The Impact of Couple HIV Testing and Counseling on Consistent Condom Use Among Pregnant Women and Their Male Partners

Background Only screening a pregnant mother is not satisfactory to prevent mother-to-child transmission of HIV (PMTCT). A male partner’s involvement in HIV testing and counseling is also critical for PMTCT, however, it is one of the biggest challenges in Ethiopia. This study aimed to assess a male partner’s involvement in HIV testing and counseling and associated factors among partners of pregnant women in the Delanta District, Northern Ethiopia. Methods A community-based cross-sectional study design was conducted in the Delanta District from March 15 to May 10, 2018. During the study period, 609 male partners were involved. A binary and multiple logistic regression model was used to examine the association between variables. Results Out of all, 325 (53.7% at 95% CI: 49.6 to 57.5) of male partners were involved in HIV testing and counseling in the District. Male partners who were living together, ever heard about HIV from health professionals, pregnant women’s antenatal care (ANC) visit, partner visited the PMTCT clinic with wife, and partner and wife discussion before HIV testing and counseling were factors associated with male partner involvement. Conclusion The proportion of male partner involvement was found to be low as compared to the national standards. Local health authorities and health care workers need to develop and conduct interventions that help partners with their wife to live together, improve their awareness about HIV and testing, ANC visit by pregnant women, and encourage having home discussion before HIV testing through counseling, by so doing finally raise the level of male partner involvement in HIV testing and counseling.

Download Full-text

Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania

AIDS Research and Therapy ◽

10.1186/s12981-021-00362-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Deogratius Bintabara ◽

Athanase Lilungulu ◽

Shakilu Jumanne ◽

Mzee M. Nassoro ◽

Bonaventura C. Mpondo

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Mother To Child Transmission ◽

Child Transmission ◽

High Quality ◽

Hiv Testing And Counseling ◽

Mother To Child ◽

Facility Readiness ◽

Testing And Counseling

Abstract Background Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. Methods This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. Results Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). Conclusion In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania.

Download Full-text

Study on Influencing Factors to HIV Health Services Among Men Who Have Sex with Men (MSM) from 2013 to 2021

10.21203/rs.3.rs-993714/v1 ◽

2021 ◽

Author(s):

Bing Lin ◽

Jiaxiu Liu ◽

Hong Pan ◽

Yingjie Ma ◽

Xiaoni Zhong

Keyword(s):

Health Services ◽

Condom Use ◽

Hiv Testing ◽

Influencing Factors ◽

Behavioral Model ◽

Consistent Condom ◽

Hiv Knowledge ◽

Consistent Condom Use ◽

Predisposing Factor ◽

Hiv Counseling

Abstract Background We assessed the utilization of HIV health services and its influencing factors on consistent condom use, HIV testing and HIV counseling among men who have sex with men (MSM) based on Andersen Behavioral Model, so as to provide a theoretical basis for future infectious disease prevention and control strategies and health services policy formulation.method This is a cross-sectional study from 2013 to 2021. A sample survey was conducted in southwest China including Chongqing, Sichuan, Xinjiang and Guangxi, and an anonymous self-administered questionnaire survey was conducted among MSM who met the requirements and were recruited. Based on Anderson Behavioral Model, the questionnaire divided the influencing factors into predisposing factor, enabling factor and need factor. There were 2908 valid questionnaires. Multivariate logistic regression analysis was used to explore the factors influencing the utilization of health services.Results In the survey of HIV health services, 36.49% of respondents consistently used condoms, 82.81% had HIV testing, and 65.61% had HIV counseling. It can be obtained that among the predisposing factor, older age is a factor that promotes HIV testing but is a hindrance to consistent condom use. Condom use was higher among MSM who were Ethnic Han and had an education level of "junior high or below". Among the enabling factor, not finding a sexual partner through the Internet, not having commercial sex were associated with consistent condom use. Urban and high income were enablers of HIV testing and HIV counseling. Among the need factor, improved HIV knowledge could promote HIV testing and HIV counseling among MSM.Conclusions For these groups, MSM with high-risk characteristics should be identified as a priority in the future public health services. HIV knowledge should be promoted in health education, and mental health diagnosis and treatment also should be strengthened.

Download Full-text

What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men

BMC Infectious Diseases ◽

10.1186/s12879-019-4455-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Weiming Tang ◽

Wenting Huang ◽

Haidong Lu ◽

Bolin Cao ◽

Dan Wu ◽

...

Keyword(s):

Hiv Prevention ◽

Condom Use ◽

Hiv Testing ◽

Consistent Condom ◽

Consistent Condom Use ◽

Longitudinal Cohort ◽

Prevention Services ◽

Self Testing ◽

Hiv Test ◽

Sex With Men

Abstract Background HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. Methods We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. Results We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47–2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13–2.06). Conclusion HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.

Download Full-text

Determinants of consistent condom use by adolescents: the impact of experience of sexual intercourse

Health Education Research ◽

10.1093/her/8.2.255 ◽

1993 ◽

Vol 8 (2) ◽

pp. 255-269 ◽

Cited By ~ 88

Author(s):

Herman Schaalma ◽

Gerjo Kok ◽

Louk Peters

Keyword(s):

Condom Use ◽

Sexual Intercourse ◽

Consistent Condom ◽

Consistent Condom Use ◽

The Impact

Download Full-text

The association between client type and condom use with steady and unsteady partners among persons seeking HIV testing and counseling services in Kenya

African Health Sciences ◽

10.4314/ahs.v17i4.5 ◽

2017 ◽

Vol 17 (4) ◽

pp. 979

Author(s):

Elizabeth Broel ◽

Larissa Brunner Huber ◽

Jan Warren-Findlow ◽

Elizabeth Racine

Keyword(s):

Condom Use ◽

Hiv Testing ◽

Counseling Services ◽

Hiv Testing And Counseling ◽

Testing And Counseling

Download Full-text

Reaching hard-to-reach men through home-based couple HIV testing among pregnant women and their male partners in western Kenya: a qualitative study

BMC Public Health ◽

10.1186/s12889-020-08878-0 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Daisy Krakowiak ◽

Pamela Makabong’o ◽

Marielle Goyette ◽

John Kinuthia ◽

Alfred Onyango Osoti ◽

...

Keyword(s):

Qualitative Study ◽

Pregnant Women ◽

Hiv Testing ◽

Male Partners ◽

Western Kenya ◽

Home Based ◽

Couple Hiv Testing

Download Full-text

The Impact of Intervention on Sexual Practices of HIV Positive Individuals in Southeast Nigeria

Obstetrics and Gynecology International ◽

10.1155/2009/127480 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

S. N. Obi ◽

N. A. Ifebunandu ◽

H. E. Onah ◽

A. K. Onyebuchi

Keyword(s):

Condom Use ◽

Hiv Transmission ◽

Female Gender ◽

Educational Status ◽

Sexual Practices ◽

Consistent Condom ◽

Hiv Positive ◽

Consistent Condom Use ◽

Monogamous Relationship ◽

The Impact

Objective. To describe the impact of repeating behavioral educational intervention on sexual practices of HIV positive individuals.Method. A prospective cohort study of HIV positive individual was conducted in southeast Nigeria from June 2007 to May 2008. Information on sexual practices was collected at initial visit; education was given and its impact was evaluated afterwards.Results. Knowledge about risk of unprotected intercourse increased by 41%, condom use by 27% and consistent condom use by 55% . The significant predictors of consistent condom use include male gender, multiple sexual partner, as well as good knowledge of HIV transmission, higher educational status and being married. Non use of condom at postintervention survey were characterized by female gender (), monogamous relationship (), little or no education (), and unmarried () respondents.Conclusion. Repeated behavioral education intervention improves consistent condom use among HIV positive individuals and will help curb the spread of HIV/AIDS.

Download Full-text