Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review Public Deposited

Downloadable Content

Download PDF
  • Koole, Olivier
    • Other Affiliation: Institute of Tropical Medicine, Antwerp, Belgium
  • Ryder, Robert
    • Other Affiliation: Division of Hospital Medicine, University of California, 200 West Arbor Drive #8485, San Diego, USA
  • Ditekemena, John
    • Other Affiliation: Elizabeth Glaser Pediatric AIDS Foundation, Kinshasa, Democratic Republic of Congo
  • Matendo, Richard
    • Other Affiliation: Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo
  • Colebunders, Robert
    • Other Affiliation: University of Antwerp, Antwerp, Belgium
  • Engmann, Cyril
  • Tshefu, Antoinette
    • Other Affiliation: Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo
  • Abstract Introduction Male participation is a crucial component in the optimization of Maternal and Child Health (MCH) services. This is especially so where prevention strategies to decrease Mother-to-Child Transmission (MTCT) of Human Immunodeficiency Virus (HIV) are sought. This study aims to identify determinants of male partners’ involvement in MCH activities, focusing specifically on HIV prevention of maternal to child transmission (PMTCT) in sub-Saharan Africa. Methods Literature review was conducted using the following data bases: Pubmed/MEDLINE; CINAHL; EMBASE; COCHRANE; Psych INFORMATION and the websites of the International AIDS Society (IAS), the International AIDS Conference and the International Conference on AIDS in Africa (ICASA) 2011. Results We included 34 studies in this review, which reported on male participation in MCH and PMTCT services. The majority of studies defined male participation as male involvement solely during antenatal HIV testing. Other studies defined male involvement as any male participation in HIV couple counseling. We identified three main determinants for male participation in PMTCT services: 1) Socio-demographic factors such as level of education, income status; 2) health services related factors such as opening hours of services, behavior of health providers and the lack of space to accommodate male partners; and 3) Sociologic factors such as beliefs, attitudes and communication between men and women. Conclusion There are many challenges to increase male involvement/participation in PMTCT services. So far, few interventions addressing these challenges have been evaluated and reported. It is clear however that improvement of antenatal care services by making them more male friendly, and health education campaigns to change beliefs and attitudes of men are absolutely needed.
Date of publication
  • 23171709
  • doi:10.1186/1742-4755-9-32
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • John Ditekemena et al.; licensee BioMed Central Ltd.
Journal title
  • Reproductive Health
Journal volume
  • 9
Journal issue
  • 1
Page start
  • 32
  • English
Is the article or chapter peer-reviewed?
  • Yes
  • 1742-4755
Bibliographic citation
  • Reproductive Health. 2012 Nov 21;9(1):32
  • Open Access
  • BioMed Central Ltd

This work has no parents.