesimo sengqondo mayelana nokuzibandakanya kwabesilisa ekunakekelweni komama.
2. Ukuqeqeshwa kwabasebenzi bezempilo: Ukuqeqesha abasebenzi bezempilo ekuxhumaneni nokubandakanya amadoda ngesikhathi sokukhulelwa kanye nokubeletha.
3. Izinqubomgomo zesibhedlela: Yenza izinqubomgomo nezinqubo ezicacile zokuzibandakanya kwabesilisa ewodini lababeletha.
4. Ukuthuthukiswa kwesikhungo: Dala izindawo zokwamukela amadoda emawadini yababeletha, ngolwazi nemfundo enikeziwe.
5. Ukucaciswa kweqhaza: Yenza imihlahlandlela ecacisa izindima zamadoda ngesikhathi sokukhulelwa, ukubeletha, kanye nezikhathi zangemuva kokubeletha.
6. Ukuqapha Nokuhlola: Ukwakha uhlelo lokulandela inqubekelaphambili kanye nokuhlonza izindawo okufanele zenziwe ngcono ekubandakanyekeni kwabesilisa.
7. Ucwaningo Olwengeziwe: Yenza ucwaningo ukuze uhlole amasu okungenelela ahlukene futhi uhlonze izindlela ezisebenza kahle kakhulu zokwandisa ukubandakanyeka kwabesilisa ezimweni ezehlukene.

Isihloko esingenhla sisekelwe ocwaningweni olwenziwa esibhedlela i-Mulago e-Uganda. Kaye, DK, Kakaire, O., Nakimuli, A., Osinde, MO, Mbalinda, SN, & Kakande, N. (2014). Ukuzibandakanya kwabesilisa ngesikhathi sokukhulelwa kanye nokubeletha: Imibono yabesilisa, imikhuba, kanye nokuhlangenwe nakho ngesikhathi sokunakekelwa kwabesifazane ababa nezinkinga zokubeletha esibhedlela sase-Mulago, e-Uganda. I-BMC Ukukhulelwa Nokubeletha, 14 (1), 54. https://doi.org/10.1186/1471-2393-14-54  Ezinye izithenjwa u -Alio, AP, Mbah, AK, Kornosky, JL, Wathington, DJ, Marty, PJ, & Salihu, HM (2011). Ukuhlola umthelela wokubandakanyeka kobaba ekuhlukeni kohlanga/ubuzwe emazingeni okufa kwezingane. Ijenali Yezempilo Yomphakathi, 36 (1), 63-68. https://doi.org/10.1007/s10900-010-9280-3 Kariuki, KF, & Seruwagi, GK (2016). Izinqumo zokubandakanyeka komlingani wesilisa ekunakekelweni kwabakhulelwe esifundeni sase-Wakiso, e-Uganda. Ijenali Yentuthuko Yezokwelapha Nocwaningo Lwezokwelapha, 18 (7), 1-15. https://doi.org/10.9734/BJMMR/2016/28056 Ministry of Health. (2019). Iziqondiso zenqubomgomo ekuzimbandakanyeni kwabesilisa ekulethweni kwezinsizakalo zezempilo zocansi nokuzala. Kubuyiswe ku -http://library.health.go.ug/sites/default/files/resources/Male %20involvement% 20policy %20guidelines% 20revised %20UPDATED% 202019%20Olive.pdf Tokhi, M., Comrie-Thomson, J. Portela, A., Chersich, M., & Luchters, S. (2018). Ukubandakanya amadoda ukuthuthukisa impilo kamama neyokuzalwa: Ukubuyekezwa okuhlelekile kokuphumelela kokungenelela. I-PLoS One, 13 (1), e0191620. https://doi.org/10.1371/journal.pone.0191620