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
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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