Improving PMTCT uptake in rural South Africa

J Int Assoc Provid AIDS Care. May-Jun 2014;13(3):269-76. doi: 10.1177/2325957413488203.

Abstract

Introduction: Despite the widespread availability of prevention of mother-to-child transmission (PMTCT) programs, many women in sub-Saharan Africa do not participate in PMTCT. This pilot study aimed to utilize partner participation in an intervention to support PMTCT uptake.

Methods: Couples (n ¼ 239) were randomized to receive either a comprehensive couples-based PMTCT intervention or the standard of care.

Results: Compared to the standard of care, participants receiving the intervention increased HIV- and PMTCT-related knowledge (F1,474 ¼ 13.94, p ¼ .004) and uptake of PMTCT, as defined by infant medication dosing (74% vs. 46%, w2 ¼ 4.69, p ¼ .03).

Discussion: Results indicate that increasing male attendance at antenatal clinic visits maybe "necessary but not sufficient" to increase PMTCT uptake. Increasing HIV knowledge of both partners and encouraging active male participation in the PMTCT process through psychoeducational interventions may be a strategy to increase the uptake of PMTCT in South Africa.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Africa South of the Sahara
  • Anti-Retroviral Agents / therapeutic use
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / prevention & control
  • HIV Infections / transmission*
  • HIV Seropositivity
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Male
  • Medication Adherence
  • Patient Education as Topic*
  • Patient Participation*
  • Pilot Projects
  • Pregnancy
  • Pregnancy Complications, Infectious / drug therapy
  • Prenatal Care
  • Rural Population

Substances

  • Anti-Retroviral Agents