Engagement of Men in Antenatal Care Services: Increased HIV Testing and Treatment Uptake in a Community Participatory Action Program in ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-09

AUTHORS

Carolyn M. Audet, Meridith Blevins, Yazalde Manuel Chire, Muktar H. Aliyu, Lara M. E. Vaz, Elisio Antonio, Fernanda Alvim, Ruth Bechtel, C. William Wester, Sten H. Vermund

ABSTRACT

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. More... »

PAGES

2090-2100

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10461-016-1341-x

DOI

http://dx.doi.org/10.1007/s10461-016-1341-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026849653

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26906021


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