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Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi

Received: 6 January 2024     Accepted: 20 August 2024     Published: 6 September 2024
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Abstract

Mother-to-child transmission (MTCT) occurs when a pregnant woman with Human immunodeficiency Virus (HIV) passes the virus to her baby either during pregnancy, labour and delivery or breastfeeding period. Vertical transmission during pregnancy is between 20-25%. Globally, about 330,000 children were newly infected with HIV in 2011. It is estimate that more than 90% of these infections were through mother-to-child transmission. According to statistics, 1,400,00 – 1,800,000 people were living with HIV and AIDS by the end of 2007. Male involvement in prevention of mother-to-child transmission of HIV still remains a major challenge. This was facility based descriptive cross-sectional study which was aimed at assessing the factors hindering male participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma clinic in Nairobi. The factors studied were demographic characteristics, knowledge and awareness of prevention of mother-to-child transmission of HIV and socio-cultural influence on male participation in PMTCT. Systematic random sampling method was used to obtain a sample population of 122 antenatal mothers. The data was collected between October and November 2012 using a structured and semi-structured questionnaire. Data was validated, cleaned, coded and entered in the computer. Data analysis was done using the statistical package for social sciences (SPSS). The results of the study showed that majority of the respondents, 77.87% (n=95), were between the age of 20 to 39 years with the least, 16.39% (n=20) aged between 40-49 years. There were low levels of knowledge and awareness on PMTCT among male partners. Socio-cultural factors were seen to contribute to low male involvement in PMTCT. The study recommends creation of awareness and also formulation of health messages which target men and are culture sensitive.

Published in American Journal of Nursing and Health Sciences (Volume 5, Issue 3)
DOI 10.11648/j.ajnhs.20240503.16
Page(s) 88-95
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

PMTCT, Male Involvement, HIV, Pregnancy, Hindering

References
[1] Ekouevi, DK, Leroy, V, Viho, I, Bequet, L& Horo, A (2004). Acceptability and uptake of package to Prevention of mother- to – child transmission program using rapid HIV testing in Abidjan, Cote d Ivore, AIDS 18(4).
[2] Greene, ME (2002). Present lessons and future programmatic directions for involving men in reproductive health. Programming for male involvement in reproductive e health. Report of the meeting of WHO regional advisers in reproductive health. Washington DC 2001.
[3] Abou-Zahr, Carla L and Wardlaw TM, (2003) Antenatal care in developing countries. Analysis of trends, levels and differentials. WHO 1990-2001.
[4] Ruternberg, N, Kalibala, S, Mwai, C & Rosen, J (2002) Integrating HIV prevention and care into maternal and child health care settings: lesson learned from Horizon studies. Maasai mara and Nairobi, Kenya consultation report. New York: The population Council.
[5] Burke, M, Rajau, M, Ramadhani, A & Burke, j. (2004). Male participation in participation in prevention of mother – to-child prevention programs in Tanzania. (Online) available: AFAO.
[6] Kaai, Susan, Carolyn Baek, Scott Geibel, Peter Omondi, Benson Ulo, Grace Muthumbi, Carol Nkatha, and Naomi Rutenberg. 2007. "Community-based approaches to prevention of mother-to-child transmission of HIV: Findings from a low-income community in Kenya," Horizons Final Report. Nairobi: Population Council.
[7] UNICEF, (2018); https://open.unicef.org/sites/transparency/files/2020-06/Kenya-TP2-2018.pdf HIV/AIDS sectoral report; Kenya -Accessed, 11/07/2024.
[8] KAIS, (2007), Kenya AIDS indicator survey: National AIDS and sexually transmitted control programme. Nairobi, Kenya.
[9] Newell, ML (2001) Prevention of mother –to – child transmission of HIV; Challenges in the current decade; Bulletin of WHO 79(12): 1138–1144.
[10] National AIDS and STD Control Programme, Ministry of Health, Kenya. Preparedness for HIV/AIDS service delivery: The 2005 Kenya Health workers survey. Nairobi: NASCOP: 2006. GOOO.
[11] M’baya Kansinjiro, B., Nyondo-Mipando, A. L. A qualitative exploration of roles and expectations of male partners from PMTCT services in rural Malawi. BMC Public Health 21, 626 (2021).
[12] Kiarie JN, Farquhar C, Richardson BA, Kabura MN, John FN, Nduati RW, John-Stewart GC. Domestic violence and prevention of mother-to-child transmission of HIV-1. AIDS. 2006 Aug 22; 20(13): 1763-9.
[13] Daniel Kinde Getu;(2011), Factors related to male participation in prevention of Mother-to-Child Transmission of human immunodeficiency virus in three public hospitals in Addis
[14] Glanz, K, Rimer, BK & Lewis, FM (2002). Health behavior and health education: theory, research and practice 3RD edition: San Francisco: john Wiley & sons.
[15] Bajunirwe, F., & Muzoora, M. (2005). Barriers to the implementation of programs for the prevention of mother-to-child transmission of HIV: a cross-sectional survey in rural and urban Uganda. AIDS research and therapy, 2(1), 1-7.
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    Gitonga, A. M., Monda, P. (2024). Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi. American Journal of Nursing and Health Sciences, 5(3), 88-95. https://doi.org/10.11648/j.ajnhs.20240503.16

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    ACS Style

    Gitonga, A. M.; Monda, P. Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi. Am. J. Nurs. Health Sci. 2024, 5(3), 88-95. doi: 10.11648/j.ajnhs.20240503.16

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    AMA Style

    Gitonga AM, Monda P. Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi. Am J Nurs Health Sci. 2024;5(3):88-95. doi: 10.11648/j.ajnhs.20240503.16

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  • @article{10.11648/j.ajnhs.20240503.16,
      author = {Antony Murithi Gitonga and Peter Monda},
      title = {Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi
    },
      journal = {American Journal of Nursing and Health Sciences},
      volume = {5},
      number = {3},
      pages = {88-95},
      doi = {10.11648/j.ajnhs.20240503.16},
      url = {https://doi.org/10.11648/j.ajnhs.20240503.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20240503.16},
      abstract = {Mother-to-child transmission (MTCT) occurs when a pregnant woman with Human immunodeficiency Virus (HIV) passes the virus to her baby either during pregnancy, labour and delivery or breastfeeding period. Vertical transmission during pregnancy is between 20-25%. Globally, about 330,000 children were newly infected with HIV in 2011. It is estimate that more than 90% of these infections were through mother-to-child transmission. According to statistics, 1,400,00 – 1,800,000 people were living with HIV and AIDS by the end of 2007. Male involvement in prevention of mother-to-child transmission of HIV still remains a major challenge. This was facility based descriptive cross-sectional study which was aimed at assessing the factors hindering male participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma clinic in Nairobi. The factors studied were demographic characteristics, knowledge and awareness of prevention of mother-to-child transmission of HIV and socio-cultural influence on male participation in PMTCT. Systematic random sampling method was used to obtain a sample population of 122 antenatal mothers. The data was collected between October and November 2012 using a structured and semi-structured questionnaire. Data was validated, cleaned, coded and entered in the computer. Data analysis was done using the statistical package for social sciences (SPSS). The results of the study showed that majority of the respondents, 77.87% (n=95), were between the age of 20 to 39 years with the least, 16.39% (n=20) aged between 40-49 years. There were low levels of knowledge and awareness on PMTCT among male partners. Socio-cultural factors were seen to contribute to low male involvement in PMTCT. The study recommends creation of awareness and also formulation of health messages which target men and are culture sensitive.
    },
     year = {2024}
    }
    

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    T1  - Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi
    
    AU  - Antony Murithi Gitonga
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