Association between Male Partner Involvement and the Uptake of Prevention of Mother-to-Child Transmission of HIV (PMTCT) Interventions in Mwanza District, Malawi: A Retrospective Cohort Study

Kalembo, Fatch Welcome; Zgambo, Maggie; Mulaga, Atupele N.; Du, Yumin; Ahmed, Niman Isse

doi:10.1371/journal.pone.0066517

Cited by 128 publications

(171 citation statements)

References 14 publications

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“…Similar findings were also reported in studies done in Tanzania, Nepal, South Africa and Malawi [16][17][18][19]. The low level of involvement could be attributable to the less awareness and education, culture and tradition of the society in which males don't care on their partners.…”

Section: Discussionsupporting

confidence: 85%

The Role of Male Partner Involvement on Mother’s Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia

Alemayehu¹

2014

Fam Med Med Sci Res

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Section: Discussionsupporting

confidence: 85%

The Role of Male Partner Involvement on Mother’s Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia

Alemayehu¹

2014

Fam Med Med Sci Res

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“…8,13 Involving male partners of HIV-infected women was also associated with improved uptake of PMTCT interventions in Malawi, as well as enhanced HIV-free survival among children. 22 Improved HIV-free survival among children was also reported in a Kenyan study that evaluated mother-infant pairs in which the father attended versus did not attend the antenatal clinic to participate in HTC. 5 In this cohort of 535 pregnant HIV-infected women, 456 reported being in a relationship and, of these, 31% presented with their partners.…”

Section: Male Involvement In Pmtct When the Pregnant Woman Is Hiv Infmentioning

confidence: 80%

“…15 In Southern Africa, rates have been similar, with one study conducted among HIV-positive women in a district hospital in Malawi reporting male partner involvement of 14%. 22 Higher rates have been reported in South Africa where one in three male partners underwent HTC in the antenatal clinic following extensive community mobilization and sensitization. 9 The increase in male testing rates observed in South Africa with extensive community outreach and sensitization is encouraging but leaves considerable room for improvement in employing other strategies, some of which are now under investigation.…”

Section: Low Rates Of Male Partner Involvement In Pmtct and Antenatalmentioning

confidence: 96%

Role of male partners in the prevention of mother-to-child HIV transmission

Osoti¹,

Han²,

Kinuthia³

et al. 2014

RRN

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Abstract:There is emerging evidence that in resource-limited settings with a high human immunodeficiency virus (HIV) burden, male partner involvement in prevention of mother-tochild HIV transmission (PMTCT) is associated with improved uptake of effective interventions and infant HIV-free survival. There is also increasing evidence that male partner involvement positively impacts non-HIV related outcomes, such as skilled attendance at delivery, exclusive breastfeeding, uptake of effective contraceptives, and infant immunizations. Despite these associations, male partner involvement remains low, especially when offered in the standard antenatal clinic setting. In this review we explore strategies for improving rates of antenatal male partner HIV testing and argue that the role of male partners in PMTCT must evolve from one of support for HIV-infected pregnant and breastfeeding women to one of comprehensive engagement in prevention of primary HIV acquisition, avoidance of unintended pregnancies, and improved HIV-related care and treatment for the HIV-infected and uninfected women, their partners, and children. Involving men in all components of PMTCT has potential to contribute substantially to achieving virtual elimination of mother-to-child HIV transmission; promoting partner-friendly programs and policies, as well as pursuing research into numerous gaps in knowledge identified in this review, will help drive this process.

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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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Association between Male Partner Involvement and the Uptake of Prevention of Mother-to-Child Transmission of HIV (PMTCT) Interventions in Mwanza District, Malawi: A Retrospective Cohort Study

Cited by 128 publications

References 14 publications

The Role of Male Partner Involvement on Mother’s Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia

The Role of Male Partner Involvement on Mother’s Adherence to PMTCT Care and Support, Tigray, Northern Ethiopia

Role of male partners in the prevention of mother-to-child HIV transmission

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

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