scholarly journals Couple oriented counselling improves male partner involvement in sexual and reproductive health of a couple: Evidence from the ANRS PRENAHTEST randomized trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255330
Author(s):  
Cyprien Kengne-Nde ◽  
Mathurin Cyrille Tejiokem ◽  
Joanna Orne-Gliemann ◽  
Bernard Melingui ◽  
Paul Koki Ndombo ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Pregnant Women ◽  
Sexual And Reproductive Health ◽  
Multiple Correspondence Analysis ◽  
Male Partner ◽  
Male Partner Involvement ◽  
Link Type ◽  
Hiv Test ◽  
Partner Involvement ◽  
The Impact

Background Male partner involvement (MPI) has been recognized as a priority area to be strengthened in Prevention of Mother to Child Transmission (PMTCT) of HIV. We explored the impact of Couple Oriented Counselling (COC) in MPI in sexual and reproductive health and associated factors. Method From February 2009 to October 2011, pregnant women were enrolled at their first antenatal care visit (ANC-1) and followed up until 6 months after delivery in the Mother and Child Center of the Chantal Biya Foundation within the randomized prenahtest multicentric trial. The MPI index was defined using sexual and reproductive health behaviour variables by using multiple correspondence analysis followed by mixed classification. Men were considered as highly involved if they had shared their HIV test results with their partner, had discussed on HIV or condom used, had contributed financially to ANC, had accompanied their wife to ANC or had practiced safe sex. Factors associated to MPI were investigated by the logistic model with GEE estimation approach. Results A total of 484 pregnant women were enrolled. The median age of the women was 27 years (IQR: 23–31) and 55.23% had a gestational age greater than 16 weeks at ANC-1. Among them, HIV prevalence was 11.9% (95% CI: 9.0–15.4). The median duration of the women’s relationship with their partner was 84 months (IQR: 48–120). MPI index at 6 months after delivery was significantly greater in the COC group than the classical counselling group (14.8% vs 8,82%; p = 0,043; Fig 1). The partners of the women who participated in the COC were more likely to be involved during follow up than others (aOR = 1.45; 95% CI = 1.00–2.10). Partners with no incoming activity (aOR = 2.90; 95% CI = 1.96–4.29), who did not used violence within the couple (aOR = 1.70; 95% CI = 1.07–2.68), and whose partner came early for ANC-1 (aOR = 1.37; 95% CI = 1.00–1.89) were more likely to be involved than others. Conclusion MPI remains low in stable couples and COC improves partner involvement. Our findings also support the need of strengthening outreach towards "stable" couples and addressing barriers. This could go a long way to improve PMTCT outcomes in Cameroon. Trial registration PRENAHTEST, NCT01494961. Registered 15 December 2011—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT01494961.

scholarly journals Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Elizabeth Peach ◽  
Christopher Morgan ◽  
Michelle J. L. Scoullar ◽  
Freya J. I. Fowkes ◽  
Elissa Kennedy ◽  
...  
Keyword(s):  
Family Planning ◽  
Pregnant Women ◽  
Papua New Guinea ◽  
Unintended Pregnancy ◽  
Male Partner ◽  
New Guinea ◽  
Targeted Interventions ◽  
Male Partner Involvement ◽  
Unintended Pregnancies ◽  
Partner Involvement

AbstractUnintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. Data from a facility-based cross-sectional sample of 699 pregnant women assessed prevalence and predictors of unintended pregnancy and modern FP use among pregnant women in East New Britain Province, PNG. More than half (55%) the women reported their pregnancy as unintended. Few (18%) reported ever having used a modern FP method, and knowledge of different methods was low. Being single, separated or divorced (AOR 9.66; 95% CI 3.27–28.54), educated to a tertiary or vocational level (AOR 1.78 CI 1.15–2.73), and gravidity > 1 (AOR 1.43 for each additional pregnancy CI 1.29–1.59) were associated with unintended pregnancy; being accompanied by a male partner to ANC was associated with a reduced unintended pregnancy (0.46 CI 0.30–0.73). Factors associated with modern FP use included male partner involvement (AOR 2.26 CI 1.39–3.67) and gravidity > 1 (AOR 1.54 for each additional pregnancy CI 1.36–1.74). FP use also varied by the facility women attended. Findings highlight an urgent need for targeted interventions to improve FP knowledge, uptake and access, and male partner involvement, to reduce unintended pregnancies and their complications.

scholarly journals Description of a model to facilitate male involvement in the reproductive health context by the registered nurses

2015 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Amukugo Hans Justus ◽  
Kareen Jooste ◽  
Julia Paula Nangombe
Keyword(s):  
Reproductive Health ◽  
Registered Nurses ◽  
Model Evaluation ◽  
Male Partner ◽  
Male Involvement ◽  
Concept Analysis ◽  
Male Partner Involvement ◽  
Theory Generation ◽  
Partner Involvement

<p>The aim of this article is to describe a model to facilitate male partner involvement in the RH context. The findings in chapter 3, step1 – concept analysis – which comprised the identification, definition and classification of concepts and the construction of an interrelationship between concepts and statements (chapter 4), formed the basis for the development of this model. This model to facilitate male partner involvement in RH is based on the theory generation of Chinn and Kramer (1991). The central concepts are defined by using the rules described by Rossouw (2000/1,) and Copi and Cohen (1996). Lastly, the model evaluation has been done in accordance with the method of Chinn and Kramer (1991).</p>

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 Male partner involvement in HIV testing and counseling among partners of pregnant women in the Delanta District, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248436
Author(s):  
Haile Chanyalew ◽  
Eshetu Girma ◽  
Tesfaye Birhane ◽  
Muluken Genetu Chanie
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Male Partner ◽  
Local Health ◽  
Northern Ethiopia ◽  
Male Partners ◽  
Male Partner Involvement ◽  
Hiv Testing And Counseling ◽  
Partner Involvement ◽  
Testing And Counseling

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.

scholarly journals Improving uptake of prevention of mother-to-child HIV transmission services in Benue State, Nigeria through a faith-based congregational strategy

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260694
Author(s):  
Michele Montandon ◽  
Timothy Efuntoye ◽  
Ijeoma U. Itanyi ◽  
Chima A. Onoka ◽  
Chukwudi Onwuchekwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Hiv Transmission ◽  
Male Partner ◽  
Hiv Positive ◽  
Linkage Data ◽  
Hiv Status ◽  
Faith Based ◽  
Hiv Test ◽  
The Impact

Background Nigeria has low antiretroviral therapy (ART) coverage among HIV-positive pregnant women. In a previous cluster-randomized trial in Nigeria, Baby Shower events resulted in higher HIV testing coverage and linkage of pregnant women to ART; here, we assess outcomes of Baby Shower events in a non-research setting. Methods Baby Shower events, including a prayer ceremony, group education, music, gifting of a “mama pack” with safe delivery supplies, and HIV testing with ART linkage support for HIV-positive pregnant women, were conducted in eighty sites in Benue State, Nigeria. Client questionnaires (including demographics, ANC attendance, and HIV testing history), HIV test results, and reported linkage to ART were analyzed. Descriptive data on HIV testing and ART linkage data for facility-based care at ANC clinics in Benue State were also analyzed for comparison. Results Between July 2016 and October 2017, 10,056 pregnant women and 6,187 male partners participated in Baby Shower events; 61.5% of women attended with a male partner. Nearly half of female participants (n = 4515, 44.9%) were not enrolled in ANC for the current pregnancy, and 22.3% (n = 2,241) of female and 24.8% (n = 1,532) of male participants reported they had never been tested for HIV. Over 99% (n = 16,240) of participants had their HIV status ascertained, with 7.2% of females (n = 724) and 4.0% of males (n = 249) testing HIV-positive, and 2.9% of females (n = 274) and 2.3% of males (n = 138) receiving new HIV-positive diagnoses. The majority of HIV-positive pregnant women (93.0%, 673/724) were linked to ART. By comparison, at health facilities in Benue State during a similar time period, 99.7% of pregnant women had HIV status ascertained, 8.4% had a HIV-positive status, 2.1% were newly diagnosed HIV-positive, and 100% were linked to ART. Conclusion Community-based programs such as the faith-based Baby Shower intervention complement facility-based approaches and can reach individuals who would not otherwise access facility-based care. Future Baby Showers implementation should incorporate enhanced support for ART linkage and retention to maximize the impact of this intervention on vertical HIV transmission.

scholarly journals Guidelines to operationalize a model to facilitate male involvement in the reproductive health context by the registered nurses

2015 ◽  
Vol 5 (1) ◽  
pp. 32
Author(s):  
Amukugo Hans Justus ◽  
Neshuku Hanna ◽  
Julia Paula Nangombe
Keyword(s):  
Reproductive Health ◽  
Conceptual Framework ◽  
Deductive Reasoning ◽  
Male Partner ◽  
Male Involvement ◽  
Male Partners ◽  
Male Partner Involvement ◽  
Full Participation ◽  
Health Centres ◽  
Partner Involvement

<p>The purpose of this article is to describe the guidelines for operationalising a model to facilitate male partner involvement in RH. Guidelines were developed for the implementation of the model to facilitate male partner involvement in RH through the management of a partnership environment. These guidelines may be implemented in those health facilities that provide RH services, namely, clinics, health centres and hospitals. The nurses, in collaboration with significant stakeholders from the community, representatives from the line ministries and NGOs, will be able to facilitate male partner involvement in RH.</p><p>These guidelines and strategies were derived from the conceptual framework which was generated by means of deductive reasoning and analysis. The guidelines and strategies at each level are aimed at facilitating male partner involvement in RH through the management of the partnership environment by enabling male partners to become actively involved and participate and to eliminate those factors that impede the full participation of male partners in the RH context. The chapter will focus on these guidelines which are expressed in terms of the aims and strategies of each of the four phases in facilitating male partner involvement in RH.</p>

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