TY - JOUR
T1 - HIV disclosure, sexual negotiation and male involvement in prevention-of-mother-to-child-transmission in South Africa
AU - Villar-Loubet, Olga M.
AU - Bruscantini, Laura
AU - Shikwane, Molatelo Elisa
AU - Weiss, Stephen
AU - Peltzer, Karl
AU - Jones, Deborah L.
N1 - Funding Information:
Funding for this research was provided by NIH, NIAID, PEPFAR and OAR, under grant number P30A1073961-S. The authors thank the field staff and participants, without whom this study could not have been done.
PY - 2013
Y1 - 2013
N2 - HIV-seroconversion during pregnancy is a serious concern throughout South Africa, where an estimated 35 to 40% of pregnant women have HIV/AIDS and drop-out is high at all stages of the prevention-of-mother-to-child-transmission (PMTCT) process. The likelihood of PMTCT success may be linked to partner support, yet male involvement in antenatal care remains low. This qualitative study examined the influence of pregnant couples' expectations, experiences and perceptions on sexual communication and male involvement in PMTCT. A total of 119 couples participated in a comprehensive intervention in 12 antenatal clinics throughout South Africa. Data were collected between December 2010 to June 2011 and analysed using a grounded theory approach. Findings point to the importance of sexual communication as a factor influencing PMTCT male involvement. Analysis of themes lends support to improving communication between couples, encouraging dialogue among men and increasing male involvement in PMTCT to bridge the gap between knowledge and sexual behaviour change.
AB - HIV-seroconversion during pregnancy is a serious concern throughout South Africa, where an estimated 35 to 40% of pregnant women have HIV/AIDS and drop-out is high at all stages of the prevention-of-mother-to-child-transmission (PMTCT) process. The likelihood of PMTCT success may be linked to partner support, yet male involvement in antenatal care remains low. This qualitative study examined the influence of pregnant couples' expectations, experiences and perceptions on sexual communication and male involvement in PMTCT. A total of 119 couples participated in a comprehensive intervention in 12 antenatal clinics throughout South Africa. Data were collected between December 2010 to June 2011 and analysed using a grounded theory approach. Findings point to the importance of sexual communication as a factor influencing PMTCT male involvement. Analysis of themes lends support to improving communication between couples, encouraging dialogue among men and increasing male involvement in PMTCT to bridge the gap between knowledge and sexual behaviour change.
KW - couples
KW - disclosure
KW - HIV
KW - PMTCT
KW - sexual communication
UR - http://www.scopus.com/inward/record.url?scp=84873887790&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84873887790&partnerID=8YFLogxK
U2 - 10.1080/13691058.2012.716166
DO - 10.1080/13691058.2012.716166
M3 - Article
C2 - 22974414
AN - SCOPUS:84873887790
VL - 15
SP - 253
EP - 268
JO - Culture, Health and Sexuality
JF - Culture, Health and Sexuality
SN - 1369-1058
IS - 3
ER -
