scholarly journals 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 ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e012224 ◽  
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

scholarly journals The impact of approaches in improving male partner involvement in the prevention of mother-to-child transmission of HIV on the uptake of maternal antiretroviral therapy among HIV-seropositive pregnant women in sub-Saharan Africa: a systematic review and meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018207 ◽  
Author(s):  
Noah F Takah ◽  
Iain T R Kennedy ◽  
Cathy Johnman
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Male Partner ◽  
Psychosocial Interventions ◽  
Sub Saharan Africa ◽  
Male Partner Involvement ◽  
Sub Saharan ◽  
Partner Involvement ◽  
The Impact ◽  
Mother To Child

ObjectivesTo identify the approaches that are used in improving on male partner involvement in the prevention of mother-to-child transmission (PMTCT) of HIV and their impact on the uptake maternal antiretroviral therapy (ART) in sub-Saharan Africa (SSA).SettingThis was a systematic review and meta-analysis of published studies carried out in SSA at all levels of healthcare (primary, secondary, tertiary and community).ParticipantsThe participants of the studies included were HIV-positive pregnant women and breastfeeding mothers with their male partners. Studies were included if they were conducted in SSA and mentioned an approach used in improving male partner involvement with data on the impact on the uptake of maternal ART uptake.OutcomesIn the protocol, maternal ART uptake, infant prophylaxis, safe infant feeding options, condom use and family planning were envisaged. However, only maternal ART has been reported here due to limitations on the word count.ResultsFrom an initial 2316 non-duplicate articles, 17 articles were included in the systematic review and meta-analysis. In the combined model, the ORs for complex community interventions, enhanced psychosocial interventions, verbal encouragement and invitation letters were 4.22 (95% CI 2.27 to 7.77), 2.29 (95% CI 1.42 to 7.69), 2.39 (95% CI 1.26 to 4.53) and 1.21 (95% CI 0.89 to 1.63), respectively, whereas in the model using adjusted ORs, enhanced psychosocial interventions had a higher effect than any other intervention. The heterogeneity was moderate using adjusted ORs.ConclusionEnhanced psychosocial interventions and complex community interventions increase male partner involvement and the uptake of PMTCT services more than any other intervention. Invitation letters had no effect. More randomised trials and observational studies (that have adjusted for potential confounders) are needed in the future.PROSPERO registration number42016032673.

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

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

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.

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

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.

scholarly journals Development of a Novel Scale to Measure Male Partner Involvement in the Prevention of Mother-to-Child Transmission of HIV in Kenya

2019 ◽  
Vol 24 (1) ◽  
pp. 291-303 ◽  
Author(s):  
Karen Hampanda ◽  
Lisa Abuogi ◽  
Pamela Musoke ◽  
Maricianah Onono ◽  
Anna Helova ◽  
...  
Keyword(s):  
Male Partner ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Male Partner Involvement ◽  
Partner Involvement ◽  
Mother To Child
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