探索男性参与马拉维布兰太尔预防艾滋病母婴传播服务的相关性。
Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi.
作者信息
Nyondo Alinane Linda, Chimwaza Angela Faith, Muula Adamson Sinjani
机构信息
School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Kamuzu College of Nursing, University of Malawi, Blantyre, Malawi.
出版信息
BMC Int Health Hum Rights. 2014 Oct 30;14:30. doi: 10.1186/s12914-014-0030-y.
BACKGROUND
Male involvement (MI) in Prevention of mother to child transmission (PMTCT) of Human Immunodeficiency Virus (HIV) services remains low despite the progress registered in the implementation of the PMTCT program. Male involvement in PMTCT is a fairly new concept in Malawi that has not been fully implemented within PMTCT service provision despite its inclusion in the PMTCT guidelines. One of the reasons for the limited MI is the lack of knowledge on both its relevance and the role of men in the program. Currently, men have been encouraged to participate in PMTCT services without prior research on their understanding of the relevance and their role in PMTCT. This information is vital to the development of programs that will require MI in PMTCT. The objective of this study was to explore the views of men, pregnant women and health care providers on the importance and roles of MI in PMTCT services in Blantyre Malawi.
METHODS
An exploratory descriptive qualitative study was conducted from December 2012 to January 2013 at South Lunzu Health Centre (SLHC) and its catchment area in Blantyre, Malawi. We conducted 6 key informant interviews (KIIs) with health care workers and 4 focus group discussions (FGDs) with 18 men and 17 pregnant women. Interviews and discussions were digitally recorded and simultaneously transcribed and translated into English. Data were analyzed using framework analysis approach.
RESULTS
The major themes that emerged on the relevance of MI in PMTCT were a) uptake of interventions along the PMTCT cascade b) support mechanism and c) education strategy. Lack of MI in PMTCT was reported to result into non-disclosure of HIV test results and non-compliance with PMTCT interventions.
CONCLUSIONS
Male involvement is paramount for the uptake of interventions at the different cascades of PMTCT. The absence of male involvement may compromise compliance with PMTCT interventions.
背景
尽管在预防母婴传播（PMTCT）项目的实施方面取得了进展，但男性参与人类免疫缺陷病毒（HIV）预防母婴传播服务的比例仍然很低。在马拉维，男性参与PMTCT是一个相当新的概念，尽管已被纳入PMTCT指南，但在PMTCT服务提供中尚未得到充分实施。男性参与有限的原因之一是对其相关性以及男性在该项目中的作用缺乏了解。目前，在没有事先研究男性对其相关性以及在PMTCT中作用的理解的情况下，就鼓励男性参与PMTCT服务。这些信息对于制定需要男性参与PMTCT的项目至关重要。本研究的目的是探讨马拉维布兰太尔男性、孕妇和医疗服务提供者对男性参与PMTCT服务的重要性和作用的看法。
方法
2012年12月至2013年1月，在马拉维布兰太尔的南伦祖健康中心（SLHC）及其服务区域进行了一项探索性描述性定性研究。我们对医护人员进行了6次关键 informant 访谈（KIIs），并与18名男性和17名孕妇进行了4次焦点小组讨论（FGDs）。访谈和讨论进行了数字录音，并同时转录和翻译成英语。使用框架分析方法对数据进行分析。
结果
在男性参与PMTCT的相关性方面出现的主要主题是：a）沿PMTCT级联采取干预措施；b）支持机制；c）教育策略。据报告，PMTCT中缺乏男性参与会导致HIV检测结果不披露以及不遵守PMTCT干预措施。
结论
男性参与对于在PMTCT的不同级联中采取干预措施至关重要。缺乏男性参与可能会影响对PMTCT干预措施的遵守。
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