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Title: | A Novel Intervention to Increase Male Involvement in Prevention of Parent to Child HIV Transmission |
Authors: | Isichei, Christian Courtney, Snelling Jennifer Onwuezobe, Caroline Oyebode, Tinuade Isichei, Mercy Njab, Jean Adeyanju, Segun Rotimi, Johnson |
Keywords: | Counselling services PMTCT PPTCT |
Issue Date: | 2015 |
Publisher: | Science Journal of Clinical Medicine |
Citation: | Isichei Christian, Courtney Snelling Jennifer, Onwuezobe Caroline, OyebodeTinuade, Mercy Isichei, Njab Jean, AdeyanjuSegun, Johnson Rotimi. A Novel Intervention to Increase Male Involvement in Prevention of Parent to Child HIV Transmission. Science Journal of Clinical Medicine. Vol. 4, No. 2, 2015, pp. 41-51. doi: 10.11648/j.sjcm.20150402.14 |
Series/Report no.: | Vol.4;Iss.2: Pp 41-51 |
Abstract: | Background: Prevention of Parent To Child Transmission (PPTCT) of HIV is a major intervention to stop the
spread of HIV. Rates of <2% are possible with early combination antiretroviral therapy. Tearfund African PPTCT Alliance
(TAPA) supports a network of African partners in PPTCT through a church-based community outreach. To promote quality,
TAPA conducts periodic programme audits to strengthen male partner involvement in PPTCT. Methods: The present audit was
conducted among 11 TAPA partners in August 2011 to determine factors responsible for poor Prevention of Mother To Child
Transmission (PMTCT) of HIV or PPTCT uptake in areas where churches and faith-based organizations work. Participants were
all expectant mothers, male sexual partners and infants registered at these clinics. Each record was evaluated for evidence of HIV
testing, results, treatment and prophylaxis against mother to child HIV transmission. Information on infant feeding patterns were
also gathered. Intervention: In 2009, TAPA partners identified the need for a training toolkit to stimulate greater male partner
involvement in PPTCT through antenatal clinics (ANCs) in church-based sites. The toolkit entitled “Guardians of our Children
Health (GOOCH)” identified men as guardians of the health of their families and was designed to build the knowledge and
skills of both parents to reduce HIV transmission to their infant. GOOCH has been successfully piloted by two organizations in
Jos, Nigeria since 2008—Faith Alive Foundation (FAF) and ECWA AIDS Ministry (TEAM), as well as 14 other organizations
across Africa. Lessons Learned: Male involvement in PPTCT through GOOCH increases rates of HIV testing among pregnant
women (sometimes up to five times); motivates male partner involvement in PPTCT; and raises PPTCT awareness in
communities. Records on men are not always kept at ANC clinics. Often there is a lack of follow up. National policies for ARV
intervention are often inconsistent and change too quickly. Infant feeding patterns are mixed and not all programmes were able
to obtain reliable data to assess this area of preventing transmission of HIV. Next Steps: Advocacy for improvements and
scaling up of PPTCT especially with Nigeria being the lowest in Africa. Scale up GOOCH in communities where it was most
effective and introduce it to communities where it is likely to have the greatest impact. Also, adopt the concept of Integrated
Supportive Supervision trainings with integration of Maternal Child Health (MCH) into all levels of health care system. |
URI: | http://hdl.handle.net/123456789/2235 |
ISSN: | 2327-2724 2327-2732 |
Appears in Collections: | Chemical Pathology
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