Orne-Gliemann J. auteur aut IRD Balestre E. auteur aut IRD Tchendjou P. auteur aut IRD Miric M. auteur aut IRD Darak S. auteur aut IRD Butsashvili M. auteur aut IRD Perez-Then E. auteur aut IRD Eboko Fred auteur aut IRD Plazy M. auteur aut IRD Kulkarni S. auteur aut IRD Desgrées du Loû Annabel auteur aut IRD Dabis F. auteur aut IRD text journalArticle eng text/pdf born digital access Objective: Couple-oriented posttest HIV counselling (COC) provides pregnant women with tools and strategies to invite her partner to HIV counselling and testing. We conducted a randomized trial of the efficacy of COC on partner HIV testing in low/medium HIV prevalence settings (Cameroon, Dominican Republic, Georgia, India). Methods: Pregnant women were randomized to receive standard posttest HIV counselling or COC and followed until 6 months postpartum. Partner HIV testing events were notified by site laboratories, self-reported by women or both combined. Impact of COC on partner HIV testing was measured in intention-to-treat analysis. Socio-behavioural factors associated with partner HIV testing were evaluated using multivariable logistic regression. Results: Among 1943 pregnant women enrolled, partner HIV testing rates (combined indicator) were 24.7% among women from COC group versus 14.3% in standard posttest HIV counselling group in Cameroon [odds ratio (OR) = 2.0 95% CI (1.2-3.1)], 23.1 versus 20.3% in Dominican Republic [OR = 1.2 (0.8-1.8)], 26.8 versus 1.2% in Georgia [OR = 29.6 (9.1-95.6)] and 35.4 versus 26.6% in India [OR = 1.5 (1.0-2.2)]. Women having received COC did not report more conjugal violence or union break-ups than in the standard posttest HIV counselling group. The main factors associated with partner HIV testing were a history of HIV testing among men in Cameroon, Dominican Republic and Georgia and the existence of couple communication around HIV testing in Georgia and India. Conclusion: A simple prenatal intervention taking into account the couple relationship increases the uptake of HIV testing among men in different socio-cultural settings. COC could contribute to the efforts towards eliminating mother-to-child transmission of HIV. specialized counselling HIV male testing trial women CAMEROUN REPUBLIQUE DOMINICAINE GEORGIE INDE 052 056 27 7 1167-1177 2013 0269-9370 https://www.documentation.ird.fr/hor/fdi:010069804 10.1097/QAD.0b013e32835f1d8c 0269-9370 [F B010069804] https://www.documentation.ird.fr/hor/fdi:010069804 https://www.documentation.ird.fr/intranet/publi/depot/2017-05-15/010069804.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2013-05-31 2017-11-02 fdi:010069804 fre