BARRIERS TO MALE INVOLVEMENT IN UPTAKE OF PREVENTION-OF-MOTHER-TO-CHILD-TRANSMISSION (PMTCT) OF HIV IN SUB-SAHARAN AFRICA
Keywords:
Male barriers, involvement, participation, transmission, HIV
Abstract
Sub-Saharan Africa continues to bear the burden of HIV/AIDS in the world, with countries like Ethiopia, Congo, Eritrea, and Nigeria constituting the highest percentages of the burden. Women and children are the most affected. Nigeria was reported second on the list of countries with the highest number of people living with HIV/AIDS (PLWHA) which was 3.5 million in 2011 including pregnant women. Despite the fact that the prevention of mother-to-child-transmission of HIV/AIDS (PMTCT) services is provided free in Sub-Saharan Africa, research shows inadequate uptake. This study identifies reasons for low uptake of PMTCT associated with male involvement and provides evidence from the literature on best practices to overcome low male involvement. A literature search was conducted and 22 articles were selected for this review. Findings revealed that if men participated in PMTCT programs and supported their wives, uptake could increase. Important barriers to male involvement identified were fear of stigmatization and the belief that men should not participate in female reproductive health.
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References
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19. Momoh, A. A. (2014) Personal communication by email. Unpublished. Nkuoh, G.N., Meyer, D.J., Tih, P.M. & Nkfusai, J. (2010) 'Barriers to Men's Participation in Antenatal and Prevention of Mother‐to‐Child HIV Transmission Care in Cameroon, Africa', Journal of Midwifery & Women’s Health, vol. 55, no. 4, pp. 363-369.
20. Peltzer, K., Jones, D., Weiss, S.M. & Shikwane, E. (2011) 'Promoting male involvement to improve PMTCT uptake and reduce antenatal HIV infection: a cluster randomized controlled trial protocol', BMC public health, vol. 11, no. 1, p. 778.
21. Piot, P., Bartos, M., Larson, H., Zewdie, D. & Mane, P. (2008). Coming to terms with complexity: A call to action for HIV Prevention, Lancet 372 (9641), 845 - 859
22. Ramirez-Ferrero, E. & Lusti-Narasimhan, M. (2012) 'The role of men as partners and fathers in the prevention of mother-to-child transmission of HIV and in the promotion of sexual and reproductive health', Reproductive health matters, vol. 20, no. 39, pp. 103- 109.
2. Aluisio, A., Richardson, B.A., Bosire, R., John-Stewart, G., Mbori-Ngacha, D. & Farquhar, C. (2011) 'Male antenatal attendance and HIV testing are associated with decreased infant HIV infection and increased HIV free survival', Journal of acquired immune deficiency syndromes (1999), vol. 56, no. 1, p. 76.
3. Bajunirwe, F. & Muzoora, M. (2005) 'Barriers to the implementation of programs for the prevention of mother-to-child transmission of HIV: a cross-sectional survey in rural and urban Uganda', AIDS Research and Therapy, vol 2, no 10
4. Brusamento, S., Ghanotakis, E., Tudor Car, L., van-Velthoven, M.H., Majeed, A. & Car, J. (2012) 'Male involvement for increasing the effectiveness of prevention of mother-to-child HIV transmission (PMTCT) programmes', Cochrane Database Syst Rev, vol. 10, p. Cd009468.
5. Byamugisha, R., Tumwine, J.K., Semiyaga, N. & Tylleskär, T. (2010) 'Research Determinants of male involvement in the prevention of mother-to-child transmission of HIV program in Eastern Uganda: a cross-sectional survey'.
6. Ditekemena, J., Koole, O., Engmann, C., Matendo, R., Tshefu, A., Ryder, R. & Colebunders, R. (2012) 'Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review', Reproductive health, vol. 9, no. 1, p. 32.
7. Ezeanolue, E.E., Obiefune, M.C., Yang, W., Obaro, S.K., Ezeanolue, C.O. & Ogedegbe, G.G. (2013) 'Comparative effectiveness of congregation-versus clinic-based approach to prevention of mother-to-child HIV transmission: study protocol for a cluster randomized controlled trial', Implementation Science, vol. 8, no. 1, p. 62.
8. Folayan, M. (2004) 'HIV/AIDS: the Nigerian response', The Political Economy of AIDS in Africa, pp. 85 -104.
9. Getu, D.K. (2011) 'Factors related to male participation in prevention of mother-to-child transmission of human immunodeficiency virus in three public hospitals in Addis Ababa, Ethiopia'.
10. Gupta, G.R. (2002) 'How men's power over women fuels the HIV epidemic: It limits women's ability to control sexual interactions, BMJ: British Medical Journal, vol. 324, no. 7331, p. 183.
11. Haile, F. & Brhan, Y. (2014) 'Male partner involvement in PMTCT: a cross-sectional study, Mekelle, Northern Ethiopia', BMC Pregnancy and childbirth, vol. 14, no. 65.
12. Homsy, J., Kalamya, J.N., Obonyo, J., Ojwang, J., Mugumya, R., Opio, C. & Mermin, J. (2006) 'Routine intrapartum HIV counseling and testing for prevention of mother-to-child transmission of HIV in a rural Ugandan hospital', JAIDS Journal of Acquired Immune Deficiency Syndromes, vol. 42, no. 2, pp. 149-154.
13. King, R., Katuntu, D., Lifshay, J., packel, L., Patamwita, R., Nakayiwa, S., Abang, B., Babirye, F., Lindkvist, P., Johansson, E., Mermin, J. & Bunnell, R. (2008) 'Process and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda', AIDS and Behavior, vol. 12, pp. 232-243.
14. Koo, K., Makin, J.D. & Forsyth, B.W. (2013) 'Barriers to Male-Partner Participation in Programs to Prevent Mother-to-Child HIV Transmission in South Africa', AIDS Education and Prevention, vol. 25, no. 1, pp. 14-24.
15. Madiba, S. & Letsoalo, R. (2013) 'HIV disclosure to partners and family among women enrolled in prevention of mother to child transmission of HIV program: implications for infant feeding in poorly resourced communities in South Africa', Glob J Health Sci, vol. 5, no. 4, pp. 1-13.
16. Mbonye, A., Hansen, K., Wamono, F. & Magnussen, P. (2010) 'Barriers to the prevention of mother-to-child transmission of HIV services in Uganda', Journal of biosocial science, vol. 42, no. 2, p. 271.
17. Medley, A., Garcia-Moreno, C., McGill, S. & Maman, S. (2004) 'Rates, barriers and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programs', Bull World Health Organ, vol. 82, no. 4, pp. 299-307.
18. Mohlala, B.K., Boily, M.-C. & Gregson, S. (2011) 'The forgotten half of the equation: a randomized controlled trial of a male invitation to attend couple voluntary counseling and testing', AIDS (London, England), vol. 25, no. 12, p. 1535.
19. Momoh, A. A. (2014) Personal communication by email. Unpublished. Nkuoh, G.N., Meyer, D.J., Tih, P.M. & Nkfusai, J. (2010) 'Barriers to Men's Participation in Antenatal and Prevention of Mother‐to‐Child HIV Transmission Care in Cameroon, Africa', Journal of Midwifery & Women’s Health, vol. 55, no. 4, pp. 363-369.
20. Peltzer, K., Jones, D., Weiss, S.M. & Shikwane, E. (2011) 'Promoting male involvement to improve PMTCT uptake and reduce antenatal HIV infection: a cluster randomized controlled trial protocol', BMC public health, vol. 11, no. 1, p. 778.
21. Piot, P., Bartos, M., Larson, H., Zewdie, D. & Mane, P. (2008). Coming to terms with complexity: A call to action for HIV Prevention, Lancet 372 (9641), 845 - 859
22. Ramirez-Ferrero, E. & Lusti-Narasimhan, M. (2012) 'The role of men as partners and fathers in the prevention of mother-to-child transmission of HIV and in the promotion of sexual and reproductive health', Reproductive health matters, vol. 20, no. 39, pp. 103- 109.
How to Cite
1.
Osman RJ, Unkels R, Aliyu U, Musa HA, Mathew OK. BARRIERS TO MALE INVOLVEMENT IN UPTAKE OF PREVENTION-OF-MOTHER-TO-CHILD-TRANSMISSION (PMTCT) OF HIV IN SUB-SAHARAN AFRICA. Med. res. chronicles [Internet]. 2014Oct.31 [cited 2024Apr.30];1(1):21-9. Available from: https://medrech.com/index.php/medrech/article/view/4
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Original Research Article
