Prenatal HIV counselling as an opportunity to reach men ? : conjugal relationships and gender norms in the context of the prenahtest ANRS 12127 trial

Prenatal HIV counselling as an opportunity to reach men ? : conjugal relationships and gender norms in the context of the prenahtest ANRS 12127 trial Huet P. auteur aut IRD Orne-Gliemann J. auteur aut IRD Miric M. auteur aut IRD Ngo Essounga A. auteur aut IRD Gadgil M. auteur aut IRD Topuridze M. auteur aut IRD Perez-Then E. auteur aut IRD Desgrées du Loû Annabel auteur aut IRD text report Litérature grise eng text/pdf reformatted digital access In 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. These could be seized as an opportunity to increase the overall coverage of HIV testing and to improve the involvement of men in PMTCT. Within the Prenahtest ANRS 12127 trial conducted in Cameroon, Dominican Republic, Georgia and India, 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. Based 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. Three 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. Men can be involved in PMTCT and prenatal HIV counselling and testing when services are adapted to both gender norms and cultural contexts. specialized 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 056SOCSAN 052MALTRA03 Paris CEPED 2012 Working Papers du CEPED 27 10 multigr. 10 multigr. 10 multigr. https://www.documentation.ird.fr/hor/fdi:010058123 [F B010058123] https://www.documentation.ird.fr/hor/fdi:010058123 https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers19-12/010058123.pdf IRD - Base Horizon / Pleins textes 2013-02-20 2023-07-17 fdi:010058123 fre