The Role of Male Partner Involvement on Mother’s Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia

Alemayehu, Mussie

doi:10.4172/2327-4972.1000137

Cited by 10 publications

(23 citation statements)

References 10 publications

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“…The role of men in reminding a woman on clinic activities and HIV prevention service highlighted in our study, is consistent with what was reported by earlier studies [16,35]. We therefore argue that male involvement in providing health related support falls within the pathway of achieving HIV viral load suppression among women and protection of children from contracting the virus and will impact positively on the UNAIDS 90: 90: 90 goal which Malawi adopted [36].…”

Section: Roles Of Men In Pmtct Servicessupporting

confidence: 91%

Roles and Expectations of Male Partners from PMTCT services in Chiradzulu Malawi: A Qualitative Study

Kansinjiro

Nyondo-Mipando

2019

Preprint

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Background: Prevention of mother to child transmission of HIV (PMTCT) is the main measure for curbing HIV infection in children. Male involvement (MI) greatly influences uptake and adherence to PMTCT services yet the level remain low in Sub Saharan Africa. Lack of well stipulated roles for men in PMTCT is one of the main barriers to MI. Studies on MI have focused on women and Health care workers (HCW), thereby making men silent partners. The main aim of the study was to explore the roles and expectations of male partners in PMTCT services in Malawi. Methods: This was a descriptive qualitative study that involved men whose partners were either pregnant or breastfeeding a child, health care workers working in PMTCT services for over six months and traditional leaders. We conducted 9 in-depth interviews and 12 key informant interviews from January to March 2018. All interviews were audio-recorded, transcribed and translated. Thematic analysis was employed to analyze data. Results: Male partners play supportive, HIV prevention behaviour change and decision-making roles in PMTCT services. Health assessment and health promotion activities are the male specific services required in PMTCT services and these should be delivered at both health facility and community levels. Conclusion : Male partners in PMTCT have expectations that need to be met at both health facility and community levels. There is need to have male-tailored package of health services that are directly provided to men along with PMTCT services at different levels in order to promote MI. The services should be provided in an atmosphere that allows and accepts male partners to exercise their roles in PMTCT services.

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Section: Roles Of Men In Pmtct Servicessupporting

confidence: 91%

Roles and Expectations of Male Partners from PMTCT services in Chiradzulu Malawi: A Qualitative Study

Kansinjiro

Nyondo-Mipando

2019

Preprint

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“…Giving feedback to a partner might imply good couple communication and acceptance by the male partner to be involved in PMTCT. 27 Exposing the male partner in PMTCT service increases an opportunity to test and counselling for HIV, and spousal communication on prevention and sexual negotiation. 28 In this study couples who decided to give birth at the health facility is more likely to have male partner involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Male partners did not have time to attend ANC with their partners since they utilize the time to source money to take care of their families when they have socio-economic difficulties. 27 Distance, poor infrastructure, undeveloped transport system and cost of getting to the hospital restrain men from being engaged in PMTCT service. 30 In addition, men with low-income levels opted to stay at home because they lacked enough money to travel with their partners to ANC clinics.…”

Section: Discussionmentioning

confidence: 99%

“…If the couples discuss the need for HIV testing, that means they are ready to accept the test result and they are more likely to adhere to the PMTCT treatment. 27 Those women who disclosed their HIV status to their male partners were more likely to engage in PMTCT services such as post-test counseling, accept antiretroviral prophylaxis, modify infant feeding practices and increase condom use. 32 Male partners who provide support for their pregnant women both financially and psychologically are more likely considered to be involved in PMTCT.…”

Section: Discussionmentioning

confidence: 99%

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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>

Ayalew

Gebrie

Geja

et al. 2020

HIV

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Background: Male partner involvement is an important and crucial determinant of prevention of mother to child transmission (PMTCT) of HIV. It creates an opportunity to reverse the transmission of HIV during pregnancy, labor, and breastfeeding. Thus, involving male partners during HIV screening of pregnant mothers at ANC is the key to fight against MTCT of HIV. Objective: This study was designed to assess the magnitude and factors associated with male partner's involvement on PMTCT service utilization among pregnant women who attended focused antenatal care (FANC) in Southern Ethiopia. Methods: An institutional-based cross-sectional study was conducted among 420 randomly selected pregnant women who enrolled in PMTCT service at ANC clinics. Pretested and structured self-administered questionnaires were used to collect the data. Multiple logistic regression analysis was used to determine the presence of statistically significant associations between the outcome variable and the independent variables with a p-value less than 0.05. Results: A total of 409 pregnant women who had ANC follow-up have participated in this study. The majority 160 (39.1%) of the participants were in the age group of 25-29 years. The magnitude of male involvement in PMTCT service was 129 (29.8%). Number of ANC visits (3rd visit (AOR=2.36, CI=1.09, 5.10), 4th visit (AOR=3.49, CI=1.65, 7.38), birthplace interest (AOR=3.01, CI=1.16, 7.84), awareness about partner monthly income (AOR=2.17, CI=1.15, 4.11), source of family saving scheme (partner (AOR=2.99, CI=1.39, 6.43), self (AOR=8.59, CI=3.92, 18.82), both (AOR=5.13, CI=2.21, 11.92), maternal perception about the importance of consulting partner before HIV testing (AOR=9.30, CI=2.65, 32.64), and kinds of partner support (psychological (AOR=0.08, CI=0.02, 0.29), financial (AOR=0.33, CI=0.17, 0.68) were found to be significantly associated with male involvement in PMTCT. Conclusion: This study found out that male partner involvement in PMTCT is low. Therefore, improving male partner involvement in PMTCT is recommended for improving maternal FANC service utilization and adherence with notification of their partner and provision of psychological and financial support.

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“…Not only a proportion of women receiving antiretroviral prophylaxis in PMTCT program are small, but also adherence among the users is poor. The utilization and adherence of PMTCT services by the pregnant women may be influenced both by factors related to health system and individual factors (3).Despite the availability of a dual therapy treatment protocol and infant feeding guidelines designed to prevent mother-to-child transmission(PMTCT) of HIV, of the over 1 million babies born in South Africa each year ,only 70% of those born to HIV positive mothers received dual therapy (4).The intervention to prevent mother-to-child transmission(PMTCT) of HIV are effective in ensuring a healthy child and keeping mothers alive, there are many challenges to achieving successful interventions in Cameroon (5).Antenatal care(ANC) is a major entry point for PMTCT programs especially in countries with a high prevalence of HIV .The World Health Organization(WHO) recommends four ANC visits during pregnancy ,which allows for early diagnosis, prevention or treatment of conditions which may jeopardize the health of the mother or her unborn baby (6,7).Male partner participation is a crucial component to optimize antenatal care/prevention of mother-to-child-transmission/PMTCT services. It creates an opportunity to capture pregnant mothers and their male partners to reverse the transmission of HIV during pregnancy, labour, and breast feeding (8).Mother-to-child transmission of HIV (PMTCT) accounts for over 95% of all pediatric HIV infections worldwide.…”

Section: Introductionmentioning

confidence: 99%

Factors that Affects Male Partner Involvement in PMTCT Services in Africa: A Review Literature

Gebru¹,

Kassaw²,

Yimam³

et al. 2015

SJPH

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Back ground: male partner's participation in prevention of mother-to-child-transmission (PMTCT) of HIV has been determined as one of the major factors in world. And it realization is challenges because of male related and institutional factors. Objectives: This paper summarizes the factors which affects male partner's involvement in PMTCT services in Africa. Methods: A narrative Literature research was carried out of for evaluation of the literature generated from EBESCO systems, PUBMED, OVID, CINAHL, MEDLINE and GOOGLE SEARCH, and the Internet from January, 2010 to April, 2015. The literature reviewed suggests that male partner's participation in PMTCT of HIV and associated factors. The inclusion criteria were an original study or review studies involving male partner's participation in PMTCT of HIV and associated factors. Among selected papers were screened and irrelevant studies were excluded. Result: We included 19 studies in this review, which reported on factors which affects male partner's involvement in PMTCT services in Africa. The majority of studies described male partner participation is a crucial component to optimize ANC/PMTCT services. Other studies defined that the importance of male involvement in PMTCT is accepted. Conclusion: Factors which affects male partner's involvement in PMTCT services is a well-accepted issue and has important positive outcomes several areas of health discipline. The current literature, research and reviewed articles which were developed through an evaluation of this literature reviewed articles and the assessment of a limited number of research studies that focused on male partner's participation in PMTCT of HIV and associated factors in PMTCT services at different health settings. Implication of PMTCT services: It is proposed that male partner's participation in PMTCT of HIV improves as the PMTCT services gains HIV testing experience in their facilities with couples, male partner's gain a sense of saliency in relation to PMTCT services. Male partners may use PMTCT services independently, and concurrently to solve weak and longtime PMTCT services at different health Institutes.

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The Role of Male Partner Involvement on Mother’s Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia

Cited by 10 publications

References 10 publications

Roles and Expectations of Male Partners from PMTCT services in Chiradzulu Malawi: A Qualitative Study

Roles and Expectations of Male Partners from PMTCT services in Chiradzulu Malawi: A Qualitative Study

<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>

Factors that Affects Male Partner Involvement in PMTCT Services in Africa: A Review Literature

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