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"It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania

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dc.contributor.author Falnes, Eli Fjeld eng
dc.contributor.author Moland, Karen Marie eng
dc.contributor.author Tylleskär, Thorkild eng
dc.contributor.author De Paoli, Marina M. eng
dc.contributor.author Msuya, Sia E. eng
dc.contributor.author Engebretsen, Ingunn Marie S. eng
dc.date.accessioned 2011-09-23T13:17:00Z
dc.date.available 2011-09-23T13:17:00Z
dc.date.issued 2011-04-26 eng
dc.identifier.citation Journal of the International AIDS Society 14(21) en_US
dc.identifier.issn 1758-2652 eng
dc.identifier.uri http://hdl.handle.net/1956/5027
dc.description.abstract Background: 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.iso eng eng
dc.publisher BioMed Central eng
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.rights Attribution CC BY eng
dc.rights.uri http://creativecommons.org/licenses/by/2.0 eng
dc.title "It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania eng
dc.type Journal article eng
dc.type Peer reviewed eng
dc.subject.nsi VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Communicable diseases: 776 eng
dc.rights.holder Copyright 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.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.cristinID 869307 eng
bibo.doi http://dx.doi.org/10.1186/1758-2652-14-21 eng
dc.identifier.cristinID 869307 eng
dc.identifier.doi http://dx.doi.org/10.1186/1758-2652-14-21
dcterms.isPartOf http://hdl.handle.net/1956/5091


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