Engaging community leaders to improve male partner participation in the prevention of mother-to-child transmission of HIV in Dar es Salaam, Tanzania

Lyatuu, Goodluck; Naburi, Helga; Urrio, Roseline; Mwashemele, Shally; Mdingi, Sarah Geoffrey; Panga, Rehema; Koda, Happiness; Chende, Yusuph; Tsere, Martha; Mhalu, Aisa; Siril, Helen; Lema, Irene Andrew; Aris, Eric; Muya, Aisa; Galanti, Maria Rosaria; Biberfeld, Gunnel; Kilewo, Charles; Ekström, Anna Mia

doi:10.1371/journal.pone.0207986

Cited by 7 publications

(10 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with the findings from the Jimma study [17], husbands' involvement in HES is also another factor associated with satisfaction of mothers in the service. Male involvement has resulted in improved uptake of reproductive and maternal services in previous studies in the country [36][37][38][39][40]. Husbands who were involved in HES are more likely to be committed in approving women's initiation to receive the service and act as a model to the community.…”

Section: Plos Onementioning

confidence: 99%

Mothers’ satisfaction with health extension services and the associated factors in Gamo Goffa zone, Southern Ethiopia

Mergia¹,

Shegaze²,

Ayele³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

Background Providing compassionate and respectful maternity services in order to bring satisfaction to service users is one of the health extension services packages in Ethiopia. Though the service utilization and its associated factors have been well documented so far, yet there is a dearth of information on client satisfaction; particularly among rural women who are mostly the target groups of health extension services within the Ethiopia. Thus, this study aimed to assess mothers' satisfaction with health extension services and the associated factors in the Gamo Goffa Zone, of Southern Ethiopia. Methods A community based cross sectional study was conducted among 478 women from February 1 st to February 28 th of 2018. A pre-tested and interviewer administered questionnaire was used to collect the data. The study participants were selected using a systematic random sampling technique by allocating a proportion to each rural kebeles. Both bivariate and multivariate logistic regression analysis were performed to identify associated factors. Odds ratio with its 95% confidence interval was used to determine the degree of association. Level of statistical significance was set at a p-value of less than 0.05. Result The overall proportion of mothers who were satisfied with health extension services was 37.4% with 95% CI (33-44%). Mothers who had good family monthly income [AOR = 4.66 (95% CI: 1.1, 20.6)], whose husbands participated in the health extension program [AOR = 4.02 (95% CI: 2.0, 8.1)], who had recent participation in planning of health extension

show abstract

Section: Plos Onementioning

confidence: 99%

Mothers’ satisfaction with health extension services and the associated factors in Gamo Goffa zone, Southern Ethiopia

Mergia¹,

Shegaze²,

Ayele³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Four observational cohort studies used some form of clinic enhancement to promote CHTC. Two of the studies integrated CHTC services into antenatal clinics [30, 31]. After integrating opt‐out HIV counselling and testing services into maternal–child health services in Uganda, Homsy et al.…”

Section: Resultsmentioning

confidence: 99%

“…Multiple concurrent strategies were often used within one study and even within one study arm. For instance, community recruiters along with improving the clinic environment through couple‐friendly services at antenatal clinics increased couple HIV testing in one study; but it is unclear whether the community recruiters or the improved clinic atmosphere was responsible for the increase [30]. Similarly, home‐based CHTC was paired with intensive couple counselling in another study, which led to increased CHTC uptake; but there is no ability to determine whether the counselling or offering home‐based testing is responsible for the increased uptake of CHTC [41].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Strategies to increase couples HIV testing and counselling in sub‐Saharan Africa: a systematic review

et al. 2023

View full text Add to dashboard Cite

Introduction:Couple HIV testing and counselling (CHTC) is associated with measurable benefits for HIV prevention and treatment. However, the uptake remains limited in much of sub-Saharan Africa, despite an expanded range of strategies designed to promote access. Methods: Following PRIMSA guidelines, we conducted a systematic review to characterize CHTC uptake strategies. Five databases were searched. Full-text articles were included if they were: conducted in sub-Saharan Africa during the study period , targeted heterosexual couples, reported at least one strategy to promote CHTC and provided a quantifiable measure of CHTC uptake. After the initial and full-text screening, key features of the studies were abstracted and synthesized. Results: Of the 6188 unique records found in our search, 365 underwent full-text review with 29 distinct studies included and synthesized. Most studies recruited couples through antenatal care (n = 11) or community venues (n = 8) and used provider-based HIV testing (n = 25). The primary demand creation strategies included home-based CHTC (n = 7); integration of CHTC into clinical settings (n = 4); distribution of HIV self-testing kits (n = 4); verbal or written invitations (n = 4); community recruiters (n = 3); partner tracing (n = 2); relationship counselling (n = 2); financial incentives (n = 1); group education with CHTC coupons (n = 1); and HIV testing at other community venues (n = 1). CHTC uptake ranged from negligible to nearly universal. Discussion: We thematically categorized a diverse range of strategies with varying levels of intensity and resources used across sub-Saharan Africa to promote CHTC. Offering CHTC within couples' homes was the most common approach, followed by the integration of CHTC into clinical settings. Due to heterogeneity in study characteristics, we were unable to compare the effectiveness across studies, but several trends were observed, including the high prevalence of CHTC promotion strategies in antenatal settings and the promising effects of home-based CHTC, distribution of HIV self-tests and integration of CHTC into routine health services. Since 2019, an updated literature search found that combining partner notification and secondary distribution of HIV self-test kits may be an additionally effective CHTC strategy. Conclusions: There are many effective, feasible and scalable approaches to promote CHTC that should be considered by national programmes according to local needs, cultural context and available resources.

show abstract

“…In a cross‐sectional study in Malawi, couples in which neither partner disclosed their HIV status was associated with higher risk of not initiating maternal ART (adjusted odds ratio: 4.7, 95% CI: 2.5 to 8.8), suboptimal treatment adherence (adjusted odds ratio: 1.8, 95% CI: 1.1 to 2.8) and HIV transmission from mother to infant (adjusted odds ratio: 2.1, 95% CI: 1.1 to 4.1) [85]. Strategies to increase male partner engagement have typically started with couples HIV counselling and testing; community‐based outreach activities to engage male partners have also been effective in Mozambique and Tanzania [80,86]. However, the potential risks associated with these approaches, including intimate partner violence and social harms, should be carefully considered when implementing such services at a population level.…”

Section: Resultsmentioning

confidence: 99%

Accelerating progress towards the elimination of mother‐to‐child transmission of HIV: a narrative review

et al. 2020

View full text Add to dashboard Cite

Introduction Findings from biomedical, behavioural and implementation studies provide a rich foundation to guide programmatic efforts for the prevention of mother‐to‐child HIV transmission (PMTCT). Methods We summarized the current evidence base to support policy makers, programme managers, funding agencies and other stakeholders in designing and optimizing PMTCT programmes. We searched the scientific literature for PMTCT interventions in the era of universal antiretroviral therapy for pregnant and breastfeeding women (i.e. 2013 onward). Where evidence was sparse, relevant studies from the general HIV treatment literature or from prior eras of PMTCT programme implementation were also considered. Studies were organized into six categories: HIV prevention services for women, timely access to HIV testing, timely access to ART, programme retention and adherence support, timely engagement in antenatal care and services for infants at highest risk of HIV acquisition. These were mapped to specific missed opportunities identified by the UNAIDS Spectrum model and embedded in UNICEF operational guidance to optimize PMTCT services. Results and discussion From May to November 2019, we identified numerous promising, evidence‐based strategies that, properly tailored and adopted, could contribute to population reductions in vertical HIV transmission. These spanned the HIV and maternal and child health literature, emphasizing the importance of continued alignment and integration of services. We observed overlap between several intervention domains, suggesting potential for synergies and increased downstream impact. Common themes included integration of facility‐based healthcare; decentralization of health services from facilities to communities; and engagement of partners, peers and lay workers for social support. Approaches to ensure early HIV diagnosis and treatment prior to pregnancy would strengthen care across the maternal lifespan and should be promoted in the context of PMTCT. Conclusions A wide range of effective strategies exist to improve PMTCT access, uptake and retention. Programmes should carefully consider, prioritize and plan those that are most appropriate for the local setting and best address existing gaps in PMTCT health services.

show abstract

Engaging community leaders to improve male partner participation in the prevention of mother-to-child transmission of HIV in Dar es Salaam, Tanzania

Cited by 7 publications

References 33 publications

Mothers’ satisfaction with health extension services and the associated factors in Gamo Goffa zone, Southern Ethiopia

Mothers’ satisfaction with health extension services and the associated factors in Gamo Goffa zone, Southern Ethiopia

Strategies to increase couples HIV testing and counselling in sub‐Saharan Africa: a systematic review

Accelerating progress towards the elimination of mother‐to‐child transmission of HIV: a narrative review

Contact Info

Product

Resources

About