Male partners' involvement in prevention of mother-to-child HIV transmission in sub-Saharan Africa : a systematic review : original article
Year: 2015
Type: review
Study design: Systematic Review
Abstract: In sub-Saharan Africa (SSA), male partners are rarely present during prevention of mother-to-child transmission (PMTCT) services. This systematic review aims to synthesize, from a male perspective, male partners' perceived roles, barriers and enablers of their involvement in PMTCT, and highlights persisting gaps. We carried out a systematic search of papers published between 2002 and 2013 in English on Google Scholar and PubMed using the following terms: men, male partners, husbands, couples, involvement, participation, Antenatal Care (ANC), PMTCT, SSA countries, HIV Voluntary Counseling and Testing and disclosure. A total of 28 qualitative and quantitative original studies from 10 SSA countries were included. Men's perceived role was addressed in 28% (8/28) of the studies. Their role to provide money for ANC/PMTCT fees was stated in 62.5% (5/8) of the studies. For other men, the financial responsibilities seemed to be used as an excuse for not participating. Barriers were cited in 85.7% (24/28) of the studies and included socioeconomic factors, gender role, cultural beliefs, male unfriendly ANC/PMTCT services and providers' abusive attitudes toward men. About 64% (18/28) of the studies reported enablers such as: older age, higher education, being employed, trustful monogamous marriages and providers' politeness. In conclusion, comprehensive PMTCT policies that are socially and culturally sensitive to both women and men need to be developed.En Afrique sub-saharienne (ASS) les partenaires masculins sont rarement presents dans les services de PTME. Cette revue systematique de la litterature a pour objectif de synthetiser, du point de vue des hommes, les roles percus des partenaires masculins, les barrieres et les facteurs facilitateurs de leur participation dans les services de PTME, et met en exergue les lacunes qui persistent. Nous avons mene une recherche systematique d'articles publies en anglais entre 2002 et 2013 dans Google Scholar et PubMed en utilisant les mots cles: hommes, partenaires masculins, maris, couples, implication, participation, CPN, PTME, pays d'Afrique sub-saharienne, testage et conseil volontaire pour le VIH et announce des resultats. Un total de vingthuit etudes originales, qualitatives et quantitatives menees dans dix pays d'ASS, ont ete inclues. Le role percu des hommes etait analise dans 28% (8/28) des etudes. Leur role de pourvoir aux frais des CPN/ services de PTME etait cite dans 62.5% (5/8) des etudes. Pour d'autres hommes, les responsabilites financieres semblaient etre utilisees comme une excuse pour ne pas s'impliquer. Les barrieres a la participation des hommes etaient citees dans 85.7% (24/28) des etudes et incluaient des facteurs socio-economiques, le facteur genre, les croyances culturelles, les services de CPN/PTME peu acceuillants pour les hommes et les attitudes abusives des professionnels de sante envers les hommes. Environ 64% (18/28) des etudes reportaients des facteurs facilitateurs de la participation des hommes comme: l'âge mur, education superieure, avoir un emploi, epoux monogames et fideles et la politesse des professionnels de sante. En conclusion, des politiques exhaustives de PTME, qui sont socialement et culturellement adaptees aux femmes aussi bien qu'aux hommes devraient etre mises en place.
Institutions: Eduardo Mondlane University, Ghent University
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,270
OpenAlex ID: W2734730132