Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission

Farquhar, Carey; Kiarie, James; Richardson, Barbra A.; Kabura, Marjory N.; John, Francis N.; Nduati, Ruth; Mbori‐Ngacha, Dorothy; John‐Stewart, Grace

doi:10.1097/00126334-200412150-00016

Cited by 371 publications

(368 citation statements)

References 16 publications

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“…48,49 However, in spite of the available data and repeated recommendations, couple-centred approaches to HIV prevention (whether connected with PMTCT or prevention of sexual transmission) have not been implemented on a large scale or, at least, have not been documented in the literature, where others could learn from them. Apart from the experiences reported in Former Zaïre 37 , Rwanda, 38,57 , Zambia 3,14,43,44 , Kenya 45 , and the multi-site study KenyaTanzania-Trinidad 39,40 , it is hard to find in recent years any mention of a couple-centred approach in the scientific literature or in programmatic documents. * Even in the latest UNAIDS Global Report on HIV/AIDS, no mention is made of the potential of couple-centred approaches.…”

Section: Discussionmentioning

confidence: 99%

“…38 In addition to the couple VCT programmes described in the literature, two others were based in PMTCT programmes, one in Zambia and the other in Kenya (Table 2). 44,45 Both studies found very positive outcomes: couple counselling was associated with an increase in HIV testing acceptance, and in the uptake of antiretroviral prophylaxis and of formula feeding. In Zambia, there were no significant differences in reported adverse social events between couple-counselled versus individually-counselled women, but a trend towards a higher level of divorce or separation among serodiscordant couples was observed.…”

Section: Couple-centred Approaches To Hiv Counselling and Testingmentioning

confidence: 99%

See 1 more Smart Citation

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

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In Africa, a large proportion of HIV infections occur within stable relationships, either because of prior infection of one of the partners or because of infidelity. In five African countries at least two-thirds of couples with at least one HIV-positive partner were HIV serodiscordant; in half of them, the woman was the HIV-positive partner. Hence, there is an urgent need to define strategies to prevent HIV transmission within couple relationships. HIV counselling and testing have largely been organised on an individual and sex-specific basis, for pregnant women in programmes for prevention of mother-to-child transmission of HIV and in STI consultations and recently male circumcision for men. A couple-centred approach to HIV counselling and testing would facilitate communication about HIV status and adoption of preventive behaviours within couples. This paper reviews what is known about HIV serodiscordance in heterosexual couples in sub-Saharan Africa and what has been published about couple-centred initiatives for HIV counselling and testing since the early 1990s. Despite positive outcomes, couple-oriented programmes have not been implemented on a large scale. In order to stimulate and strengthen HIV prevention efforts, increased attention is required to promote prevention and testing and counselling for couples in stable relationships.

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Section: Discussionmentioning

confidence: 99%

Section: Couple-centred Approaches To Hiv Counselling and Testingmentioning

confidence: 99%

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

View full text Add to dashboard Cite

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“…Our study contributes to the body of literature that shows that men's support influences women's decisions to accept ART and PMTCT interventions. [32][33][34][35][36][37][38] Disclosure of HIV status has been associated with the acceptance of ART for PMTCT in studies in South Africa and Zimbabwe. [26,33,39] In univariate analysis, the odds of ART initiation among women who had disclosed their HIV status to their respective partners were higher than those of women who had not disclosed.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the lack of antiretroviral therapy initiation among eligible HIV-positive pregnant women in Swaziland

et al. 2017

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Background. Antiretroviral therapy (ART) initiation is critical for the prevention of mother-to-child transmission (PMTCT) of HIV. Objectives. To quantify factors that were barriers or facilitators to the initiation of ART in pregnant HIV-infected women in Swaziland. Methods. We conducted a cross-sectional survey in HIV-infected women with at least one antenatal care (ANC) visit, who had delivered in maternity wards between April and August 2013 in Swaziland. Variables collected included intrapersonal, interpersonal and organisational factors. Logistic regression models were used to calculate univariate and adjusted multivariate measures of association between ART initiation and the independent variables. Results. Among the 163 pregnant women who were eligible for ART, 110 (67.5%) were initiated on ART by the time of delivery. The most commonly cited reason for not initiating ART (n=53) was women not being ready to initiate life-long treatment (24.5%). On multivariate logistic regression, favourable perceptions of the benefits of ART (adjusted odds ratio (AOR) 3.04; 95% CI 1.55 -5.96) and presence of partner support (AOR 4.75; 95% CI 2.11 -10.67) remained significantly and independently associated with ART initiation. Conclusion. ART initiation among ART-eligible pregnant women in Swaziland was independently associated with the presence of partner support and favourable perceptions of the benefits of ART. Stronger counselling and education for pregnant women and male involvement strategies need to be implemented as universal life-long ART for all HIV-infected pregnant women is implemented. Factors associated with the lack of antiretroviral therapy initiation among eligible HIV-positive pregnant women in Swaziland Prior to 2013, antiretroviral therapy (ART) was recommended by the World Health Organization (WHO) for HIV-infected pregnant women with CD4 cell counts of <350 cells/µL or those who were at WHO clinical stage III or IV Women who did not meet these criteria,were advised to use one of two options. Option A: antepartum zidovudine, with single-dose nevirapine during labour, and a 7-day zidovudine/lamivudine 'tail' alongside daily infant nevirapine during breastfeeding. Option B: ART during pregnancy and through cessation of breastfeeding to prevent mother-to-child HIV transmission (PMTCT.) [1] Many countries, including Swaziland, chose to implement option A; a CD4 cell count was performed on all women identified to have HIV infection to determine those who should be initiated on life-long ART for both maternal health and PMTCT. In Swaziland, 88% of facilities that provide antenatal care (ANC) services also provide PMTCT services.[2] In 2009, 73% of women attending ANC facilities were tested for HIV, and 88% of HIV-infected pregnant women received a complete course of PMTCT prophylaxis in 2009. [3] However, a review of the data in the Early Infant Diagnosis (EID) database in Swaziland at the time of the introduction of option A guidelines, showed that ~50% of HIV-infected women who were eligible for ART actu...

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“…Number of studies on reproductive health in developing countries has suggested that involving men in reproductive health improves health outcomes. [9][10][11][12] It is important to determine husbands' knowledge and beliefs about cervical cancer and Pap smear screening test so that targeted interventions can be developed to increase their knowledge about cervical cancer and increase spousal support for cervical cancer screening. In this regard, the current paper tries to investigate the knowledge attitude, practice and health seeking behaviour about sexually transmitted infections (STIs) and cervical cancer among husbands in a slum community in Mumbai.…”

Section: Introductionmentioning

confidence: 99%

Awareness of sexually transmitted infections and cervical cancer among husbands in urban slums of Mumbai, India

Naik

Donta

Iddya

et al. 2017

Int J Community Med Public Health

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Background: Cervical cancer is the most common cancer among women, 80 percent of cervical cancer cases present with an advanced stage of the disease when cure is impossible. This may be due to lack of awareness and knowledge, lack of access to proper treatment including screening facility. Cervical cancer does not always cause symptoms during initial stage. Pap smear test helps in early diagnosis of cervical cancer and hence is successful in treatment. In recent years, there has been a growing interest in involving men into reproductive health to improve health outcomes as often husband is the leading decision maker in almost all the areas. The present paper examines the knowledge, attitude, practice and health seeking behaviour about sexually transmitted infections (STIs) and cervical cancer among husbands in a slum community of Mumbai. Methods: Baseline data from an intervention study entitled “Enhancing knowledge and promoting health seeking behaviour of couples on sexually transmitted infections and cervical cancer in urban slums of Mumbai” is used for this article. This data was collected from a random sample of 1958 husbands whose wives age was between 18-49 years, through a semi-structured interview schedule from two urban slums of Mumbai. Information was collected on socio-economic and demographic characters, awareness and symptoms of STIs and Cervical cancer, and health seeking behaviour. Results: About 76 percent husbands heard about the infections transmitted through sexual intercourse, 95.4 percent were aware of cancer whereas only 8.5 percent husbands were aware of cervical cancer and 0.3 percent were aware of Pap smear to detect the cervical cancer. About 3 percent husbands experienced at least one symptom of STIs six months prior to survey, 7.3 percent husbands reported of having sexual partner other than spouse. Most husbands were not aware of STIs symptoms specific to wives. Conclusions: There is a need for disseminating knowledge regarding STI symptoms, cervical cancer and Pap smear test for early detection of cervical cancer as well as promoting better health seeking behaviour with respect to cervical cancer and STIs. Considering sensitivity of the topic it is necessary to design separate programmes for men.

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Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission

Cited by 371 publications

References 16 publications

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Factors associated with the lack of antiretroviral therapy initiation among eligible HIV-positive pregnant women in Swaziland

Awareness of sexually transmitted infections and cervical cancer among husbands in urban slums of Mumbai, India

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