title: [Knowledge and attitudes towards reproductive health: survey among moroccans living in rural areas].
abstract: BACKGROUND
  The objective is to describe the knowledge, attitudes and practices (KAP) of men living in a landlocked area towards reproductive health.
  
  
  METHODS
  We conducted a mixed methods study (focus group and KAP survey ) in a mountainous region near Marrakech. This descriptive survey involved 74 men ; we used two sampling methods (souk visitors on a weekly basis and persons accompanying the expectant mothers to their antenatal visits as part of an antenatal clinic caravan campaign). Data collection (March - April 2014) was made using a questionnaire translated into respondents' dialect and administered by trained Amazigh-speaking investigators. Quantitative data analysis was descriptive and bivariate (statistical significance level at 5%). Focus group data were analyzed after recording and transcription.
  
  
  RESULTS
  The median age was 38 years (19-80 years). Of the 64 men living together (86.5%), half (55.4%) opted for the pill. Two thirds recognized the importance of importance of pregnancy monitoring, while 37% of husbands were unaware of the frequency of follow-up visits. The non-use of services was 56.9% (N = 58) of which 42.4% without any reason. Educational attainment was associated with spouse's pregnancy screening (p = 0.015) and with a positive attitude toward the importance of pregnancy monitoring (p = 0.011). The lack of awareness regarding possible complications (35.1% of respondents) was a factor associated with lack of postnatal care among spouses (p = 0.021). The barriers identified in focus group analysis were cultural, geographic and socio-economic.
  
  
  CONCLUSIONS
  Information, education, communication programmes should mostly aim to involve male participants in similar contexts.
authors.affiliation: Service de Recherche Clinique, CHU Mohammed VI de Marrakech, Département de Médecine Communautaire et de Santé Publique, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, Maroc.
authors.forename: Majda
authors.initials: M
authors.lastname: Sebbani
authors.affiliation: Service de Recherche Clinique, CHU Mohammed VI de Marrakech, Département de Médecine Communautaire et de Santé Publique, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, Maroc.
authors.forename: Latifa
authors.initials: L
authors.lastname: Adarmouch
authors.affiliation: Service de Recherche Clinique, CHU Mohammed VI de Marrakech, Département de Médecine Communautaire et de Santé Publique, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, Maroc.
authors.forename: Isam
authors.initials: I
authors.lastname: Azzahiri
authors.affiliation: Service de Recherche Clinique, CHU Mohammed VI de Marrakech, Département de Médecine Communautaire et de Santé Publique, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, Maroc.
authors.forename: Wafa
authors.initials: W
authors.lastname: Quiddi
authors.affiliation: Laboratoire d'Ecologie Humaine, Département de Biologie, Faculté de Sciences, Université Cadi Ayyad de Marrakech, Maroc.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Cherkaoui
authors.affiliation: Service de Recherche Clinique, CHU Mohammed VI de Marrakech, Département de Médecine Communautaire et de Santé Publique, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, Maroc.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Amine
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009018:Morocco; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000523:psychology; D060728:Reproductive Health; D012424:Rural Population; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Morocco; Reproductive health; attitudes; knowledge; man; practices