"It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania.
"It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania.
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DOI：
10.1186/1758-2652-14-21
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发表时间：
2011-04-26
影响因子：
6
通讯作者：
Engebretsen IM
中科院分区：
文献类型：
--
作者：
Falnes EF;Moland KM;Tylleskär T;de Paoli MM;Msuya SE;Engebretsen IM
伴侣的参与被认为是预防母婴传播方案的根本，但很难实现。本研究旨在探讨预防母婴传播方案各组成部分的可接受性，并确定男性参与的结构和文化挑战。这项研究于2007-2008年在坦桑尼亚基利曼哈罗地区的莫希农村和城市地区进行。采用了混合方法，包括与父亲和母亲进行重点小组讨论，与父亲、母亲和保健人员进行深入访谈，以及对426名带着四周大婴儿到五个生殖和儿童保健诊所进行免疫接种的母亲进行调查。在产前诊所对妇女进行艾滋病毒例行检测的做法得到男子的高度接受和赞赏，而方案的其他组成部分，特别是伴侣检测、使用避孕套和婴儿喂养建议，则继续遭到抵制。很少有男子与妻子一起进行检测，因此错过了预防母婴传播咨询。所报告的主要障碍是，妇女无权要求其丈夫进行艾滋病毒检测，而检测的竞技场-产前诊所-被界定为典型的女性领域，在那里男子是格格不入的。关于性别角色和等级制度的根深蒂固的观念是男性参与防止母婴传播方案的主要障碍。增强妇女权能仍然是一个巨大的挑战。通过在防止母婴传播方案中创造一个对男性友好的空间来增强男子的参与能力应该是可行的，并且应该成为防止母婴传播方案实现其潜力的高度优先事项。
Partner involvement has been deemed fundamental in prevention of mother to child transmission (PMTCT) programmes, but is difficult to achieve. This study aimed to explore acceptability of the PMTCT programme components and to identify structural and cultural challenges to male involvement. The study was conducted during 2007-2008 in rural and urban areas of Moshi in the Kilimanjaro region of Tanzania. Mixed methods were used, and included focus group discussions with fathers and mothers, in-depth interviews with fathers, mothers and health personnel, and a survey of 426 mothers bringing their four-week-old infants for immunization at five reproductive and child health clinics. Routine testing for HIV of women at the antenatal clinic was highly acceptable and appreciated by men, while other programme components, notably partner testing, condom use and the infant feeding recommendations, were met with continued resistance. Very few men joined their wives for testing and thus missed out on PMTCT counselling. The main barriers reported were that women did not have the authority to request their husbands to test for HIV and that the arena for testing, the antenatal clinic, was defined as a typical female domain where men were out of place. Deep-seated ideas about gender roles and hierarchy are major obstacles to male participation in the PMTCT programme. Empowering women remains a huge challenge. Empowering men to participate by creating a space within the PMTCT programme that is male friendly should be feasible and should be highly prioritized for the PMTCT programme to achieve its potential.
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影响因子：
3.2
作者：
de Paoli, MM;Manongi, R;Klepp, KI
通讯作者：
Klepp, KI
影响因子：
6
作者：
Falnes, Eli Fjeld;Tylleskar, Thorkild;Engebretsen, Ingunn M. S.
通讯作者：
Engebretsen, Ingunn M. S.
影响因子：
5.4
作者：
Desgrees-du-Lou, Annabel;Brou, Hermann;Leroy, Valeriane
通讯作者：
Leroy, Valeriane
影响因子：
--
作者：
Chinkonde, Jacqueline Rose;Sundby, Johanne;Martinson, Francis
通讯作者：
Martinson, Francis
影响因子：
2.2
作者：
Bajunirwe, Francis;Muzoora, Michael
通讯作者：
Muzoora, Michael