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

Abstract

Background: Globally, male involvement has been identified as a priority target area to be strengthened in the prevention of mother to child transmission (PMTCT) of HIV. However, there are limited studies on husband involvement in the prevention of mother to child transmission of HIV in Ethiopia. Therefore, this study aimed to assess male involvement in the prevention of mother to child transmission of HIV and associated factors among males whose wives gave birth in the last six months before the survey in Enebsiesarmider district, Northwest Ethiopia. Methods: A Community-based cross-sectional study was employed to assess male involvement in the prevention of mother to child transmission of human immunodeficiency virus and associated factors in Enebsiesarmider District, Northwest Ethiopia. The study was conducted from February 10-30, 2018. A total of 525 participants were involved in the study. A stratified cluster sampling method was used to recruit study participants. Data were collected using a structured interviewer-administered questionnaire. Data were entered using the epi Data software and exported to SPPS for analysis. Descriptive statistics including mean, a proportion were used to describe study variables. Multivariable logistic regression was employed to describe variables with the outcome variable.Result: Overall male involvement in PMTCT was found to be 26.1% [95%CI, 22.1-29.5]. Respondents who have attended secondary education and above were more likely get involved in PMTCT than who have no formal education [AOR 2.45, 95%CI,, Respondents who have good knowledge on PMTCT [AOR 2.57, 95%CI, 1.58-4.18], good knowledge on ANC [AOR 2.10, 95%CI, 1.28-3.44], low cultural barriers [AOR 2.20, 95%CI, 1.34-3.63] low health system barriers [AOR 2.40, 95%CI, were variables that significantly increase male involvement in PMTCT practices.(Continued on next page)

Male Partners Involvement in Human Immune Deficiency Virus Testing and Counseling in Bichena town: a cross-sectional study

“…Knowing the service provided at the PMTCT clinic increased MPI by 3.25 times. This nding is in line with other studies [10,27,35]. The MPI in HTC was 3.17 times higher among MP who knew at least one timing of MTCT.…”

“…Our study found that MPI in HTC is increased with increasing educational levels. This nding is in line with other studies [10,27,30]. Educated men may have more information regarding the advantage of getting the service provided at the health facility.…”

“…Without intervention, the risk of HIV infection from infected pregnant mothers to their unborn children ranges from 25%-35% in developing countries, while with the implementation of core PMTCT interventions, this risk can be reduced to 2-5% [5]. According to the report of different studies conducted in Ethiopia, the prevalence of MTCT of HIV ranges from 4.16-15.7% [6,7] Male partner involvement (MPI) in HTC increases the use of PMTCT interventions in resource-limited settings and improved HIV-free survival among infants [8][9][10][11]. However, the low MPI in the PMTCT results in pregnant women not getting tested for HIV [12].…”

Assessment of Index Case Family Testing Among Adults Attending Art Clinic at Kule Refugee Camp, Southwest Ethiopia: 2021

“…This number varies regionally, in North America and Europe 15%, in Asia and Pacific countries 29%, in Caribbean countries 34%, in Western and North Africa 42%, and in Eastern and South Africa 26% of people living with HIV do not know their status. 5 , 7 …”

“…This number varies regionally, in North America and Europe 15%, in Asia and Pacific countries 29%, in Caribbean countries 34%, in Western and North Africa 42%, and in Eastern and South Africa 26% of people living with HIV do not know their status. 5,7 According to a CDC report from 2016-2018, about 1,700,998 persons were tested for HIV using contact index testing among 20 countries. From those tested, 5.8% were reported as HIV-positive, including 9.8% aged ≥15 years and 1.5% aged <15 years.…”