Men’s involvement in the health of their partners and children can play an important role in improving health outcomes. Many interventions in reproductive, maternal, and child health adopt strategies that seek to increase men’s positive, equitable, and supportive involvement. This study used data from men’s responses in Demographic and Health Surveys (DHS) in 33 countries. We linked this information with information from women’s survey responses on outcomes for family planning, maternal, and child health outcomes.
Prevalence of antiretroviral therapy treatment failure among HIV-infected pregnant women at first antenatal care: PMTCT Option B+ in Malawi
BACKGROUND: In Malawi's PMTCT Option B+ program, HIV-infected pregnant women who are already receiving ART are continued on their current therapy regimen without testing for treatment failure at the first antenatal care (ANC) visit. HIV RNA screening at ANC may identify women with treatment failure and ensure that viral suppression is maintained throughout the pregnancy.
Determinants of suboptimal adherence and elevated HIV viral load in pregnant women already on antiretroviral therapy when entering antenatal care in Cape Town, South Africa
Across sub-Saharan Africa, prevention of mother-to-child transmission services are encountering increasing numbers of women already established on antiretroviral therapy (ART) when entering antenatal care. However, there are few data examining ART adherence and HIV viral load in this group.
"We Have Heard It Together": A Qualitative Analysis of Couple HIV Testing and Counselling Recruitment in Malawi's Option B+ Programme
This qualitative study described experiences of participants in a randomized controlled trial that examined male partner recruitment strategies for couples HIV testing and counseling within an antenatal unit in Malawi. Strategies included inviting the man to attend an appointment with his partner, and providing the invitation plus phone and community tracing for individuals who did not follow up at the clinic. All women disclosed their HIV status and gave the invitation to their partner.
Prevention of mother-to-child transmission of HIV Option B+ cascade in rural Tanzania: The One Stop Clinic model
Strategies to improve the uptake of Prevention of Mother-To-Child Transmission of HIV (PMTCT) are needed. We integrated HIV and maternal, newborn and child health services in a One Stop Clinic to improve the PMTCT cascade in a rural Tanzanian setting.
PMTCT Service Uptake among Adolescents and Adult Women Attending Antenatal Care in Selected Health Facilities in Zimbabwe
To understand the uptake of HIV services by adolescent women, the authors conducted a retrospective analysis of patient-level data (2011–2013) on services for antenatal care (ANC) and prevention of mother-to-child transmission (PMTCT) in 36 facilities in 5 districts in Zimbabwe. Zimbabwe's Option A policy encourages pregnant women to attend ANC before 14 weeks gestation and to begin antiretroviral therapy (ART) if eligible. The authors compared service uptake by 22,215 adolescent (19 years).
CROI 2017: Continuing HIV treatment for new mothers in maternal and child health programs improves outcomes
Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa
Intimate partner violence (IPV) during or before pregnancy is associated with many adverse health outcomes. Pregnancy-related complications or poor infant health outcomes can arise from direct trauma as well as physiological effects of stress, both of which impact maternal health and fetal growth and development. Antenatal care can be a key entry point within the health system for many women, particularly in low-resource settings.
Despite Malawi’s success in expanding HIV prevention, care, and treatment services, the proportion of people living with HIV who know their HIV status is only 53%; well below the 90% target set in the country’s Strategic Plan for HIV and AIDS. Malawi aims to meet the ambitious 90-90-90 targets released by UNAIDS in 2014.
To reach the target of diagnosing all (or at least 90% of) people living with HIV, Malawi is scaling up provider-initiated testing and counseling (PITC).