Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil.
BACKGROUND:Providing HIV voluntary counseling and testing (VCT) to men who attend their partner's prenatal care is an intervention with potential to reduce HIV transmission to women and infants during the vulnerable period of pregnancy. Little is known about the acceptability of this interventi...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5393615?pdf=render |
| _version_ | 1818316339147702272 |
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| author | Nava Yeganeh Mariana Simon Deborah Mindry Karin Nielsen-Saines Maria Cristina Chaves Breno Santos Marineide Melo Brenna Mendoza Pamina Gorbach |
| author_facet | Nava Yeganeh Mariana Simon Deborah Mindry Karin Nielsen-Saines Maria Cristina Chaves Breno Santos Marineide Melo Brenna Mendoza Pamina Gorbach |
| author_sort | Nava Yeganeh |
| collection | DOAJ |
| description | BACKGROUND:Providing HIV voluntary counseling and testing (VCT) to men who attend their partner's prenatal care is an intervention with potential to reduce HIV transmission to women and infants during the vulnerable period of pregnancy. Little is known about the acceptability of this intervention in global settings outside of Africa. METHODS:We conducted in-depth qualitative interviews to evaluate potential barriers and facilitators to prenatal care attendance for HIV VCT with 20 men who did and 15 men who did not attend prenatal care with their partners at Hospital Conceiçao in Porto Alegre, Brazil. Men were recruited at the labor and delivery unit at Hospital Conceiçao via a scripted invitation while visiting their newborn infant. Interviews lasted from 35-55 minutes and were conducted in Portuguese by a local resident trained extensively in qualitative methods. All interviews were transcribed verbatim, translated, and then analyzed using Atlast.ti software. An analysis of themes was then conducted using direct quotes and statements. We applied and adapted the AIDS Risk Reduction Theoretical Model and HIV Testing Decisions Model to the qualitative data to identify themes in the 35 interviews. RESULTS:If offered HIV testing during prenatal care, all men in both groups stated they would accept this intervention. Yet, individual, relationship and systemic factors were identified that affect these Brazilian men's decision to attend prenatal care, informing our final conceptual model. The men interviewed had a general understanding of the value of HIV prevention of mother to child transmission. They also described open and communicative relationships with their significant others and displayed a high level of enthusiasm towards optimizing the health of their expanding family. The major barriers to attending prenatal care included perceived stigma against HIV infected individuals, men's lack of involvement in planning of the pregnancy as well as inconvenient scheduling of prenatal care, due to conflicting work schedules. CONCLUSIONS:Brazilian men displayed high levels of HIV-related knowledge as well as open communication about HIV testing; especially when compared to findings from African studies. Future efforts should reorient prenatal care towards providing care to the entire family with a clear focus on protecting the infant from preventable diseases. Formally inviting men to prenatal care and providing them an acceptable medical excuse from work may enhance male involvement. |
| first_indexed | 2024-12-13T09:19:51Z |
| format | Article |
| id | doaj.art-7770f38febd748b9b4df2647a4baff13 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T09:19:51Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7770f38febd748b9b4df2647a4baff132022-12-21T23:52:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01124e017550510.1371/journal.pone.0175505Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil.Nava YeganehMariana SimonDeborah MindryKarin Nielsen-SainesMaria Cristina ChavesBreno SantosMarineide MeloBrenna MendozaPamina GorbachBACKGROUND:Providing HIV voluntary counseling and testing (VCT) to men who attend their partner's prenatal care is an intervention with potential to reduce HIV transmission to women and infants during the vulnerable period of pregnancy. Little is known about the acceptability of this intervention in global settings outside of Africa. METHODS:We conducted in-depth qualitative interviews to evaluate potential barriers and facilitators to prenatal care attendance for HIV VCT with 20 men who did and 15 men who did not attend prenatal care with their partners at Hospital Conceiçao in Porto Alegre, Brazil. Men were recruited at the labor and delivery unit at Hospital Conceiçao via a scripted invitation while visiting their newborn infant. Interviews lasted from 35-55 minutes and were conducted in Portuguese by a local resident trained extensively in qualitative methods. All interviews were transcribed verbatim, translated, and then analyzed using Atlast.ti software. An analysis of themes was then conducted using direct quotes and statements. We applied and adapted the AIDS Risk Reduction Theoretical Model and HIV Testing Decisions Model to the qualitative data to identify themes in the 35 interviews. RESULTS:If offered HIV testing during prenatal care, all men in both groups stated they would accept this intervention. Yet, individual, relationship and systemic factors were identified that affect these Brazilian men's decision to attend prenatal care, informing our final conceptual model. The men interviewed had a general understanding of the value of HIV prevention of mother to child transmission. They also described open and communicative relationships with their significant others and displayed a high level of enthusiasm towards optimizing the health of their expanding family. The major barriers to attending prenatal care included perceived stigma against HIV infected individuals, men's lack of involvement in planning of the pregnancy as well as inconvenient scheduling of prenatal care, due to conflicting work schedules. CONCLUSIONS:Brazilian men displayed high levels of HIV-related knowledge as well as open communication about HIV testing; especially when compared to findings from African studies. Future efforts should reorient prenatal care towards providing care to the entire family with a clear focus on protecting the infant from preventable diseases. Formally inviting men to prenatal care and providing them an acceptable medical excuse from work may enhance male involvement.http://europepmc.org/articles/PMC5393615?pdf=render |
| spellingShingle | Nava Yeganeh Mariana Simon Deborah Mindry Karin Nielsen-Saines Maria Cristina Chaves Breno Santos Marineide Melo Brenna Mendoza Pamina Gorbach Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. PLoS ONE |
| title | Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. |
| title_full | Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. |
| title_fullStr | Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. |
| title_full_unstemmed | Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. |
| title_short | Barriers and facilitators for men to attend prenatal care and obtain HIV voluntary counseling and testing in Brazil. |
| title_sort | barriers and facilitators for men to attend prenatal care and obtain hiv voluntary counseling and testing in brazil |
| url | http://europepmc.org/articles/PMC5393615?pdf=render |
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