The involvement of male partners in care: socio determinants of health among women in Prevention of Mother to Child Transmission in Malawi

AbstractIntroductionMale partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). The involvement of men is increasingly recognised as an important element of women’s access to care. The study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by the male partners to the facilities.MethodWe included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, lived with a male partner, enrolled for the first time in four DREAM facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary outcome was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics, and logistic regressions to study the association between being accompanied and explanatory variables.ResultsWe enrolled 128 HIV-positive women : 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women with high level of knowledge on HIV/AIDS are more likely to be accompanied by the male partners (53.7% vs 34.8%,p=0.040). Level of attitude and practice were not different between women accompanied or not. Patients owning a mean of transport were more likely to go alone to facility (OR 4.16, 95% CI 1.02-16.94). Women who travelled more than 90 minutes to get to the facilities (OR 0.10, 95% CI 0.02-0.49) with high HIV-knowledge (OR 0.38, 95% CI 0.16-0.91) are more likely to be accompanied.ConclusionOur study showed a good male partner involvement compared to other studies performed in SSA. To our knowledge this is the first study outlining the relationship between male partner involvement in care with socio determinant of health. This is crucial to design and implement effective interventions.

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The Involvement of Male Partners in Care: Socio Determinants of Health Among Women in Prevention of Mother to Child Transmission Program in Malawi

10.21203/rs.3.rs-31425/v1 ◽

2020 ◽

Author(s):

Isotta Triulzi ◽

Olivia Keiser ◽

Claire Somerville ◽

Sangwani Salimu ◽

Fausto Ciccacci ◽

...

Keyword(s):

Male Partner ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Male Partners ◽

Child Transmission ◽

Hiv Knowledge ◽

Male Partner Involvement ◽

Attitude And Practice ◽

Partner Involvement ◽

Mother To Child

Abstract Background Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). The involvement of men is increasingly recognised as an important element of women’s access to care. The study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by the male partners to the facilities. Methods We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, lived with a male partner, enrolled for the first time in four DREAM facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary outcome was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics, and logistic regressions to study the association between being accompanied and explanatory variables. Results We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women with high level of knowledge on HIV/AIDS are more likely to be accompanied by the male partners (53.7% vs 34.8%, p = 0.040). Level of attitude and practice were not different between women accompanied or not. Patients owning a mean of transport were more likely to go alone to facility (OR 4.16, 95% CI 1.02–16.94). Women who travelled more than 90 minutes to get to the facilities (OR 0.10, 95% CI 0.02–0.49) with high HIV-knowledge (OR 0.38, 95% CI 0.16–0.91) are more likely to be accompanied. Conclusions Our study showed a good male partner involvement compared to other studies performed in SSA. To our knowledge this is the first study showing that women’s knowledge on HIV and healthcare system inequality as geographical accessibility, social class, gender norms and masculinity play a key role on male partner involvement. Therefore, considering the socio determinant of health is crucial to improve the health of all the family.

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Social determinants of male partner involvement in women's Prevention of Mother to Child Transmission care Program in Malawi

10.21203/rs.3.rs-31425/v2 ◽

2020 ◽

Author(s):

Isotta Triulzi ◽

Olivia Keiser ◽

Claire Somerville ◽

Sangwani Salimu ◽

Fausto Ciccacci ◽

...

Keyword(s):

Male Partner ◽

Male Involvement ◽

Primary Objective ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Male Partners ◽

Child Transmission ◽

Attitude And Practice ◽

Level Of Knowledge ◽

Mother To Child

Abstract Background Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Men’s involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. Methods We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables. Results We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women’s unemployment and possession of a vehicle are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.13-0.83] and 0.23 [95% CI, 0.07-0.77]), whereas high women’s level of knowledge of HIV is positively associated with male attendance (adjusted OR 2.33 [95% CI, 1.01-5.40]). Level of attitude and practice toward HIV were not significantly associated to our study variable. Conclusions Our study shows a high male involvement in Malawi compared to other studies performed in SSA. This study highlights the factors affecting male attendance which are women’s level of knowledge on HIV, economic condition (employment and means of transport) and healthcare system inequality including geographical accessibility. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

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Social determinants of male partner involvement in women's Prevention of Mother to Child Transmission care Program in Malawi

10.21203/rs.3.rs-31425/v3 ◽

2020 ◽

Author(s):

Isotta Triulzi ◽

Olivia Keiser ◽

Claire Somerville ◽

Sangwani Salimu ◽

Fausto Ciccacci ◽

...

Keyword(s):

Male Partner ◽

Male Involvement ◽

Primary Objective ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Male Partners ◽

Child Transmission ◽

Attitude And Practice ◽

Level Of Knowledge ◽

Mother To Child

Abstract Background Male partners are rarely present during PMTCT ( Prevention-Mother-To-Child-Transmission ) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. Methods We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi . Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables. Results We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. Women’s unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11-0.82] and 0.23 [95% CI, 0.07-0.77]), whereas high women’s level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03-4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable. Conclusions Our study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights the factors affecting male attendance which are women’s level of knowledge on HIV, economic condition (employment and owning a means of transport). Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

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Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi

BMC Public Health ◽

10.1186/s12889-020-09800-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Isotta Triulzi ◽

Olivia Keiser ◽

Claire Somerville ◽

Sangwani Salimu ◽

Fausto Ciccacci ◽

...

Keyword(s):

Male Partner ◽

Male Involvement ◽

Primary Objective ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Male Partners ◽

Child Transmission ◽

Attitude And Practice ◽

Level Of Knowledge ◽

Mother To Child

Abstract Background Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. Methods We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables. Results We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. In the multivariable model, women’s unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11–0.82] and 0.23 [95% CI, 0.07–0.77]), whereas, in the univariable model, high women’s level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03–4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable. Conclusions Our study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights that women’s level of knowledge on HIV and their economic condition (employment and owning a means of transport) affects male attendance. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

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Impact of approaches in improving male partner involvement in the prevention of mother-to-child transmission (PMTCT) of HIV on the uptake of PMTCT services in sub-Saharan Africa: a protocol of a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2016-012224 ◽

2016 ◽

Vol 6 (7) ◽

pp. e012224 ◽

Cited By ~ 2

Author(s):

Noah F Takah ◽

Iain T R Kennedy ◽

Cathy Johnman

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Male Partner ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Child Transmission ◽

Male Partner Involvement ◽

Sub Saharan ◽

Partner Involvement ◽

Mother To Child

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Male partner involvement in prevention of mother to child transmission of HIV in Sub-Saharan Africa: Successes, challenges and way forward

Open Journal of Preventive Medicine ◽

10.4236/ojpm.2012.21006 ◽

2012 ◽

Vol 02 (01) ◽

pp. 35-42 ◽

Cited By ~ 12

Author(s):

Fatch W. Kalembo ◽

Du Yukai ◽

Maggie Zgambo ◽

Qiu Jun

Keyword(s):

Male Partner ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Child Transmission ◽

Male Partner Involvement ◽

Sub Saharan ◽

Partner Involvement ◽

Mother To Child

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Social determinants of male partner attendance in women's Prevention of Mother to Child Transmission care Program in Malawi

10.21203/rs.3.rs-31425/v4 ◽

2020 ◽

Author(s):

Isotta Triulzi ◽

Olivia Keiser ◽

Claire Somerville ◽

Sangwani Salimu ◽

Fausto Ciccacci ◽

...

Keyword(s):

Male Partner ◽

Male Involvement ◽

Primary Objective ◽

Sub Saharan Africa ◽

Mother To Child Transmission ◽

Child Transmission ◽

Hiv Knowledge ◽

Attitude And Practice ◽

Level Of Knowledge ◽

Mother To Child

Abstract BackgroundMale partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners.MethodsWe included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables.ResultsWe enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. In the multivariable model, women’s unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11-0.82] and 0.23 [95% CI, 0.07-0.77]), whereas, in the univariable model, high women’s level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03-4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable. ConclusionsOur study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights that women’s level of knowledge on HIV and their economic condition (employment and owning a means of transport) affects male attendance. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

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