Engaging community leaders to improve male partner participation in the prevention of mother-to-child transmission of HIV in Dar es Salaam, Tanzania
Autor: | Yusuph Chende, Helga Naburi, Maria Rosaria Galanti, Happiness Koda, Roseline Urrio, Charles Kilewo, Eric Aris, Sarah Mdingi, Gunnel Biberfeld, Helen Siril, Aisa Mhalu, Aisa Muya, Irene Andrew Lema, Goodluck Lyatuu, Anna Mia Ekström, Martha Tsere, Rehema Panga, Shally Zumba Mwashemele |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
Program evaluation RNA viruses Male Health Knowledge Attitudes Practice Maternal Health Health Care Providers Breastfeeding HIV Infections Pathology and Laboratory Medicine Tanzania Geographical Locations 0302 clinical medicine Health facility Immunodeficiency Viruses Pregnancy Preventive Health Services Medicine and Health Sciences Medicine 030212 general & internal medicine Young adult reproductive and urinary physiology Multidisciplinary biology Obstetrics and Gynecology Prenatal Care female genital diseases and pregnancy complications Sexual Partners Health Education and Awareness Medical Microbiology Viral Pathogens Viruses Female Pathogens Research Article Adult medicine.medical_specialty Best practice Science HIV prevention Health Promotion Microbiology 03 medical and health sciences Young Adult Antenatal Care Intervention (counseling) Retroviruses Humans Microbial Pathogens Preventive medicine business.industry Lentivirus Health Services Administration and Management Organisms Community Participation Health Plan Implementation Infant Newborn Biology and Life Sciences HIV Patient Acceptance of Health Care biology.organism_classification Quarter (United States coin) 030112 virology Infectious Disease Transmission Vertical Health Care Leadership Public and occupational health Family medicine People and Places Africa Women's Health business Follow-Up Studies Program Evaluation |
Zdroj: | PLoS ONE, Vol 13, Iss 12, p e0207986 (2018) PLoS ONE |
ISSN: | 1932-6203 |
Popis: | BackgroundMale partner participation improves uptake, retention and outcomes of prevention of mother-to-child transmission of HIV (PMTCT) services. However, in patriarchal settings few men accompany their partners to antenatal care (ANC) and PMTCT services. We explored whether community leaders can improve male partner participation in ANC and PMTCT.MethodsWe integrated initiatives to increase male partner participation in routine ANC care in six health facilities (attending about 4,500 new pregnant women per quarter) in Dar es Salaam, Tanzania in 2015/16. These initiatives were adapted from a best performing health facility, on male partner participation in ANC and PMTCT, referred to as the "best practice site". At the six purposively selected intervention sites, we sensitized and garnered commitment from healthcare providers to provide couple friendly services. We then worked with the providers to sensitize and engage community leaders to integrate and promote male partner participation initiatives in their routine community activities. We assessed change in male partner participation in ANC and PMTCT using the proportion of women testing for HIV together with their partners (i.e. couple HIV testing) by quarter. We used 203 ANC facilities (attending about 31,000 new pregnant women per quarter) in the same area as control sites.ResultsAfter one year, couple HIV testing in the six intervention sites had tripled from 11.9% at baseline to 36.0% (pConclusionEffective engagement and functional partnerships between healthcare providers and community leaders can contribute to improve male partner participation in ANC and PMTCT services. PMTCT programs should capitalize on community leaders, in addressing low male partner participation in ANC and PMTCT, in order to improve effective uptake, retention and outcomes of HIV prevention and treatment services among pregnant and breastfeeding women, their partners, infants and families. |
Databáze: | OpenAIRE |
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