&lt;p&gt;Determinants of Male Partner Involvement Towards Prevention of Mother to Child Transmission Service Utilization Among Pregnant Women Who Attended Focused Antenatal Care in Southern Ethiopia&lt;/p&gt;

Ayalew, Mohammed; Gebrie, Melese; Geja, Ephrem; Beyene, Bereket

doi:10.2147/hiv.s233786

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Constant engagement of men has been reported to have positive effects on men’s participation and their involvement particularly being related to improved knowledge of PMTCT and higher engagement in HIV and pregnancy-safe practices ( Melis & Fikadu, 2022 ; OPHID, 2015 ). However, contrasting with other studies ( Ayalew et al, 2020 ), less than 50% of the men in our study were returning clients with the rest presenting for the first time. Our findings indicate that there is a gap between attracting men to the ANC program and keeping them engaged in the program.…”

Section: Discussioncontrasting

confidence: 99%

Using the RE-AIM Framework to Evaluate Implementation of Male Involvement Strategies to Optimize the PMTCT Program in Malawi: A Mixed-Methods Study

Kumwenda,

Singogo,

Nyondo-Mipando

2023

Am J Mens Health

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Involvement of male partners has been shown to be key for the prevention of mother-to-child HIV transmission (PMTCT). Despite the recorded success, uptake and implementation of strategies to involve men in PMTCT continues to be low in Malawi. In this study, we used the Reach Effectiveness Adoption Implementation and Maintenance (RE-AIM) implementation science framework to explore the implementation of male involvement (MI) strategies in Lilongwe, Malawi. We used a cross-sectional mixed-methods complementary-concurrent design from September to October 2020 in two health facilities. Qualitatively, we used a phenomenological approach and conducted seven focus group discussions (FGDs), three with women and four with men. We further conducted four key informant interviews (KIIs) among health care workers. Quantitatively, we conducted a cross-sectional study comprising 138 men presenting at an antenatal clinic (ANC). We used univariate analysis in Stata for the quantitative data, whereas a manual thematic analysis was applied to the qualitative data. Implementation and adoption of the strategies was high among health providers and there were indications of maintenance of the strategies. Provider’s attitude, coordinated service provision, integrated training and service provision, information provision, and baby’s HIV outcomes were driving factors in implementing the MI strategies. These factors have contributed to the sustained implementation of the strategies over time. In contrast, financial and time constraints, inadequate human resources, and male-friendly spaces impede the implementation of MI strategies. Improving MI will require a systems approach considering health system and individual-level factors for both providers and consumers.

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Section: Discussioncontrasting

confidence: 99%

Using the RE-AIM Framework to Evaluate Implementation of Male Involvement Strategies to Optimize the PMTCT Program in Malawi: A Mixed-Methods Study

Kumwenda,

Singogo,

Nyondo-Mipando

2023

Am J Mens Health

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“…It could also be that these had couple’s HIV testing which increases HIV testing for pregnant women, a component of the PMTCT cascade [ 41 ]. Our results are consistent with those of a study in Ethiopia in 2015 whereby the odds of utilizing PMTCT services among mothers whose partners had undergone HIV counseling and testing were 8.2 times those of mothers whose partners had not undergone it [ 42 , 43 ].…”

Section: Discussionsupporting

confidence: 91%

Optimal utilization of prevention of mother-to-child transmission of HIV services among adolescents under group versus focused antenatal care in Eastern Uganda

Akunzirwe

Bakeera-Kitaka²,

Kalyango³

et al. 2022

PLoS ONE

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Background Group antenatal care (G-ANC), an alternative to focused ANC (F-ANC), involves grouping mothers by gestational and maternal age. In high-income countries, G-ANC has been associated with improved utilization of health care services like Prevention of Mother to Child Transmission (PMTCT) of HIV services. Some low-resource countries with poor utilization of health care services have piloted G-ANC. However, there is limited evidence of its efficiency. We, therefore, compared G-ANC versus F-ANC with regards to optimal utilization of PMTCT of HIV services and assessed associated factors thereof among adolescent mothers in eastern Uganda. We defined optimal utilization of PMTCT of HIV services as the adolescent being up to date with HIV counseling and testing. If found HIV negative, subsequent timely re-testing. If found HIV positive, initiation of antiretroviral therapy (ART) under option B plus for the mother. While for the infant, it entailed safe delivery, testing, feeding, and appropriate HIV chemotherapy. Methods From February to April 2020, we conducted a cross-sectional study among 528 adolescent mothers in four sites in eastern Uganda. We assessed the optimal utilization of PMTCT of HIV services among adolescent mothers that had attended G-ANC versus F-ANC at the post-natal care or immunization clinics. We also assessed the factors associated with optimal utilization of PMTCT of HIV services among these mothers. Results Optimal utilization of PMTCT was higher among those in G-ANC than in F-ANC (74.7% vs 41.2, p-0.0162). There was a statistically significant association between having attended G-ANC and optimal utilization of PMTCT [PR = 1.080, 95%CI (1.067–1.093)]. Other factors independently associated with optimal utilization were; having a partner that tested for HIV [PR = 1.075, 95%CI (1.048–1.103)], trimester of first ANC visit: second trimester [PR = 0.929, 95%CI (0.902–0.957)] and third trimester [PR = 0.725, 95%CI (0.616–0.853)], and the health facility attended: Bugembe HCIV [PR = 1.126, 95%CI (1.113–1.139)] and Jinja regional referral hospital [PR = 0.851, 95%CI (0.841–0.861] Conclusions Adolescent mothers under G-ANC had significantly higher optimal utilization of PMTCT of HIV services compared to those under F-ANC. We recommend that the Ministry of Health considers widely implementing G-ANC, especially for adolescent mothers.

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“…These results are consistent with previous studies in western Kenya, Uganda and Tanzania where the proportion of male involvement was 55.8%, 77.8% and 54.4%, respectively [ 20 , 24 , 35 ]. However, this study reported almost double the levels of male involvement that have been documented in other studies in Nairobi, Kenya (26.2%), Ethiopia (29.8%), and Ghana (35%) [ 21 , 23 , 36 ].…”

Section: Discussioncontrasting

confidence: 49%

“…Unfortunately, over the years, male partner involvement in antenatal care has been wanting globally and more so in low and middle income countries. In particular, countries in SSA that account for the larger share of maternal deaths have reported correspondingly low levels of male involvement which include 54% in Tanzania [ 20 ], 29.8% in Ethiopia [ 21 ], 6% in Wakiso District, Uganda [ 22 ] and 26% in Nairobi, Kenya [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of male partner involvement in antenatal care services in eastern Kenya: a cross-sectional study

Nyamai¹,

Matheri²,

Ngure³

2022

Pan Afr Med J

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Introduction male partner involvement in antenatal care (ANC) contributes to improved maternal health outcomes, but has been wanting in sub-Saharan Africa. We investigated the prevalence and factors associated with male involvement in ANC. Methods this was a cross-sectional survey conducted in November and December 2019 in Kitui East sub-county, Kenya. We recruited men above 18 years whose spouses had given birth 12-months prior to the study. Data were collected at the household level using an interviewer-administered questionnaire. Male involvement was defined as provision of physical, psycho-social, decision-making, and financial support, which was measured through twelve questions. Factor scores of the twelve questions were generated by fitting a Rasch model. Participants who scored at least 75% were involved. Bivariate and multivariate logistic regression models were fitted to identify the independent predictors of male involvement. Results a total of 300 participants were interviewed. The mean age was 36.7 years (SD=±7.6), 52.3% had primary level education, 64.3% had between 1-3 children, 44.6% were 5 years older than their spouses, while 37.3% earned between $50-$100 per month. The prevalence of male involvement in ANC was 61% (95%C.I: 55.7%, 66.3%) and was positively associated with previous ANC attendance by the spouse (AOR= 4.96, 95% CI: 2.37, 10.38, p<0.001), having 1-2 and 3-4 children (AOR= 4.57, 95% CI: 1.70, 12.31, p=0.003 and AOR= 4.84, 95% CI: 1.59, 14.79, p=0.006) respectively. On the contrary, participants who lacked knowledge on the minimum ANC visits (AOR= 0.37, 95% CI: 0.17, 0.83, p=0.016), unplanned pregnancy (AOR=0.22, 95% CI: 0.10, 0.48, p<0.001), and individual financial decision-making (AOR= 0.42, 95% CI: 0.21, 0.89, p=0.023) were less likely to be involved. Conclusion more than half of the participants reported involvement in ANC, which was significantly associated with previous ANC experience and having less than four children. Empowering men with knowledge on ANC and joint decision-making with their spouses is imperative in order to improve male involvement.

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<p>Determinants of Male Partner Involvement Towards Prevention of Mother to Child Transmission Service Utilization Among Pregnant Women Who Attended Focused Antenatal Care in Southern Ethiopia</p>

Cited by 6 publications

References 20 publications

Using the RE-AIM Framework to Evaluate Implementation of Male Involvement Strategies to Optimize the PMTCT Program in Malawi: A Mixed-Methods Study

Using the RE-AIM Framework to Evaluate Implementation of Male Involvement Strategies to Optimize the PMTCT Program in Malawi: A Mixed-Methods Study

Optimal utilization of prevention of mother-to-child transmission of HIV services among adolescents under group versus focused antenatal care in Eastern Uganda

Prevalence and correlates of male partner involvement in antenatal care services in eastern Kenya: a cross-sectional study

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