Couple-oriented prenatal HIV counseling for HIV primary prevention: an acceptability study

BMC Public Health

Research Article

Marija Miric¹  Eddy Perez-Then¹  Annabel Desgrées du Loû²  Fred Eboko³  Francois Dabis⁴  Eric Balestre⁴  Joanna Orne-Gliemann⁴  Patrice T Tchendjou⁵  George Kamkamidze⁶  Maia Butsashvili⁶  Shrinivas Darak⁷  Sanjeevani Kulkarni⁷  Mukta Gadgil⁷ 

[1] Centro Nacional de Investigaciones en Salud Materno Infantil, Santo Domingo, Dominican Republic;Institut de Recherche pour le Développement, UMR 196 CEPED, Paris, France;Institut de Recherche pour le Développement, UMR 912 IRD-INSERM-U2, Marseille, France;Institut de Santé Publique Épidémiologie Développement (ISPED), Université Victor Segalen Bordeaux 2, Bordeaux, France;Centre de recherche INSERM U897, Bordeaux, France;Laboratoire d'Epidémiologie et de Santé Publique, Centre Pasteur du Cameroun, Yaoundé, Cameroon;Maternal and Child Care Union, Tbilisi, Neoclinic, Georgia;Prayas Health Group, Pune, India;

关键词: Dominican Republic;    Reproductive Health Service;    PMTCT Program;    PMTCT Service;    Couple Communication;   

DOI  :  10.1186/1471-2458-10-197

 received in 2009-05-19, accepted in 2010-04-19,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundA large proportion of the 2.5 million new adult HIV infections that occurred worldwide in 2007 were in stable couples. Feasible and acceptable strategies to improve HIV prevention in a conjugal context are scarce. In the preparatory phase of the ANRS 12127 Prenahtest multi-site HIV prevention trial, we assessed the acceptability of couple-oriented post-test HIV counseling (COC) and men's involvement within prenatal care services, among pregnant women, male partners and health care workers in Cameroon, Dominican Republic, Georgia and India.MethodsQuantitative and qualitative research methods were used: direct observations of health services; in-depth interviews with women, men and health care workers; monitoring of the COC intervention and exit interviews with COC participants.ResultsIn-depth interviews conducted with 92 key informants across the four sites indicated that men rarely participated in antenatal care (ANC) services, mainly because these are traditionally and programmatically a woman's domain. However men's involvement was reported to be acceptable and needed in order to improve ANC and HIV prevention services. COC was considered by the respondents to be a feasible and acceptable strategy to actively encourage men to participate in prenatal HIV counseling and testing and overall in reproductive health services.ConclusionsOne of the keys to men's involvement within prenatal HIV counseling and testing is the better understanding of couple relationships, attitudes and communication patterns between men and women, in terms of HIV and sexual and reproductive health; this conjugal context should be taken into account in the provision of quality prenatal HIV counseling, which aims at integrated PMTCT and primary prevention of HIV.

【 授权许可】

CC BY   
© Orne-Gliemann et al; licensee BioMed Central Ltd. 2010