Abstract

IntroductionGlobally, male involvement has been recognized as a priority focus area to be strengthened in PMTCT but, testing male partners for HIV in the context of preventing mother-to-child transmission remains a challenge in most low- and middle-income countries including Ethiopia. In Ethiopia even though male involvement is one of the guiding principle in testing and counseling of HIV, the magnitude of male involvement in PMTCT is not well known. The objective was to assess the magnitude of male involvement in PMTCT and associated factors among men whom their wives have ANC visit 12 months prior to the study in Gondar town, North west Ethiopia.MethodsA community-based cross-sectional survey was conducted from December 1- 20, 2014 among men whose wives had ANC follow up in the last 12 months prior to study period in Gondar town. Cluster sampling was used to get the total of 802 participants.ResultsFrom all participants, only 20.9% of men had high involvement index in prevention of mother to child transmission of HIV/AIDS. Men with secondary and post secondary education (AOR=3.59, 95%CI: 1.36, 9.44), government employment by occupation (AOR=2.23, 95%CI: 1.53, 4.02) men who were married and in union (AOR=4.37, 95%CI: 1.85, 10.32), and men who have heard about PMTCT (AOR=1.74, 95%CI=1.21, 2.49) were more likely to have high involvement index in PMTCT.ConclusionMale involvement in PMTCT programme was low in the study area. Having information about PMTCT, attending Secondary and post secondary education, being government employer and living in union with partner were factors significantly associated with male involvement in PMTCT. Improving male involvement by creating husband’s awareness regarding benefit of PMTCT through provision of balanced information for all male partners is recommended.

Highlights

  • Male involvement has been recognized as a priority focus area to be strengthened in prevention of mother-to-child transmission (PMTCT) but, testing male partners for Human Immunue Deficiency Virus (HIV) in the context of preventing mother-to-child transmission remains a challenge in most low- and middle-income countries including Ethiopia

  • Human Immunue Deficiency Virus (HIV) is transmitted from an HIVinfected mother to her child during pregnancy, labor, delivery or breastfeeding is known as mother-to-child transmission (MTCT) and preventing HIV transmission in pregnant women and their children often referred to as prevention of mother-to-child transmission (PMTCT) [1, 2]

  • Male involvement has been recognized as a priority focus area to be strengthened in PMTCT [8] but testing male partners for HIV in the context of preventing mother-to-child transmission remains a challenge in most low- and middle-income countries

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Summary

Introduction

Male involvement has been recognized as a priority focus area to be strengthened in PMTCT but, testing male partners for HIV in the context of preventing mother-to-child transmission remains a challenge in most low- and middle-income countries including Ethiopia. Human Immunue Deficiency Virus (HIV) is transmitted from an HIVinfected mother to her child during pregnancy, labor, delivery or breastfeeding is known as mother-to-child transmission (MTCT) and preventing HIV transmission in pregnant women and their children often referred to as prevention of mother-to-child transmission (PMTCT) [1, 2] These PMTCT become a crucial intervention in the global fight against this epidemic [2]. Male involvement has been recognized as a priority focus area to be strengthened in PMTCT [8] but testing male partners for HIV in the context of preventing mother-to-child transmission remains a challenge in most low- and middle-income countries. The proportion of pregnant women attending antenatal care whose male partners were tested for HIV was 5% in 2008 versus 2% in 2007 [9]

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