FACILITATORS TO MALE PMTCT INVOLVEMENT | |
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Health system facilitators | |
• Invitation letters from health service inviting men to PMTCT [20, 38, 41, 47, 49]. | |
• Offering routine voluntary couple counselling [25, 37, 40, 42]. | |
• Provision of counselling services during non-working hours [40, 47]. | |
• Offering of counselling and testing for HIV at sites other than antenatal care [41, 47]. | |
• Availability of health personnel to encourage testing and facilitate disclosure [19]. | |
• Change from voluntary counselling and testing to routine counselling and testing [34]. | |
• Offering of counselling and testing for HIV within antenatal settings [47]. | |
• Differential targeting and offering of counselling and testing of HIV to men accompanying their wives to the delivery wards [23]. | |
• Holding of open discussions on free prenatal HIV testing for partners [35]. | |
• Differential counselling for HIV positive women [32]. | |
• Community sensitization activities [20]. | |
• Availability of anti-retroviral drugs in the health centre [20]. | |
Relationship dynamics factors | |
• Monogamous marriage or cohabitation of partners [14;25;42]. | |
• Sero-concordance for HIV [42]. | |
Male individual facilitators | |
• Providing men with time to consider PMTCT recommendations [33, 37]. | |
• Increased male knowledge concerning HIV and perceived benefits of PMTCT [19, 48]. | |
Female individual factors | |
• Lack of financial dependence on the part of women [15]. | |
• Positive attitudes of women towards disclosure of their test results [46]. |