Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : “It is her responsibility": partner involvement in prevention of mother to child transmission of HIV programmes, northern Tanzania | Falnes et al. Journal of the International AIDS Society 2011 14 21 http content 14 1 21 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access It is her responsibility partner involvement in prevention of mother to child transmission of HIV programmes northern Tanzania 1 2 1 3 4 Eli Fjeld Falnes Karen Marie Moland Thorkild Tylleskar Marina Manuela de Paoli Sia E Msuya and Ingunn MS Engebretsen1 Abstract Background Partner involvement has been deemed fundamental in prevention of mother to child transmission PMTCT programmes but is difficult to achieve. This study aimed to explore acceptability of the PMTCT programme components and to identify structural and cultural challenges to male involvement. Methods The study was conducted during 2007-2008 in rural and urban areas of Moshi in the Kilimanjaro region of Tanzania. Mixed methods were used and included focus group discussions with fathers and mothers in-depth interviews with fathers mothers and health personnel and a survey of 426 mothers bringing their four-week-old infants for immunization at five reproductive and child health clinics. Results Routine testing for HIV of women at the antenatal clinic was highly acceptable and appreciated by men while other programme components notably partner testing condom use and the infant feeding recommendations were met with continued resistance. Very few men joined their wives for testing and thus missed out on PMTCT counselling. The main barriers reported were that women did not have the authority to request their husbands to test for HIV and that the arena for testing the antenatal clinic was defined as a typical female domain where men were out of place. Conclusions Deep-seated ideas about gender roles and hierarchy are major obstacles to male participation in the PMTCT programme. Empowering women remains a huge challenge. Empowering men to participate by creating a space within the PMTCT programme that is male friendly should be feasible and .
