Increasing HIV testing among male partners

Orne-Gliemann, Joanna; Balestre, Eric; Tchendjou, Patrice; Miric, Marija; Darak, Shrinivas; Butsashvili, Maia; Pérez-Then, Eddy; Eboko, Fred; Plazy, Mélanie; Kulkarni, Sanjeevani; Loû, Annabel Desgrées du; Dabis, François

doi:10.1097/qad.0b013e32835f1d8c

Cited by 50 publications

(60 citation statements)

References 21 publications

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“…The core components of VCT studies included individual and couples HIV (rapid) testing and counseling, education and role-play (skills-building and self-efficacy), condom distribution, and information and referral for treatment, where necessary [12, 17, 20, 21, 27, 29, 30, 50–57]. …”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Couple-Based HIV Intervention and Prevention Studies: Advantages, Gaps, and Future Directions

2014

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We conducted a systematic review of couple-based HIV biobehavioral (skills-building, VCT, and adherence) and biomedical (ART, circumcision) prevention and intervention studies designed to reduce sexual-and drug-risk behaviors and HIV transmission and acquisition. Of the 11,162 papers identified in the search, 93 peer-reviewed papers met the inclusion criteria and yielded a total of 33 studies conducted globally. Biobehavioral couple-based prevention and intervention studies have been efficacious in reducing sexual- and drug-risk behaviors, increasing access to HIV testing and care, and improving adherence. Biomedical couple-based studies were found to reduce HIV incidence among HIV-negative sex partners and viral load among HIV-positive partners. Despite much progress, couple-based HIV prevention and intervention studies remain limited; a number of methodological gaps exist and studies focusing on MSM, people who inject drugs, and sex workers are scarce.

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Section: Resultsmentioning

confidence: 99%

Systematic Review of Couple-Based HIV Intervention and Prevention Studies: Advantages, Gaps, and Future Directions

2014

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“…(19) found that couples’ HCT seemed to threaten masculine esteem by exposing their extra-marital relations and consequently severing their relations with their female spouses. Despite these fears, there is evidence that targeting men to encourage them to test for HIV together with their partners can improve uptake of couples’ HCT (40), and a recent randomized trial has suggested that targeting men as a specific population sub-group could improve couples’ HCT uptake especially at antenatal clinics (41). …”

Section: Discussionmentioning

confidence: 99%

“Men are always scared to test with their partners … it is like taking them to the Police”: Motivations for and barriers to couples’ HIV counselling and testing in Rakai, Uganda: a qualitative study

Matovu

Wanyenze

Wâbwire-Mângen

et al. 2014

Journal of the International AIDS Society

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IntroductionUptake of couples’ HIV counselling and testing (couples’ HCT) can positively influence sexual risk behaviours and improve linkage to HIV care among HIV-positive couples. However, less than 30% of married couples have ever tested for HIV together with their partners. We explored the motivations for and barriers to couples’ HCT among married couples in Rakai, Uganda.MethodsThis was a qualitative study conducted among married individuals and selected key informants between August and October 2013. Married individuals were categorized by prior HCT status as: 1) both partners never tested; 2) only one or both partners ever tested separately; and 3) both partners ever tested together. Data were collected on the motivations for and barriers to couples’ HCT, decision-making processes from tested couples and suggestions for improving couples’ HCT uptake. Eighteen focus group discussions with married individuals, nine key informant interviews with selected key informants and six in-depth interviews with married individuals that had ever tested together were conducted. All interviews were audio-recorded, translated and transcribed verbatim and analyzed using Nvivo (version 9), following a thematic framework approach.ResultsMotivations for couples’ HCT included the need to know each other's HIV status, to get a treatment companion or seek HIV treatment together – if one or both partners were HIV-positive – and to reduce mistrust between partners. Barriers to couples’ HCT included fears of the negative consequences associated with couples’ HCT (e.g. fear of marital dissolution), mistrust between partners and conflicting work schedules. Couples’ HCT was negotiated through a process that started off with one of the partners testing alone initially and then convincing the other partner to test together. Suggestions for improving couples’ HCT uptake included the need for couple- and male-partner-specific sensitization, and the use of testimonies from tested couples.ConclusionsCouples’ HCT is largely driven by individual and relationship-based factors while fear of the negative consequences associated with couples’ HCT appears to be the main barrier to couples’ HCT uptake in this setting. Interventions to increase the uptake of couples’ HCT should build on the motivations for couples’ HCT while dealing with the negative consequences associated with couples’ HCT.

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“…Studies across sub-Saharan Africa report rates of male partner HTC ranging from 5%-33%, with the majority reporting that less than one in five men get HIV tested during their partner's pregnancy (Figure 2). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] A retrospective evaluation of PMTCT medical records in a referral hospital in Uganda showed that less than 5% of male partners underwent HTC. 21 Another randomized trial in Uganda that offered a written invitation or information note resulted in only 15% male partner testing.…”

Section: Low Rates Of Male Partner Involvement In Pmtct and Antenatalmentioning

confidence: 99%

Role of male partners in the prevention of mother-to-child HIV transmission

Osoti¹,

Han²,

Kinuthia³

et al. 2014

RRN

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Abstract:There is emerging evidence that in resource-limited settings with a high human immunodeficiency virus (HIV) burden, male partner involvement in prevention of mother-tochild HIV transmission (PMTCT) is associated with improved uptake of effective interventions and infant HIV-free survival. There is also increasing evidence that male partner involvement positively impacts non-HIV related outcomes, such as skilled attendance at delivery, exclusive breastfeeding, uptake of effective contraceptives, and infant immunizations. Despite these associations, male partner involvement remains low, especially when offered in the standard antenatal clinic setting. In this review we explore strategies for improving rates of antenatal male partner HIV testing and argue that the role of male partners in PMTCT must evolve from one of support for HIV-infected pregnant and breastfeeding women to one of comprehensive engagement in prevention of primary HIV acquisition, avoidance of unintended pregnancies, and improved HIV-related care and treatment for the HIV-infected and uninfected women, their partners, and children. Involving men in all components of PMTCT has potential to contribute substantially to achieving virtual elimination of mother-to-child HIV transmission; promoting partner-friendly programs and policies, as well as pursuing research into numerous gaps in knowledge identified in this review, will help drive this process.

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Increasing HIV testing among male partners

Abstract: A simple prenatal intervention taking into account the couple relationship increases the uptake of HIV testing among men in different socio-cultural settings. COC could contribute to the efforts towards eliminating mother-to-child transmission of HIV.

Cited by 50 publications

References 21 publications

Systematic Review of Couple-Based HIV Intervention and Prevention Studies: Advantages, Gaps, and Future Directions

Systematic Review of Couple-Based HIV Intervention and Prevention Studies: Advantages, Gaps, and Future Directions

“Men are always scared to test with their partners … it is like taking them to the Police”: Motivations for and barriers to couples’ HIV counselling and testing in Rakai, Uganda: a qualitative study

Role of male partners in the prevention of mother-to-child HIV transmission

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