Assessment of Male Partner’s Involvement in Prevention of Mother-to-Child Transmission of HIV and Associated Factors Among Males in PMTCT Services

Abstract

Background: Maintaining an adequate and safe Prevention Mother-to-Child Transmission of HIV services and male partner's involvement in PMTCT services are an issue of concern to local health planner especially with increase in population size and an increase in the number of medical facilities. Objectives: To describes whether methodological issues such as sample Characteristics, Outcome measures, and mechanisms causing change in the outcome measures could explain some of the inconsistent findings evident on. Methods: This review bases peer reviewed journal articles on "Assessment of Male partner's involvement in Prevention of Mother-to-Child Transmission of HIV and Associated Factors among Males in PMTCT services." which are published between Sep, 2009 and February, 2015. Key words such as "Male partner", "PMTCT", "Male involvement", "ANC", "MTCT", and "HIV" were used to search the articles from different websites. A total of 106 articles were obtained. Then titles, summary or abstract, and the whole body of each of the articles were checked for their relevance to be included in the analyses. Finally, a total of 19 articles were found to be eligible to be included in the analyses. In this regards, we searched databases of MEDLINE, Pub Med. Elsevier, Google, BMC, PMC, and Psych Info search Engines. Result: From 106 identified studies, 19 met the inclusion criteria. The majority of the studies 7 (37. 1%) identified the determinants of male partners' involvement in maternal and child health activities, focusing specifically on HIV prevention of maternal to child transmission (PMTCT) in Africa. Most of the reviewed articles 6 (31. 6%) selected a minimum sample size of 100 (20%) participants However, five of the total reviewed articles (26. 3%) were selected the maximum sampled size of 500 participants. The study result reviewed studies sought to generalize from the mentioned articles by identifying a wide variety of male partner's involvement in PMTCT services and associated factors in PMTCT in Africa. Conclusion: Many challenges to increase male involvement in PMTCT (1) enhance male participation in the process, the adherence rate of mothers towards PMTCT care and support was fair, highlight the male participation in PMTCT programs, and male partner involvement in ANC/PMTCT is low. Male partner's involvement in PMTCT services is a well-accepted issue and has important positive outcomes on several of health discipline.

Male Partner Involvement on Prevention of Mother to Child Transmission of HIV and Associated Factors among Pregnant Mothers Attending Antenatal at Fantale District, Ethiopia

“…This finding is consistent with the study conducted in Kibaale District, Uganda [7]. The referred study revealed that African men have been found to hold onto certain traditional cultural beliefs which inhibit their active involvement in reproductive health programmes [24][25][26][27].…”

Male involvement in prevention of mother to child transmission of human immuno virus and associated factors among partners’ of reproductive age women at Debre Tabor town, Northwest Ethiopia: a community based cross sectional study

“…In our study area there are few public and very limited private health institutions that provide PMTCT of HIV service. In contrast, the finding is higher than a study conducted in Mwanza District, Malawi which had 13.7% of males involved in PMTCT of HIV service [14]. The difference could be related to difference in study period, information education communication and behavioral change in communication, since male involvement on PMTCT of HIV services is increased time to time due to mass media and health care provider's awareness creation effort.…”

“…Studies conducted in Thailand, Uganda, Kenya, Mekelle Ethiopia and Gondar Ethiopia showed that the prevalence of male involvement in the PMTCT of HIV were 46%, 5%, 31%, 20.1%, and 27.3%, respectively [7][8][9][10][11]. Age, residence, marital status, educational level, occupational status, average monthly income, and distance from the health institution were the significant risk factors for the PMTCT of HIV in a previous studies [12][13][14][15].…”

Male involvement in prevention of mother to child transmission of human immunodeficiency virus and associated factors in Enebsiesarmider District, north West Ethiopia, 2018: a cross-sectional study

“…However, male involvement in the PMTCT program remains low in low and middle-income countries, including Ethiopia [10,11]. For instance, a study conducted in the Myanmar region of Asia revealed that male involvement in PMTC is 13% [12], A Brief Review of Initiatives in East, West and Central Africa showed that male involvement in PMTCT was low with a range from 1.8 to 32% [13].…”

“…For instance, a study conducted in the Myanmar region of Asia revealed that male involvement in PMTC is 13% [12], A Brief Review of Initiatives in East, West and Central Africa showed that male involvement in PMTCT was low with a range from 1.8 to 32% [13]. Another systemic review conducted in Ethiopia showed that male involvement in PMTCT was 14 to 30% [11]. Recent studies on the topic suggest that there were several reasons for the low level of male involvement, including cultural barriers and norms, PMTCT/ANC knowledge, sociodemographic characteristics, male individual factors and health system [13][14][15].…”