Engagement of Men in Antenatal Care Services: Increased HIV Testing and Treatment Uptake in a Community Participatory Action Program in Mozambique
Engagement of Men in Antenatal Care Services: Increased HIV Testing and Treatment Uptake in a Community Participatory Action Program in Mozambique
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DOI：
10.1007/s10461-016-1341-x
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发表时间：
2016-09-01
影响因子：
4.4
通讯作者：
Vermund, Sten H.
中科院分区：
文献类型：
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作者：
Audet, Carolyn M.;Blevins, Meridith;Vermund, Sten H.
莫桑比克农村产前保健（ANC）期间对艾滋病毒检测和抗逆转录病毒治疗（ART）服务的接受情况令人失望。为了鼓励男性参与非分娩服务，我们与传统接生员合作，并培训了一种新型的男性对男性社区保健代理人，即“男性冠军”，他们的重点是为男性伴侣提供咨询，以在参与配偶/伴侣怀孕方面建立新的、对男性友好的社区规范。我们使用干预前-干预后设计评估ANC服务的接受情况。干预与以下方面的增加有关：(1)孕妇接受提供者发起的咨询和测试（81% vs. 92%; p < 0.001）；(2)男性参与ANC (5% vs. 34%, p < 0.001)；(3) ART的摄取（8% vs. 19%; p < 0.001）。当男性接受艾滋病毒检测时，孕妇的检测率显著上升。随着撒哈拉以南非洲扩大B+方案的挑战，类似的干预措施可能会提高怀孕期间检测和治疗的可接受性。
Uptake of HIV testing and antiretroviral therapy (ART) services during antenatal care (ANC) in rural Mozambique is disappointing. To nurture supportive male engagement in ANC services, we partnered with traditional birth attendants and trained a new type of male-to-male community health agent, "Male Champions", who focused on counseling male partners to create new, male-friendly community norms around engagement in spousal/partner pregnancies. We assessed ANC service uptake using a pre-post intervention design. The intervention was associated with increases in: (1) uptake of provider-initiated counseling and testing among pregnant woman (81 vs. 92 %; p < 0.001); (2) male engagement in ANC (5 vs. 34 %; p < 0.001); and (3) uptake of ART (8 vs. 19 %; p < 0.001). When men accepted HIV testing, rates of testing rose markedly among pregnant women. With the challenges in scale-up of Option B+ in sub-Saharan Africa, similar interventions may increase testing and treatment acceptability during pregnancy.