Magnitude and determinants of male partner involvement in PMTCT service utilization of pregnant women attending public health facilities of Ethiopia, 2021: a systematic review and meta-analysis

Abstract

Background Infant antiretroviral prophylaxis has an important role in reduction of Human immune virus transmission from mother to child during the postpartum period. Male partner involvement was considered as a priority aforementioned area needs to be enhanced in Prevention of Mother-To Child Transmission (PMTCT). PMTCT service utilization can minimize the risk of the transmission of HIV from mother to child and related mortalities. Adequate utilization and adherence to this service has been challenging for some of the women if their partners are not aware or do partners do not support the women. The aim of this study is to assess the magnitude and determinants of male involvement in PMTCT service in Ethiopia. Methods and materials We had conducted an extensive search of literature as indicated in the guideline of reporting systematic review and meta-analysis (PRISMA). We had used PubMed, Google Scholar, and cross reference for searching articles. We had used the Joanna Briggs Institute (JBI) Meta-Analysis of Statistics Assessment and Review Instrument for critical appraisal of studies. Met-analysis and meta-regression were computed to present the pooled prevalence and determinants of male partner involvement with a 95% confidence interval using Revman. Results Among a total of 338 studies, 11 studies were included in this analysis. The estimated pooled magnitude of male partner involvement was 40% (95% CI: 29.11–50.69). Knowledge of husband on PMTCT (2.30, 95% CI 1.75, 3.02), perceived responsibility for the women (4.22, 95% CI 2.31, 7.71), being government employee (2.89, 95% CI 2.02, 4.12), cultural barriers (3.44, 95% CI 2.54, 4.65) and educational status of husband (2.4, 95% CI 1.79, 3.50) were the determinants of pooled estimates of male partner involvement in PMTCT activities. Conclusion The pooled prevalence of male partner involvement was lower than the study conducted in sub Saharan Africa. Knowledge of husband on PMTCT, perceived responsibility for women, occupational status, cultural barriers and educational status of husband were determinants of male partner involvement. Therefore, the existing strategies to improve male involvement should be strengthened.

Using the RE-AIM Framework to Evaluate Implementation of Male Involvement Strategies to Optimize the PMTCT Program in Malawi: A Mixed-Methods Study

“…Constant engagement of men has been reported to have positive effects on men’s participation and their involvement particularly being related to improved knowledge of PMTCT and higher engagement in HIV and pregnancy-safe practices ( Melis & Fikadu, 2022 ; OPHID, 2015 ). However, contrasting with other studies ( Ayalew et al, 2020 ), less than 50% of the men in our study were returning clients with the rest presenting for the first time.…”

Modeling Health Systems and Male-Partner Involvement Determinants of Prevention of Mother to Child Transmission of Human Immune-deficiency Virus among Women in Homa Bay County Referral Hospital, Kenya

“…Deductively, male involvement entails direct and indirect involvement. Drop-offs along the cascade of PMTCT are often common when male partners are not involved (Melis & Fikadu, 2022). A reflection on PMTCT services across various healthcare settings shows that they are structured so that it places much of the responsibilities on the females (PMTCT mothers).…”