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|Title: ||Role of men in the prevention of mother to child transmission of HIV in Hoima Didtrict-Uganda.|
|Authors: ||Ngobi, James|
|Keywords: ||Mother-To-Child-Transmission (MTCT)|
Prevention Mother-To-Child-Transmission (PMTCT)
|Issue Date: ||2005 |
Mother-To-Child-Transmission (MTCT) is and continues to be a very serious health problem in Uganda, including Hoima district.
To study men's current level of knowledge on mode of HIV transmission as well as assess their roles in the Prevention-of-Mother-To-Child-Transmission. The information generated can be used by the Hoima DHT to design interventions for increased male involvement in PMTCT.
Quantitative data was collected from 450 men in a cross-sectional survey. Qualitative information was obtained from other men in the community and mothers in ANC clinics to supplement the quantitative survey. Key informant interviews were also held with service providers. The quantitative results were analyzed by computer packages Epi Info 2002 and Microsoft Excel. Qualitative data was analyzed manually.
Knowledge about mode of HIV transmission
For adults, unprotected sex was the commonest mentioned followed by sharing of sharp instruments, contaminated syringes/needles and transfusion with infected blood. MTCT of HIV was known less than transmission in adults. For MTCT, transmission during delivery was the commonest mentioned followed by transmission through breastfeeding and lastly during pregnancy. Educated men were more likely to have better general knowledge about HIV transmission than the non-educated ones, (OR 4.04, CI 2.95-6.33).
Up-take of VCT: Only 105 (23.3%) of the men had so far taken up VCT. Uptake of VCT among men increased with level of education (OR 3.60, CI 2.17-6.00;) and was higher for polygamous men (OR 2.15, CI 1.21-3.81).
Condom use: Use of condoms with casual partners among men was not influenced by level of education, (OR 1.06 CI 0.70-1.60). Younger men were however more likely to use condom with casual partner than older men, (OR 2.16 CI 1.14-4.10). Education (OR 1.23 CI 0.78-1.94) and age (OR 0.43 CI 0.16-1.10) did not influence willingness to use condom with spouse.
Support for Family planning and A NC Services: Younger men were more likely to approve of FP than older men, (OR 2.27 CI 1.20-4.31). Majority of men, 307 (68.3%), made or took part in decisions concerning ANC and delivery and this level of participation was not influenced by level of education, (OR 0.67 CI 0.40-1 .I I), or age, (OR 0.59 CI 0.27-1.29). Accompanying of spouse for ANC services was not influenced by level of education, (OR 1 .OO CI 0.66 - 1.46); or the age the man (OR 0.57 CI 0.28- 1.16). Well-to-do men (civil servants and business men) were more likely to accompany their spouses for ANC (OR 2.12 CI I .35- 3.34); or afford to buy infant foods than peasants, (OR 3.0 CI 0.95 - 10.28).
The following were identified as barriers to men's involvement in PMTCT:
Lack of confidentiality and privacy due limit space in HUs; poor inter-personal communication skills by health providers; stigmatization of HIVIAIDS sufferers and; poverty and the unaffordable transport costs. The post test club which was being used to fight sigma and promote going public collapsed due to inadequate funding.
Men's involvement in PMTCT services is still low as shown by the low up-take of VCT, and poor utilization of FP and ANC services.
There is need to increase male involvement in PMTCT. This can be achieved through increased increasing community sensitization and awareness of the PMTCT services by use IEC materials, radio talks and posters. RH services should be made more male friendly. The collapsed post-test club be revitalized to fight stigma attached to HIV.|
|Description: ||A thesis submitted in partial fulfillment of the requirements for the award of the Masters of Medicine Degree in Public Health of Makerere University.|
|Appears in Collections:||Theses & Dissertations (Health-Sciences)|
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