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dc.contributor.authorFalnes, Eli Fjelden_US
dc.contributor.authorMoland, Karen Marieen_US
dc.contributor.authorTylleskär, Thorkilden_US
dc.contributor.authorDe Paoli, Marina M.en_US
dc.contributor.authorMsuya, Sia E.en_US
dc.contributor.authorEngebretsen, Ingunn Marie S.en_US
dc.date.accessioned2011-09-23T13:17:00Z
dc.date.available2011-09-23T13:17:00Z
dc.date.issued2011-04-26eng
dc.PublishedJournal of the International AIDS Society 14(21)en_US
dc.identifier.issn1758-2652
dc.identifier.urihttps://hdl.handle.net/1956/5027
dc.description.abstractBackground: Partner involvement has been deemed fundamental in prevention of mother to child transmission (PMTCT) programmes, but is difficult to achieve. This study aimed to explore acceptability of the PMTCT programme components and to identify structural and cultural challenges to male involvement. Methods: The study was conducted during 2007-2008 in rural and urban areas of Moshi in the Kilimanjaro region of Tanzania. Mixed methods were used, and included focus group discussions with fathers and mothers, in-depth interviews with fathers, mothers and health personnel, and a survey of 426 mothers bringing their four-week-old infants for immunization at five reproductive and child health clinics. Results: Routine testing for HIV of women at the antenatal clinic was highly acceptable and appreciated by men, while other programme components, notably partner testing, condom use and the infant feeding recommendations, were met with continued resistance. Very few men joined their wives for testing and thus missed out on PMTCT counselling. The main barriers reported were that women did not have the authority to request their husbands to test for HIV and that the arena for testing, the antenatal clinic, was defined as a typical female domain where men were out of place. Conclusions: Deep-seated ideas about gender roles and hierarchy are major obstacles to male participation in the PMTCT programme. Empowering women remains a huge challenge. Empowering men to participate by creating a space within the PMTCT programme that is male friendly should be feasible and should be highly prioritized for the PMTCT programme to achieve its potential.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/5091" target="_blank">The mother, her confidants and the prevention of mother-to-child transmission of HIV (PMTCT) services in the Kilimanjaro region, Tanzania</a>eng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.title"It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzaniaen_US
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2011 Falnes et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.identifier.doihttps://doi.org/10.1186/1758-2652-14-21
dc.identifier.cristin869307
dc.subject.nsiVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Communicable diseases: 776eng


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