Association between Male Partner Involvement and the Uptake of Prevention of Mother-to-Child Transmission of HIV (PMTCT) Interventions in Mwanza District, Malawi: A Retrospective Cohort Study

PLoS One

Fatch W. Kalembo¹  Niman I. Ahmed¹  Du Yukai¹  Atupele N. Mulaga²  Maggie Zgambo³ 

[1] Department of Child, Adolescence & Woman Health Care, School of Public Health, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China;Department of Mathematics and Statistics, The Polytechnic, University of Malawi, Blantyre, Malawi;Department of Nursing, Xiangya Medical College, Central South University, Changsha, China

关键词: HIV;    Infants;    Pregnancy;    Malawi;    Antenatal care;    HIV infections;    HIV prevention;    Labor and delivery;   

DOI  :  10.1371/journal.pone.0066517

学科分类：医学（综合）

来源: Public Library of Science

【 摘 要 】

Objective The main objective of this study was to examine the association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions.Methods A retrospective cohort study was used to collect data on women, their male partners and their children who were enrolled in a PMTCT program from January 2004 to December 2006 at Mwanza District Hospital. HIV infected women and their children were followed-up over the 18 months postnatal period. Data were analyzed using descriptive statistics, chi-square test and logistic regression.Results A total of 476 HIV positive women were enrolled in a PMTCT program and were followed-up in the study. Of those followed-up in the study, 65 (13.7%) had a male partner involvement while 411 (86.3%) had no male partner involvement. Male partner involvement was significantly associated with condom use (Adjusted odds ratio [AOR] = 5.6, 95% confidence interval [CI]: 2.3–13.5, P<0.001), hospital delivery (AOR = 25.9, 95%CI: 10.6–63.6, P<0.001), and completion of follow-up in the program (AOR = 16.8, 95% CI: 8.5–33.4, P<0.001).Conclusion Male partner involvement increases the uptake of some PMTCT interventions by HIV positive women. Multi-strategic, culturally tailored public health care models are needed to increase the rate of male partner involvement in the program.

【 授权许可】

CC BY