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

Autor: Leonardo Palombi, Claire Somerville, Ilaria Palla, Fausto Ciccacci, Isotta Triulzi, Giuseppe Turchetti, Sangwani Salimu, Jean Baptiste Sagno, Stefano Orlando, Jane Gondwe, Olivia Keiser, Cristina Marazzi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Health Knowledge
Attitudes
Practice
Malawi
Social Determinants of Health
Infectious Disease Transmission
Access
Behaviour
Gender
HIV
Knowledge
Pregnancy
Social determinants
HIV Infections
Logistic regression
0302 clinical medicine
Surveys and Questionnaires
Epidemiology
Medicine
Vertical
030212 general & internal medicine
Pregnancy Complications
Infectious
Practice
030219 obstetrics & reproductive medicine
lcsh:Public aspects of medicine
Health Knowledge
Attendance
Infectious
Sexual Partners
Settore MED/42
Female
Research Article
Adult
medicine.medical_specialty
03 medical and health sciences
Young Adult
Humans
Social determinants of health
ddc:613
Descriptive statistics
business.industry
Public health
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Infectious Disease Transmission
Vertical
Pregnancy Complications
Institutional repository
Attitudes
Biostatistics
business
Demography
Zdroj: BMC Public Health, Vol. 20, No 1 (2020) P. 1821
BMC Public Health
BMC Public Health, Vol 20, Iss 1, Pp 1-10 (2020)
ISSN: 1471-2458
Popis: 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.
Databáze: OpenAIRE
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