Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study.
Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study.
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DOI：
10.1080/17441692.2020.1805788
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发表时间：
2021-03
影响因子：
3.3
通讯作者：
Wringe A
中科院分区：
文献类型：
--
作者：
Dube A;Renju J;Wamoyi J;Hassan F;Seeley J;Chimukuche RS;Songo J;Kalua T;Crampin A;Moshabela M;Wringe A
我们探讨了促进男性伴侣参与的战略如何影响艾滋病毒感染者寻求艾滋病毒护理。在伊法卡拉（坦桑尼亚）、卡隆加（马拉维）和uMkhanyakude（南非）对25名卫生工作者、66名女性服务使用者和10名男性伴侣进行了深入访谈，以了解在产前护理方面提供、提供或接受艾滋病毒护理的经验。对数据进行归纳编码，并按主题进行分析。参与者报告了产前护理期间夫妇检测的好处，包括促进艾滋病毒状况的披露和相互支持艾滋病毒寻求护理。然而，意外后果包括妇女在没有伴侣的情况下参加产前检查，被拒绝或延迟获得产前服务。有些妇女被要求从村领导那里获得信件，以证明其伴侣缺席的理由，这再次拖延或扰乱了寻求护理的过程。据报告，当伴侣参加产前护理时，咨询更有可能侧重于艾滋病毒检测，而不是产前或新生儿护理。增加男子与其伴侣一起到艾滋病毒诊所就诊的战略可以促进夫妇之间在艾滋病毒护理方面的相互支持，但如果过于严格，可能会损害一些妇女在怀孕和艾滋病毒护理方面的参与。需要作出努力，解决与艾滋病毒护理有关的潜在的普遍耻辱感，无论是单独护理还是夫妻护理。
We explored how strategies to promote male partner engagement influenced HIV care-seeking among men and women living with HIV. In-depth interviews were conducted with 25 health workers, 66 female service users and 10 male partners in Ifakara (Tanzania), Karonga (Malawi) and uMkhanyakude (South Africa) to elicit experiences of offering, providing or receiving HIV care in the context of antenatal care. Data were coded inductively and analysed thematically. Participants reported benefits of couple testing during antenatal care, including facilitated HIV status disclosure and mutual support for HIV care-seeking. However, unintended consequences included women attending without partners, being refused or delayed access to antenatal services. Some women were required to obtain letters from village leaders to justify the absence of their partners, again to delaying or disrupting care-seeking. When partners attended antenatal care, consultations were reportedly more likely to focus on HIV testing, and less on antenatal or neonatal care. Strategies to increase men’s attendance at HIV clinics with their partners can promote mutual support within couples for HIV care engagement, but may risk undermining engagement in pregnancy and HIV care for some women if over-stringently applied. Efforts are needed to address the underlying pervasive stigma associated with HIV care, both alone and as a couple.
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DOI：
10.1097/qai.0000000000001038
发表时间：
2016-10-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Aluisio AR;Bosire R;Bourke B;Gatuguta A;Kiarie JN;Nduati R;John-Stewart G;Farquhar C
通讯作者：
Farquhar C
影响因子：
1.7
作者：
Bhushan NL;Golin CE;McGrath N;Maman S;Tsidya M;Chimndozi L;Wesevich A;Hoffman IF;Hosseinipour MC;Miller WC;Rosenberg NE
通讯作者：
Rosenberg NE
影响因子：
4.4
作者：
Audet, Carolyn M.;Blevins, Meridith;Vermund, Sten H.
通讯作者：
Vermund, Sten H.
影响因子：
3.6
作者：
Wamoyi, Joyce;Renju, Jenny;Wringe, Alison
通讯作者：
Wringe, Alison
影响因子：
4.4
作者：
Cichowitz, Cody;Mazuguni, Festo;Mmbaga, Blandina T.
通讯作者：
Mmbaga, Blandina T.