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      Male involvement in PMTCT services in Mbeya Region, Tanzania.

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          Abstract

          Throughout all stages of programmes for the prevention of mother-to-child-transmission of HIV (PMTCT), high dropout rates are common. Increased male involvement and couples' joint HIV counselling/testing during antenatal care (ANC) seem crucial for improving PMTCT outcomes. Our study assessed male attitudes regarding partner involvement into ANC/PMTCT services in Mbeya Region, Tanzania, conducting 124 individual interviews and six focus group discussions. Almost all respondents generally supported PMTCT interventions. Mentioned barriers to ANC/PMTCT attendance included lacking information/knowledge, no time, neglected importance, the services representing a female responsibility, or fear of HIV-test results. Only few perceived couple HIV counselling/testing as disadvantageous. Among fathers who had refused previous ANC/PMTCT attendance, most had done so even though they were not perceiving a disadvantage about couple counselling/testing. The contradiction between men's beneficial attitudes towards their involvement and low participation rates suggests that external barriers play a large role in this decision-making process and that partner's needs should be more specifically addressed in ANC/PMTCT services.

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          Author and article information

          Journal
          AIDS Behav
          AIDS and behavior
          Springer Nature
          1573-3254
          1090-7165
          Jun 2009
          : 13 Suppl 1
          Affiliations
          [1 ] Institute of Tropical Medicine and International Health, Charité University Medicine, Spandauer Damm 130, 14050, Berlin, Germany. stefanie.theuring@charite.de
          Article
          10.1007/s10461-009-9543-0
          19308720
          2c6e0b9d-0034-482a-8683-6712bd5cd021
          History

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