Journal
INTERNATIONAL JOURNAL OF STD & AIDS
Volume 22, Issue 3, Pages 165-170Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1258/ijsa.2010.010379
Keywords
men; prevention; HIV; viral disease; testing; VCT; antenatal care; PMTCT
Categories
Funding
- AIDS Care Research in Africa (ACRiA)
- Elizabeth Glaser Pediatrics AIDS Foundation (EGPAF)
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Low male participation in voluntary counselling and testing (VCT) services at antenatal clinics (ANCs) represents a lost HIV-prevention opportunity. A three-arm randomized controlled trial (RCT) was conducted that offered VCT at a neighbourhood health centre, bar or church to the male partners of pregnant women attending a maternity unit in Kinshasa, Democratic Republic of Congo (DRC). The primary outcome was the proportion of male participation at VCT; secondary outcomes were uptake of couple counselling and determinants of male and couple participation. From a total of 2706 women included in the study, 591 male partners (22%) attended one of the three venues. Male participation was significantly higher in bars (26%, P < 0.001), and higher but not statistically significant in church-based VCT (21%, P = 0.163) compared with health centre VCT (18%). Male participation in VCT associated with ANCs was higher in non-health service settings, particularly in bars. A combination of different strategies rather than single targeted interventions will be needed to increase VCT uptake in male partners of women seeking VCT at ANCs.
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