Copyright © 2015 Hans Justus Amukugo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. International Journal of Advanced Nursing Studies, 4 (2) (2015) 122-130 International Journal of Advanced Nursing Studies Journal home page: www.sciencepubco.com/index.php/IJANS doi: 10.14419/ijans.v4i2.5018 Research Paper Development of model to facilitate male involvement in the reproductive health context by the registered nurses Hans Justus Amukugo 1 *, Karen Jooste 2 , Agnes Van Dyk 3 1 University of Namibia, School of Nursing Department of Public Health 2 University of Western Cape, School of Nursing Department of Community 3 The International University of Management School of Nursing *Corresponding author E-mail: hamukugo@unam.na Abstract The purpose of this article is to describe the process followed in the development of the model of facilitating male partner involvement in reproductive health (RH) context by the nurses. Namibia is one of the African countries affected by cultural and socio-economic influ- ences that have persuaded gender roles in a way that hinders male-partner involvement in RH context. This phenomenon make difficult for the nurses to facilitate their involvement. The research methods were done in four phases. Phase 1 entitled concepts analysis. Phase one was done into two steps namely step1 - concepts identification and step 2 - concepts definition. During concept identification, qualitative, exploratory, descriptive design was followed. The target population included male and female partners attending health facilities and all nurse managers (registered nurses in charge) that provided RH services in the health facility in a northern region in Namibia. Individual interviews and focus were conducted until data saturation occurred. During the research three fundamental principles such as respect person, beneficence and justice were adhered. Tech’s eight steps of descriptive data analysis were used. Three (3) main cat egories, six (6) categories and twelve (12) subcate- gories were identified using open coding and conceptualization. The main concepts of the model were identified and classified using a survey list of Dickoff, James, Wiedenba (Dickoff,James, Wiedenbach, 1968; Mckenna, 2006). Phase 2 dealt with the creation of interre- lationship statements between concepts identified in step 1. In phase 3 focuses with the description of the model using strategies pro- posed by (Chinn & Kramer, 1991). In phase 4, the description of guidelines and evaluation for the model was also done. The applied the principle of trustworthiness through developing dependability, credibility, transferability and confirmability in all four phases. A model was developed based on a theory generated approach. The model consist of five phase namely, situational analysis in the exter- nal environment (community) and internal environment (health facilities); establishment of partnership (male and female partner and Nurses), management process, maintaining the conducive environment and control & terminus/ outcome phase. It was concluded that facilitation of Male involvement in RH care context is needed. Further the recommendations were made to implement a model within the current health care framework in which reproductive health is provided. Keywords: Development; Model; Facilitate Male Involvement; Reproductive Health; Context and the Registered Nurses. 1. Introduction Male involvement in Reproductive Health care services is a major challenge particularly in Namibia and African countries in gen- eral. Fathers accompanying their female partners to reproductive health care services are a real challenge mainly due to cultural and socio-economic influences that have persuaded gender roles in a way that hinders male-partner involvement in reproductive health. Some of the challenges observed are negative perception about male involvement by of the stakeholders ; poor interpersonal rela- tionship, personal attributes, cultural barriers, inadequate and poor management of human and material resources to support this pro- cess; inaccessible to health facilities and inadequate management principles, structures, policy, networking and legislation. Poor male involvement in the reproductive health care services jeopard- ize with the implementation of reproductive health services such as PMTC, HIV/AIDS counselling and testing, family planning, antenatal and postal care and treatment of communicable diseases. More often, health facilities are not male friendly and most of the available services focus on mother and child at the exclusion of fathers. Yet, for the effectiveness of the reproductive health care services could only take place in an environment where a both partners (male and female) are encouraged to participate; and have the support and guidance of the health workers particular Nurses who are the custodians and advocates in the reproductive health context. The conferences International Conference on Population and Development (ICPD) held in Cairo, Egypt in 1994 and Na- tions 4th World Conference on Women, held in Beijing, in China in 1995 identified that men were virtually neglected in the past, especially on the issue of sexual and reproductive health care. To overcome these problems, the WHO (World Health Organization, 1999) suggested that governments and institutions should come up with centre of development of health care services models of re- productive health services that could serve as platforms where male partners could be involved. Theory generation design includes theory development and the evaluation of that theory. It is also a dynamic process of research