Background
Objectives
Methods
Protocol and registration
Overview of methods
Results
Results of the search
PAPER (reference) | COUNTRY/ SETTING | STUDY DESIGN | STUDY POPULATION | MAIN STUDY OBJECTIVE(S) | QUALITY SCORE |
---|---|---|---|---|---|
Aarnio et al 2009 [19]. | Malawi, Rural. | Cross sectional/mixed method. | 388 men and 11 focus groups. | To explore men’s perception on HIV in pregnancy and their involvement in antenatal VCT. | 4/4 |
Aluisio et al 2011 [14]. | Kenya, Urban. | Prospective cohort. | 510 HIV infected pregnant women. | To investigate the relationship between male involvement in PMTCT and infant HIV acquisition/ mortality. | 7/9 |
Becker et al 2010 [38]. | Tanzania, Urban. | RCT. | 1521 pregnant women. | To evaluate the acceptance/ effectiveness of couple VCT relative to individual VCT in ANC. | 2/5 |
Byamugisha et al 2010 [34]. | Uganda, Urban. | Case control. | 54429 pregnant ANC attendees. | To describe the first seven years of the PMTCT programme. | 6/8 |
Byamugisha et al 2011 [36]. | Uganda, Urban. | RCT. | 1060 pregnant women. | To evaluate the effect of an invitation letter to spouses on couple attendance and partner acceptance of HIV testing. | 5/5 |
Desgrees-Du-Lou et al 2009a [42]. | Cote d’Ivoire, Urban. | Cohort. | 937 pregnant women. | To determine the effect of prenatal VCT on couple communication about STIs, HIV and sexual risk prevention. | 6/9 |
Ditekemena et al 2011 [45] | Democratic Republic of Congo, Urban. | RCT. | 2706 pregnant women. | 1) To identify alternative strategies to increase male participation in VCT 2) To explore factors associated with male/couple participation in VCT. | 3/5 |
Falnes et al 2011 [39] | Tanzania, Urban and Rural. | Cross sectional/ Mixed method. | 426 postpartum women bringing their children for the first dose of vaccine plus 9 FGD. | To explore the acceptability of the PMTCT programme and identify structural/ cultural challenges to male involvement. | 4/4 |
Farquhar et al 2001 [15] | Kenya, Urban. | Cohort. | 172 HIV seropositive pregnant women. | To determine the association between partner notification and infant feeding decisions. | 7/9 |
Farquhar et al 2004 [25] | Kenya, Urban. | Cohort. | 2836 pregnant women | To assess the impact of partner involvement, on perinatal intervention uptake and condom use. | 8/9 |
Homsy et al 2006 [23] | Uganda, Rural. | Cross sectional. | 3591 pregnant women accepting HIV counselling and testing. | To determine the acceptability, feasibility and uptake of intrapartum HIV counseling and testing and PMTCT services by women, men and couples. | 4/4 |
Jasseron et al 2011 [35] | France, Urban and rural. | Cohort. | 2952 pregnant women. | To identify the proportion non-disclosure of HIV, and the associated factors, and the impact of non-disclosure on PMTCT uptake. | 7/9 |
Kakimoto et al 2007 [33] | Cambodia, Urban. | Case control. | 20757 pregnant ANC attendees during the study period. | To evaluate the influence of partner participation in the mother class to PMTCT services. | 6/8 |
Katz et al 2009a [47] | Kenya, Urban. | Cohort. | 313 men accompanying their spouses to ANC. | To understand male non-disclosure of HIV status in antenatal care. | 6/9 |
Katz et al 2009b [48] | Kenya, Urban. | Cohort. | 313 men accompanying their spouses at ANC. | To identify methods to increase male involvement in antenatal VCT. | 5/9 |
Kiarie et al 2006 [16] | Kenya, Rural. | Prospective cohort. | 2836 pregnant women attending antenatal care. | To determine the impact of domestic violence on uptake of interventions to PMTCT. | 7/9 |
Kizito et al, 2008 [32] | Uganda, Urban. | Case control. | 20738 pregnant ANC attendees. | To describe uptake of HIV and syphilis testing in a PMTCT programme. | 6/8 |
Mbonye et al 2010 [37] | Uganda, Rural. | Cross sectional. | 10706 women age 14-49 years. | To explore perceptions, care-seeking practices and barriers to PMTCT among young HIV positive women. | 4/4 |
Mohlala et al 2011 [20] | South Africa, Urban. | RCT. | 1000 pregnant women with gestational age less than 30 weeks | To assess the acceptability/ feasibility of pregnant women inviting their male partners to ANC and VCT | 3/5 |
Msuya et al 2008 [40] | Tanzania, Urban. | Cohort. | 2654 pregnant women in the third trimester of pregnancy. | Prevalence and predictors of male partner participation in HIV VCT, and the effect of partner participation on uptake of PMTCT interventions. | 6/9 |
Nkuoh et al 2010 [44] | Cameroon, Rural. | Cross sectional. | 252 men completed the survey. | To identify barriers to men participating in their wives’ ANC and obtaining HIV testing. | 2/4 |
Shankar et al 2003 [46] | India, Urban. | Cross sectional/mixed method. | 144 women, 100 men, 15 in-depth interviews. | To determine the acceptability for HIV testing within ANC and delivery room. | 3/4 |
Theuring et al 2009 [41] | Tanzania, Urban. | Cross sectional mixed method. | 124 men and 6 FGDs. | To learn about men’s perspectives on and the experiences with ANC. | 3/4 |
Tonwe-Gold et al 2009 [43] | Cote d'Ivoire, Urban. | Cross sectional. | 605 HIV infected pregnant women. | To describe a family focused approach to HIV care and treatment. | 6/9 |
Included studies
Barriers to male partner involvement in PMTCT
BARRIERS TO MALE PMTCT INVOLVEMENT | |
---|---|
Societal/cultural barriers
| |
• Conflict between PMTCT recommendations and cultural norms such as breastfeeding [39]. | |
• Cultural patterns of communication [44] | |
Male individual factors
| |
• Lack of finances [19,46]. | |
• No one left at home to look after the children [44]. | |
Information/knowledge barriers
| |
• Lack of community awareness on the importance of male PMTCT involvement [25]. | |
Health system barriers
| |
• Distrust in confidentiality of the health system [19]. | |
Female factors
| |
Relationship Dynamics
| |
Relationship Dynamics
| |
Disagreement with PMTCT teachings
| |
• Disagreement with PMTCT encouragement of condom use within the couple [39]. | |
• Men perceiving prenatal HIV testing as a late event. They would have been offered the chance to test earlier [40]. |
Societal or cultural barriers
Male individual factor barriers
Information/knowledge barriers
Health system barriers
Female individual factors
Relationship dynamics
Disagreement with PMTCT teachings
Facilitators of male involvement
FACILITATORS TO MALE PMTCT INVOLVEMENT | |
---|---|
Health system facilitators
| |
• Availability of health personnel to encourage testing and facilitate disclosure [19]. | |
• Change from voluntary counselling and testing to routine counselling and testing [34]. | |
• Offering of counselling and testing for HIV within antenatal settings [47]. | |
• Differential targeting and offering of counselling and testing of HIV to men accompanying their wives to the delivery wards [23]. | |
• Holding of open discussions on free prenatal HIV testing for partners [35]. | |
• Differential counselling for HIV positive women [32]. | |
• Community sensitization activities [20]. | |
• Availability of anti-retroviral drugs in the health centre [20]. | |
Relationship dynamics factors
| |
• Monogamous marriage or cohabitation of partners [14;25;42]. | |
• Sero-concordance for HIV [42]. | |
Male individual facilitators
| |
Female individual factors
| |
• Lack of financial dependence on the part of women [15]. | |
• Positive attitudes of women towards disclosure of their test results [46]. |