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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Low male partner participation in antenatal HIV counselling and testing in northern Tanzania: Implications for preventive programs
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 20, No. 6, Year 2008
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Description
This study aimed to describe the prevalence and predictors for male partner participation in HIV voluntary counselling and testing (VCT) at two primary healthcare clinics in Moshi urban, Tanzania as well as the effect of partner participation on uptake of HIV perinatal interventions. Pregnant women (n = 2654) in their third trimester, participating in a prevention of mother to child tranmission (PMTCT) program between June 2002 and March 2004 were encouraged to inform and invite their partners for HIV-VCT. Trained nurses conducted pre-test counselling, interviews, clinical examinations and blood sampling from the participating women and their partners. Test results were presented and post-test counselling was conducted individually or in couples, depending on the wishes of the participants. Three-hundred-and-thirty-two male partners (12.5%) came for HIV-VCT. A high proportion (131; 40%) came after the woman had delivered. HIV-seropositive women whose partners attended were three times more likely to use Nevirapine prophylaxis, four times more likely to avoid breastfeeding and six times more likely to adhere to the infant feeding method selected than those whose partners didn't attend. Women were more likely to bring their partner for VCT if they collected their own test results, were living with their partner, had a high monthly income and had expressed at enrolment the intention to share HIV results with their partner. Although PMTCT programs are presumably a good entry point for male involvement in prevention of sexual and perinatal HIV transmission, this traditional clinic-based approach reaches few men. Given the positive influence male participation has on the acceptance of perinatal interventions, a different approach for promoting male participation in VCT is urgently required. Within PMTCT programs, counseling should emphasize the advantages of partner participation to encourage women to inform and convince male partners to come for VCT. Also, promotion of couple VCT outside antenatal settings in male friendly and accessible settings should be given priority. © 2008 Taylor & Francis.
Authors & Co-Authors
Msuya, Sia Emmanueli
Norway, Oslo
Universitetet I Oslo
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Mbizvo, Elizabeth Mukuze
Norway, Oslo
Universitetet I Oslo
Zimbabwe, Harare
Ministry of Health and Child Welfare Zimbabwe
Hussain, Akhtar Z.M.I.
Norway, Oslo
Universitetet I Oslo
Uriyo, Jacqueline G.
Norway, Oslo
Universitetet I Oslo
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Sam, Noel E.
Tanzania, Moshi
Kilimanjaro Christian Medical Centre
Stray-Pedersen, Babill
Norway, Oslo
Universitetet I Oslo
Statistics
Citations: 276
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1080/09540120701687059
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Tanzania
Participants Gender
Male
Female