@techreport{fdi:010087289,
  title = {{F}rom prenatal {HIV} testing of the mother to prevention of sexual {HIV} transmission within the couple},
  author = {{D}esgr{\'e}es du {L}oû, {A}nnabel and {B}rou, {H}. and {T}ijou-{T}raor{\'e}, {A}. and {D}johan, {G}. and {B}ecquet, {R}. and {L}eroy, {V}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}he first step of prevention of mother-to-child {HIV}-transmission ({PMTCT}) programmes is offering {HIV} couselling and testing to pregnant women. {I}n developing countries where {HIV}-testing remains rare, it represents a unique opportunity for many women to learn their own {HIV} status. {T}his prenatal {HIV} testing is not only the entry point to prevention of mother-to-child {HIV} transmission, but also an occasion for women to sensitize their male partner to sexual risks. {W}e explore here if these women, {HIV}-tested as mothers, apply the prevention recommendations they also receive as women.  {I}n the {D}itrame {P}lus {PMTCT} program in {A}bidjan, {C}{\^o}te d'{I}voire, two cohorts of women (475 {HIV}-infected women and 400 {HIV}-negative women) were followed-up two years after the pregnancy when they were offered prenatal {HIV} testing. {I}n each cohort, we compared the proportion of women who communicated with their regular partner on sexual risks, prior to and after prenatal {HIV} testing. {W}e analysed sociodemographic factors related to this communication. {W}e measured two potential conjugal outcomes of women {HIV} testing: the level of condom use at sex resumption after delivery and the risk of union break-up.  {P}renatal {HIV} testing increased conjugal communication regarding sexual risks, whatever the woman serostatus. {T}his communication was less frequent for women in polygamous union or not residing with their partner. {A}round 30% of women systematically used condoms at sex resumption. {A}mong {HIV} infected ones, conjugal talk on sexual risks was related to improved condom use. {A}fter {HIV} testing, {HIV}-infected women separated more from their partner than {HIV}-uninfected women, despite very few negative reactions from the notified partners.  {I}n conclusion, offering prenatal {HIV} counselling and testing is an efficient tool to sensitize women and their partners to {HIV} prevention. {B}ut sexual prevention in a conjugal context remains difficult and need to be specifically adressed.},
  keywords = {{SIDA} ; {ENFANT} ; {PREVENTION} {SANITAIRE} ; {FEMME} ; {GROSSESSE} ; {DEPISTAGE} ; {EDUCATION} {SANITAIRE} ; {COMMUNICATION} ; {SEROPOSITIVITE} ; {SANTE} {DE} {LA} {REPRODUCTION} ; {COUPLE} ; {PRESERVATIF} ; {COTE} {D}'{IVOIRE} ; {ABIDJAN}},
  address = {{P}aris},
  publisher = {{CEPED}},
  series = {{W}orking {P}apers du {CEPED}},
  pages = {20  multigr.},
  year = {2009},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087289},
}