Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review.


Ditekemena, J; Koole, O; Engmann, C; Matendo, R; Tshefu, A; Ryder, R; Colebunders, R; (2012) Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review. Reprod Health, 9. p. 32. ISSN 1742-4755 DOI: https://doi.org/10.1186/1742-4755-9-32

[img]
Preview
Text - Published Version
License:

Download (272kB) | Preview

Abstract

INTRODUCTION Male participation is a crucial component in the optimization of Maternal and Child Health (MCH) services. This is especially so where prevention strategies to decrease Mother-to-Child Transmission (MTCT) of Human Immunodeficiency Virus (HIV) are sought. This study aims to identify determinants of male partners' involvement in MCH activities, focusing specifically on HIV prevention of maternal to child transmission (PMTCT) in sub-Saharan Africa. METHODS Literature review was conducted using the following data bases: Pubmed/MEDLINE; CINAHL; EMBASE; COCHRANE; Psych INFORMATION and the websites of the International AIDS Society (IAS), the International AIDS Conference and the International Conference on AIDS in Africa (ICASA) 2011. RESULTS We included 34 studies in this review, which reported on male participation in MCH and PMTCT services. The majority of studies defined male participation as male involvement solely during antenatal HIV testing. Other studies defined male involvement as any male participation in HIV couple counseling. We identified three main determinants for male participation in PMTCT services: 1) Socio-demographic factors such as level of education, income status; 2) health services related factors such as opening hours of services, behavior of health providers and the lack of space to accommodate male partners; and 3) Sociologic factors such as beliefs, attitudes and communication between men and women. CONCLUSION There are many challenges to increase male involvement/participation in PMTCT services. So far, few interventions addressing these challenges have been evaluated and reported. It is clear however that improvement of antenatal care services by making them more male friendly, and health education campaigns to change beliefs and attitudes of men are absolutely needed.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 23171709
Web of Science ID: 317056100001
URI: http://researchonline.lshtm.ac.uk/id/eprint/834682

Statistics


Download activity - last 12 months
Downloads since deposit
208Downloads
320Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item