@techreport{fdi:010058123, title = {{P}renatal {HIV} counselling as an opportunity to reach men ? : conjugal relationships and gender norms in the context of the prenahtest {ANRS} 12127 trial}, author = {{H}uet, {P}. and {O}rne-{G}liemann, {J}. and {M}iric, {M}. and {N}go {E}ssounga, {A}. and {G}adgil, {M}. and {T}opuridze, {M}. and {P}erez-{T}hen, {E}. and {D}esgr{\'e}es du {L}oû, {A}nnabel}, editor = {}, language = {{ENG}}, abstract = {{I}n the context of the worldwide initiative towards the elimination of mother-to-child transmission of {HIV} ({MTCT}), renewed efforts are being made to increase the availability of prenatal {HIV} testing. {T}hese could be seized as an opportunity to increase the overall coverage of {HIV} testing and to improve the involvement of men in {PMTCT}. {W}ithin the {P}renahtest {ANRS} 12127 trial conducted in {C}ameroon, {D}ominican {R}epublic, {G}eorgia and {I}ndia, a couple-oriented {HIV} counselling ({COC}) intervention was delivered to pregnant women, to help them discuss sexual risks and {HIV} prevention with their male partner, and bring him to {HIV} testing during prenatal care. {B}ased on in-depth interviews and on published scientific literature, we describe couple relationships and gender roles in the four study sites and explore how these may have enabled or constrained the success of the {COC} intervention. {T}hree elements were identified as facilitating men's involvement in prenatal {HIV} counselling and testing: the implication of a health worker as a third and professional voice between husband and wife; the appeal to men's responsibility as fathers for the baby to be born; and a 'male-friendly' organisation of prenatal services. {M}en can be involved in {PMTCT} and prenatal {HIV} counselling and testing when services are adapted to both gender norms and cultural contexts.}, keywords = {{SIDA} ; {TEST} {BIOLOGIQUE} ; {HOMME} ; {RELATION} {DE} {GENRE} ; {GROUPE} {A} {RISQUE} ; {COMPORTEMENT} {SEXUEL} ; {FEMME} ; {PERSONNEL} {DE} {SANTE} ; {SANTE} {DE} {LA} {REPRODUCTION} ; {TRANSMISSION} {MERE} {ENFANT} ; {DEPISTAGE} {PRENATAL} ; {RELATIONS} {CONJUGALES} ; {CAMEROUN} ; {DOMINICAINE} {REPUBLIQUE} ; {INDE} ; {GEORGIE}}, address = {{P}aris}, publisher = {{CEPED}}, series = {{W}orking {P}apers du {CEPED}}, pages = {10 multigr.}, year = {2012}, URL = {https://www.documentation.ird.fr/hor/fdi:010058123}, }