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Cult Health Sex ; 21(10): 1131-1145, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-30624135

RESUMO

In low-income settings, partner engagement in HIV testing during pregnancy is well recognised, but uptake remains low. To understand why men fail to engage, 76 in-depth, individual interviews were conducted with women (n = 23), men (n = 36) and community stakeholders (n = 17) in Malawi and Kenya. Transcribed data were analysed thematically. Male engagement was verbally supported. However, definitions of 'engagement' varied; women wanted a shared experience, whereas men wanted to offer practical and financial support. Women and stakeholders supported couples-testing, but some men thought separate testing was preferable. Barriers to couples-testing were strongly linked to barriers to antenatal engagement, with some direct fear of HIV-testing itself. The major themes identified included diverse definitions of male engagement, cultural norms, poor communication and environmental discomfort - all of which were underpinned by hegemonic masculinity. Couples-testing will only increase when strategies to improve reproductive health care are implemented and men's health is given proper consideration within the process. As social norms constitute a barrier, community-based interventions are likely to be most effective. A multi-pronged approach could include advocacy through social media and community forums, the provision of tailored information, the presence of positive role models and a welcoming environment.


Assuntos
Infecções por HIV , Programas de Rastreamento , Parceiros Sexuais , Normas Sociais , Participação dos Interessados , Adulto , Feminino , Infecções por HIV/prevenção & controle , Infecções por HIV/transmissão , Humanos , Entrevistas como Assunto , Quênia , Malaui , Masculino , Masculinidade , Pessoa de Meia-Idade , Gravidez , Pesquisa Qualitativa , Inquéritos e Questionários , Adulto Jovem
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