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Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi
BACKGROUND: Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics,...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7708238/ https://www.ncbi.nlm.nih.gov/pubmed/33256655 http://dx.doi.org/10.1186/s12889-020-09800-4 |
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author | Triulzi, Isotta Keiser, Olivia Somerville, Claire Salimu, Sangwani Ciccacci, Fausto Palla, Ilaria Sagno, Jean Baptiste Gondwe, Jane Marazzi, Cristina Orlando, Stefano Palombi, Leonardo Turchetti, Giuseppe |
author_facet | Triulzi, Isotta Keiser, Olivia Somerville, Claire Salimu, Sangwani Ciccacci, Fausto Palla, Ilaria Sagno, Jean Baptiste Gondwe, Jane Marazzi, Cristina Orlando, Stefano Palombi, Leonardo Turchetti, Giuseppe |
author_sort | Triulzi, Isotta |
collection | PubMed |
description | BACKGROUND: Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. METHODS: We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables. RESULTS: We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. In the multivariable model, women’s unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11–0.82] and 0.23 [95% CI, 0.07–0.77]), whereas, in the univariable model, high women’s level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03–4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable. CONCLUSIONS: Our study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights that women’s level of knowledge on HIV and their economic condition (employment and owning a means of transport) affects male attendance. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-020-09800-4. |
format | Online Article Text |
id | pubmed-7708238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77082382020-12-02 Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi Triulzi, Isotta Keiser, Olivia Somerville, Claire Salimu, Sangwani Ciccacci, Fausto Palla, Ilaria Sagno, Jean Baptiste Gondwe, Jane Marazzi, Cristina Orlando, Stefano Palombi, Leonardo Turchetti, Giuseppe BMC Public Health Research Article BACKGROUND: Male partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women’s access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners. METHODS: We included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables. RESULTS: We enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. In the multivariable model, women’s unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11–0.82] and 0.23 [95% CI, 0.07–0.77]), whereas, in the univariable model, high women’s level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03–4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable. CONCLUSIONS: Our study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights that women’s level of knowledge on HIV and their economic condition (employment and owning a means of transport) affects male attendance. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-020-09800-4. BioMed Central 2020-11-30 /pmc/articles/PMC7708238/ /pubmed/33256655 http://dx.doi.org/10.1186/s12889-020-09800-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Triulzi, Isotta Keiser, Olivia Somerville, Claire Salimu, Sangwani Ciccacci, Fausto Palla, Ilaria Sagno, Jean Baptiste Gondwe, Jane Marazzi, Cristina Orlando, Stefano Palombi, Leonardo Turchetti, Giuseppe Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi |
title | Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi |
title_full | Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi |
title_fullStr | Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi |
title_full_unstemmed | Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi |
title_short | Social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in Malawi |
title_sort | social determinants of male partner attendance in women’s prevention-of mother-to-child transmission program in malawi |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7708238/ https://www.ncbi.nlm.nih.gov/pubmed/33256655 http://dx.doi.org/10.1186/s12889-020-09800-4 |
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