Strategies to improve male involvement in PMTCT Option B+ in four African countries: a qualitative rapid appraisal

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dc.contributor.authorBesada, Donela
dc.contributor.authorRohde, Sarah
dc.contributor.authorGoga, Ameena
dc.contributor.authorRaphaely, Nika
dc.contributor.authorDaviaud, Emmanuelle
dc.contributor.authorRamokolo, Vundli
dc.contributor.authorMagasana, Vuyolwethu
dc.contributor.authorNoveve, Nobuntu
dc.contributor.authorDoherty, Tanya
dc.date.accessioned2018-09-05T07:52:54Z
dc.date.available2018-09-05T07:52:54Z
dc.date.issued2016
dc.description.abstractBACKGROUND: The World Health Organization recommends that antiretroviral therapy be started as soon as possible, irrespective of stage of HIV infection. This ‘test and treat’ approach highlights the need to ensure that men are involved in prevention of mother-to-child HIV transmission (PMTCT). This article presents findings from a rapid appraisal of strategies to increase male partner involvement in PMTCT services in Uganda, Democratic Republic of Congo, Malawi, and Coˆ te d’Ivoire in the context of scale-up of Option B protocol. DESIGN: Data were collected through qualitative rapid appraisal using focus groups and individual interviews during field visits to the four countries. Interviews were conducted in the capital city with Ministry of Health staff and implementing partners (IPs) and at district level with district management teams, facility-based health workers and community health cadres in each country. RESULTS: Common strategies were adopted across the countries to effect social change and engender greater participation of men in maternal, child and women’s health, and PMTCT services. Community-based strategies included engagement of community leaders through dialogue and social mobilization, involving community health workers and the creation and strengthening of male peer cadres. Facility-based strategies included provision of incentives such as shorter waiting time, facilitating access for men by altering clinic hours, and creation of family support groups. CONCLUSIONS: The approaches implemented at both community and facility levels were tailored to the local context, taking into account cultural norms and geographic regional variations. Although intentions behind such strategies aim to have positive impacts on families, unintended negative consequences do occur, and these need to be addressed and strategies adapted. A consistent definition of ‘male involvement’ in PMTCT services and a framework of indicators would be helpful to capture the impact of strategies on cultural and behavioral shifts. National policies around male involvement would be beneficial to streamline approaches across IPs and ensure wide-scale implementation, to achieve significant improvements in family health outcomes.en_US
dc.description.accreditationISI
dc.identifier.citationBesada, D. et al. (2016). Strategies to improve male involvement in PMTCT Option B+ in four African countries: a qualitative rapid appraisal. Global Health Action, 9: 33507en_US
dc.identifier.issn1654-9716
dc.identifier.urihttp://dx.doi.org/10.3402/gha.v9.33507
dc.identifier.urihttp://hdl.handle.net/10566/4019
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherTaylor & Francis Openen_US
dc.rightsGlobal Health Action 2016. # 2016 Donela Besada et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
dc.status.ispeerreviewedTRUE
dc.subjectPMTCTen_US
dc.subjectMale partner involvementen_US
dc.subjectOption B+en_US
dc.subjectCommunity health cadresen_US
dc.subjectQualitative rapid appraisalen_US
dc.titleStrategies to improve male involvement in PMTCT Option B+ in four African countries: a qualitative rapid appraisalen_US
dc.typeArticleen_US

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