Ugandan Men's Attitudes Toward Their Partner's Participation in Antenatal HIV Testing

Medley, Amy; Mugerwa, George William; Kennedy, Caitlin E.

doi:10.1080/07399332.2012.655392

Cited by 8 publications

(11 citation statements)

References 38 publications

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“…Male involvement in PMTCT is in keeping with traditional values that confers authority to men in most households. This finding remains consistent with a study in Uganda, where society expects men to have authority over women and that HIV testing needed to be preceded by consent from a partner [ 38 ].…”

Section: Discussionsupporting

confidence: 91%

“…Our study reported that MI in PMTCT creates an opportunity for individual men and couple HIV testing. This finding is in agreement with studies in Uganda, Kenya, and the Democratic Republic of Congo, where men felt that it promotes HIV Testing and Counselling (HTC) [ 36 ]¿[ 38 ] although some men within the Kenyan study viewed HIV testing as a deterrent for MI [ 37 ]. Human immunodeficiency testing is low in men even after accounting for HIV testing in women following PMTCT testing [ 39 ].…”

Section: Discussionsupporting

confidence: 85%

“…Our study reported that some women do not disclose their HIV positive status to their partners for fear of abandonment. Similarly, marital tension arises as a consequence of HIV positive test results, particularly if the test was undertaken without the partner¿s knowledge [ 38 ]. We argue that with proper couple counselling and testing, facilitated disclosure, this problem may be minimised hence underscoring the relevance of MI in PMTCT of HIV programs.…”

Section: Discussionmentioning

confidence: 99%

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Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi

Nyondo

Chimwaza

Muula

2014

BMC Int Health Hum Rights

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BackgroundMale involvement (MI) in Prevention of mother to child transmission (PMTCT) of Human Immunodeficiency Virus (HIV) services remains low despite the progress registered in the implementation of the PMTCT program. Male involvement in PMTCT is a fairly new concept in Malawi that has not been fully implemented within PMTCT service provision despite its inclusion in the PMTCT guidelines. One of the reasons for the limited MI is the lack of knowledge on both its relevance and the role of men in the program. Currently, men have been encouraged to participate in PMTCT services without prior research on their understanding of the relevance and their role in PMTCT. This information is vital to the development of programs that will require MI in PMTCT. The objective of this study was to explore the views of men, pregnant women and health care providers on the importance and roles of MI in PMTCT services in Blantyre Malawi.MethodsAn exploratory descriptive qualitative study was conducted from December 2012 to January 2013 at South Lunzu Health Centre (SLHC) and its catchment area in Blantyre, Malawi. We conducted 6 key informant interviews (KIIs) with health care workers and 4 focus group discussions (FGDs) with 18 men and 17 pregnant women. Interviews and discussions were digitally recorded and simultaneously transcribed and translated into English. Data were analyzed using framework analysis approach.ResultsThe major themes that emerged on the relevance of MI in PMTCT were a) uptake of interventions along the PMTCT cascade b) support mechanism and c) education strategy. Lack of MI in PMTCT was reported to result into non-disclosure of HIV test results and non-compliance with PMTCT interventions.ConclusionsMale involvement is paramount for the uptake of interventions at the different cascades of PMTCT. The absence of male involvement may compromise compliance with PMTCT interventions.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi

Nyondo

Chimwaza

Muula

2014

BMC Int Health Hum Rights

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“…35,36 Additionally, fear of male partners' response as well as the fear of potential stigma and violence faced at the hands of community and family members served as a deterrent. 37,38 The current study revealed examples of HIV positive individuals being isolated from their family and friends as a result of their status. Participants also discussed the role of stigmatization and fear of being treated as an outcast by the community as barriers to knowing one's status.…”

Section: Discussionmentioning

confidence: 74%

Using a Cultural Framework to Understand Factors Influencing HIV Testing in Nigeria

Ehiri

Iwelunmor

Iheanacho

et al. 2016

Int Q Community Health Educ

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With support from the U.S. President’s Emergency Plan for AIDS Relief and the global fund for HIV, tuberculosis, and malaria, Nigeria offers free services for prevention of mother-to-child transmission of HIV. However, uptake of these services is low, and pediatric transmission of HIV remains a significant public health challenge. Using the PEN-3 cultural model as the theoretical framework, we examined social, cultural, and contextual factors that influenced uptake of HIV counseling and testing among pregnant women and their male partners. This was a qualitative study of participants in the Healthy Beginning Initiative (HBI), a congregation-based program to prevent mother-to-child transmission of HIV in Enugu, southeast Nigeria. We conducted eight focus group discussion sessions with 83 pregnant women and their male partners. Participants’ perspectives on why they did or did not test for HIV were obtained. The most cited reasons for getting tested for HIV included the following: “the need to know one’s status”, “the role of prenatal testing” (positive perceptions); “the role of the church”, “personal rapport with healthcare worker” (positive enablers); and the “influence of marriage” (positive nurturer). The most cited reason for not testing were: “fear of HIV test”, “shame associated with HIV+ test results”, “conspiratorial beliefs about HIV testing” (negative perceptions); “lack of confidentiality with HIV testing”, (negative enabler); and “HIV-related stigma from family and community systems” (negative nurturer). Overall, numerous facilitators and barriers influence uptake of HIV testing in the study setting. Public health practitioners and policymakers need to consider how sociocultural and religious factors unique to specific local contexts may promote or hinder uptake of available HIV/AIDS prevention and care interventions.

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“…Several exploratory and feasibility studies have investigated the potential for male involvement in HIV testing and prevention [7, 15, 16], sexual and reproductive health [17, 18] and safe motherhood initiatives [18–24]. The only exploratory study identified related to newborn care targeted preterm care [25].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of, attitudes towards and barriers to male involvement in newborn care in rural Ghana, West Africa: a qualitative analysis

Dumbaugh

Tawiah-Agyemang

Manu

et al. 2014

BMC Pregnancy Childbirth

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BackgroundMale involvement in various health practices is recognized as an important factor in improving maternal and child health outcomes. Male involvement interventions involve men in a variety of ways, at varying levels of inclusion and use a range of outcome measures. There is little agreement on how male involvement should be measured and some authors contend that male involvement may actually be detrimental to women’s empowerment and autonomy. Few studies explore the realities, perceptions, determinants and efficacy of male involvement in newborn care, especially in African contexts.MethodsBirth narratives of recent mothers (n = 25), in-depth interviews with recent fathers (n = 12) and two focus group discussions with fathers (n = 22) were conducted during the formative research phase of a community-based newborn care trial. Secondary analysis of this qualitative data identified emergent themes and established overall associations related to male involvement, newborn care and household roles in a rural African setting.ResultsData revealed that gender dictates many of the perceptions and politics surrounding newborn care in this context. The influence of mother-in-laws and generational power dynamics were also identified as significant. Women alone perform almost all tasks related to newborn care whereas men take on the traditional responsibilities of economic providers and decision makers, especially concerning their wives’ and children’s health. Most men were interested in being more involved in newborn care but identified barriers to increased involvement, many of which related to gendered and generational divisions of labour and space.ConclusionsMen defined involvement in a variety of ways, even if they were not physically involved in carrying out newborn care tasks. Some participant comments revealed potential risks of increasing male involvement suggesting that male involvement alone should not be an outcome in future interventions. Rather, the effect of male involvement on women’s autonomy, the dynamics of senior women’s influence and power and the real impact on health outcomes should be considered in intervention design and implementation. Any male involvement intervention should integrate a detailed understanding of context and strategies to include men in maternal and child health should be mutually empowering for both women and men.

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Ugandan Men's Attitudes Toward Their Partner's Participation in Antenatal HIV Testing

Cited by 8 publications

References 38 publications

Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi

Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi

Using a Cultural Framework to Understand Factors Influencing HIV Testing in Nigeria

Perceptions of, attitudes towards and barriers to male involvement in newborn care in rural Ghana, West Africa: a qualitative analysis

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