Stakeholders' perceptions on factors influencing male involvement in prevention of mother to child transmission of HIV services in Blantyre, Malawi.
Stakeholders' perceptions on factors influencing male involvement in prevention of mother to child transmission of HIV services in Blantyre, Malawi.
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DOI：
10.1186/1471-2458-14-691
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发表时间：
2014-07-07
影响因子：
4.5
通讯作者：
Muula AS
中科院分区：
文献类型：
--
作者：
Nyondo AL;Chimwaza AF;Muula AS
在男子是家庭决策者的父权制社会中，男子参与预防艾滋病毒母婴传播服务至关重要。男性伴侣在妇女感染艾滋病毒的风险、接受艾滋病毒检测和参与母婴传播预防方案方面发挥作用。虽然母婴感染对于采取预防母婴传播干预措施很重要，但在非洲仍然很低。本研究的目的是确定因素，促进和阻碍MI在产前保健（ANC）服务的预防母婴传播服务在布兰太尔，马拉维。了解影响MI的因素将有助于制定使男子更多地参与该方案的战略，从而分别提高妇女和男子对防止母婴传播和艾滋病毒检测及咨询服务的接受程度。2012年12月至2013年1月在马拉维布兰太尔的南伦祖卫生中心（SLHC）进行了一项探索性定性研究。它包括六个面对面的关键知情人访谈（KII）与卫生保健工作者和四个焦点小组讨论（FGD）与18名男子和17名孕妇参加产前保健在诊所。根据性别和年龄对FGD进行分组。所有FGD和KII都进行了数字记录，并同时转录和逐字翻译成英语。采用专题内容分析法对数据进行了分析。参与FGD和KIIs的参与者确定了以下障碍：缺乏预防母婴传播中的MI知识，社会经济因素，关系问题，在妇女领域看到的胆怯，计划外和/或婚外怀孕，害怕知道自己的艾滋病毒状况，不愿意与服务，卫生设施因素，同伴影响和文化因素。可能促进男性参与的因素分为社区、卫生设施和个人或家庭层面的因素。可能阻碍或促进MI的因素来自不同的来源。管理信息的成功在于认识到障碍的来源并加以消除。促进MI的因素需要在不同层次的卫生保健中实施。
Male Involvement (MI) in the Prevention of Mother to Child Transmission (PMTCT) of Human Immunodeficiency Virus (HIV) services is essential in a patriarchal society where men are decision makers of the household. Male partners have a role in the woman’s risk of acquiring HIV, uptake of HIV testing and participation in Mother to Child Transmission (MTCT) prevention programmes. Although MI is important for uptake of PMTCT interventions, it remains low in Africa. The purpose of this study was to identify factors that promote and hinder MI in PMTCT services in antenatal care (ANC) services in Blantyre, Malawi. Understanding of the factors that influence MI will assist in developing strategies that will involve men more in the programme thereby improving the uptake of PMTCT and HIV testing and counselling services by women and men respectively. An exploratory qualitative study was conducted from December 2012 to January 2013 at South Lunzu Health Centre (SLHC) in Blantyre, Malawi. It consisted of six face to face Key Informant Interviews (KIIs) with health care workers and four Focus Group discussions (FGDs) with 18 men and 17 pregnant women attending antenatal care at the clinic. The FGDs were divided according to sex and age. All FGDs and KIIs were digitally recorded and simultaneously transcribed and translated verbatim into English. Data were analysed using thematic content analysis. Participants in both FGDs and KIIs identified the following barriers: lack of knowledge of MI in PMTCT, socioeconomic factors, relationship issues, timidity to be seen in a woman’s domain, unplanned and or extramarital pregnancies, fear of knowing one's HIV status, unwillingness to be associated with the service, health facility based factors, peer influence and cultural factors. The factors that would potentially promote male involvement were categorized into community, health facility and personal or family level factors. The factors that may hinder or promote MI arise from different sources. The success of MI lies on recognizing sources of barriers and averting them. Factors that promote MI need to be implemented at different levels of health care.