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

Fatch W Kalembo, Maggie Zgambo, Atupele N Mulaga, Du Yukai, Niman I Ahmed, Fatch W Kalembo, Maggie Zgambo, Atupele N Mulaga, Du Yukai, Niman I Ahmed

Abstract

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.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1. Flow of study participants.
Figure 1. Flow of study participants.
The flow of study participants in PMTCT program from January 2004 to December 2006 at Mwanza District Hospital. The study participants were followed-up from antenatal period, through labor and delivery, to 18 months postnatal period.

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Source: PubMed

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