PMID- 21521511
OWN - NLM
STAT- MEDLINE
DCOM- 20110913
LR  - 20220321
IS  - 1758-2652 (Electronic)
IS  - 1758-2652 (Linking)
VI  - 14
DP  - 2011 Apr 26
TI  - "It is her responsibility": partner involvement in prevention of mother to child 
      transmission of HIV programmes, northern Tanzania.
PG  - 21
LID - 10.1186/1758-2652-14-21 [doi]
AB  - BACKGROUND: 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. METHODS: 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. RESULTS: 
      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. CONCLUSIONS: 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.
FAU - Falnes, Eli Fjeld
AU  - Falnes EF
AD  - Centre for International Health, University of Bergen, Bergen, Norway. 
      eli.fjeld@cih.uib.no
FAU - Moland, Karen Marie
AU  - Moland KM
FAU - Tylleskar, Thorkild
AU  - Tylleskar T
FAU - de Paoli, Marina Manuela
AU  - de Paoli MM
FAU - Msuya, Sia E
AU  - Msuya SE
FAU - Engebretsen, Ingunn Ms
AU  - Engebretsen IM
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110426
PL  - Switzerland
TA  - J Int AIDS Soc
JT  - Journal of the International AIDS Society
JID - 101478566
SB  - IM
MH  - Adult
MH  - Communicable Disease Control/*methods
MH  - Female
MH  - HIV Infections/*prevention & control/*transmission
MH  - Health Personnel
MH  - Humans
MH  - Infant
MH  - Infectious Disease Transmission, Vertical/*prevention & control
MH  - Interviews as Topic
MH  - Male
MH  - Parents
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Rural Population
MH  - *Sexual Partners
MH  - Tanzania
MH  - Urban Population
PMC - PMC3108267
EDAT- 2011/04/28 06:00
MHDA- 2011/09/14 06:00
PMCR- 2011/04/26
CRDT- 2011/04/28 06:00
PHST- 2010/08/12 00:00 [received]
PHST- 2011/04/26 00:00 [accepted]
PHST- 2011/04/28 06:00 [entrez]
PHST- 2011/04/28 06:00 [pubmed]
PHST- 2011/09/14 06:00 [medline]
PHST- 2011/04/26 00:00 [pmc-release]
AID - 1758-2652-14-21 [pii]
AID - 10.1186/1758-2652-14-21 [doi]
PST - epublish
SO  - J Int AIDS Soc. 2011 Apr 26;14:21. doi: 10.1186/1758-2652-14-21.