Auvinen Jaana, Kylmä Jari, Välimäki Maritta, Bweupe Max, Suominen Tarja
School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland
School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland.
Health Promot Int. 2015 Sep;30(3):637-46. doi: 10.1093/heapro/dat088. Epub 2014 Jan 20.
Male participation in the prevention of mother-to-child transmission (PMTCT) of HIV has been determined as one of the key factors in sub-Saharan African countries, but its realization is challenging because of male-related and institutional factors. The purpose of this study is two-fold: first, we explored the views of Luba-Kasai men, living in Zambia in the Lusaka Province, on the factors that encourage, inconvenience or inhibit them in accompanying their wives to the antenatal clinic and their ideas to improve their experience. Secondly, the study considered their knowledge of the PMTCT program and how such knowledge conformed to the Zambian National Protocol Guidelines Integrated PMTCT of HIV /: AIDS. Twenty-one interviews were analyzed using qualitative inductive content analysis. The National Protocol Guidelines Integrated PMTCT of HIV/AIDS were analyzed using the deductive content analysis. The encouraging factors that emerged were involvement in the program, the time of delivery, love and care, and also the suspicion of corruption. The inconveniencing factors were the arrangements and working culture of the clinic, together with stigma and guilt. A lack of motivation, fear of death, socioeconomic circumstances and again the arrangements and working culture at the clinic were held as inhibiting factors. The ideas to remove inconvenient factors were maintaining a spiritual outlook on life, education, interaction, a good mood and a sense of meaningfulness. Considering such male views and paying attention to minorities in the development of national PMTCT of HIV Programs may enhance male participation in the process.
男性参与预防艾滋病毒母婴传播（PMTCT）已被确定为撒哈拉以南非洲国家的关键因素之一，但由于与男性相关的因素和机构因素，其实现具有挑战性。本研究的目的有两个：第一，我们探讨了居住在赞比亚卢萨卡省的卢巴-开赛族男性对于鼓励、不便或阻碍他们陪妻子去产前诊所的因素的看法，以及他们关于改善这种体验的想法。第二，该研究考察了他们对预防艾滋病毒母婴传播项目的了解，以及这种了解如何符合赞比亚《艾滋病毒/艾滋病综合预防母婴传播国家协议指南》。使用定性归纳内容分析法对21次访谈进行了分析。使用演绎内容分析法对《艾滋病毒/艾滋病综合预防母婴传播国家协议指南》进行了分析。出现的鼓励因素包括参与项目、分娩时间、爱与关怀，以及对腐败的怀疑。不便因素包括诊所的安排和工作文化，以及耻辱感和内疚感。缺乏动力、对死亡的恐惧、社会经济状况，以及诊所的安排和工作文化再次被视为阻碍因素。消除不便因素的想法包括保持对生活的精神展望、教育、互动、良好的情绪和意义感。在制定国家艾滋病毒预防母婴传播项目时考虑这些男性的观点并关注少数群体，可能会提高男性在这一过程中的参与度。
