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Account Options Sign in. My library Help Advanced Book Search. View eBook. Richard M. Persuading People to Have Safer Sex offers a lucid, in-depth, student-friendly and academically thorough discussion of AIDS prevention and health persuasion.

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Involving male partners in maternity care in Burkina Faso: a randomized controlled trial

Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 8 October Published 6 March Volume Pages 87— Review by Single-blind. Editor who approved publication: Professor Bassel Sawaya. It creates an opportunity to reverse the transmission of HIV during pregnancy, labor, and breastfeeding. Pre-tested and structured self-administered questionnaires were used to collect the data.

Multiple logistic regression analysis was used to determine the presence of statistically significant associations between the outcome variable and the independent variables with a p-value less than 0.

Results: A total of pregnant women who had ANC follow-up have participated in this study. Therefore, improving male partner involvement in PMTCT is recommended for improving maternal FANC service utilization and adherence with notification of their partner and provision of psychological and financial support.

All infants born to HIV-positive mothers should receive a course of treatment as soon as possible after birth. Male partner involvement in PMTCT intervention has been associated with an increase in uptake of intervention by pregnant women, facilitates ART initiation and adherence, increases health facility delivery, and enables a good choice of breastfeeding plan.

As most low- and middle-income countries, male involvement in PMTCT service utilization is said to be very low in many health facilities in Ethiopia.

Furthermore, male involvement in PMTCT has been inadequate and many pregnant women attend maternal health services unaccompanied and unsupported by their partners.

Hence, information on male involvement and associated factors of the pregnant women are urgently needed for prioritizing, designing, and initiating intervention programs aimed at reducing MTCT rate of HIV and producing a healthy and productive child. An institutional-based cross-sectional study design was conducted among pregnant women who enrolled in PMTCT service in randomly selected health facilities of Hawassa city, Southern, Ethiopia from April to May The city has two governmental hospitals and 9 health centers.

We conducted this study in two hospitals Hawassa university comprehensive-specialized hospital and Adare general hospital , and two health centers Millennium and Tilite. All pregnant women who enrolled in PMTCT service at ANC clinic in randomly selected government health facilities of Hawassa town during the study period were the source population. All sampled pregnant women who enrolled in PMTCT service at ANC clinic in randomly selected government health facilities of Hawassa town during the study period were the source population.

Pregnant women with age 18 and above were included in the study. However, those who were seriously ill to give personal information during the interview were excluded from the study.

The sample size was calculated using a single population proportion formula;. Four health facilities were selected through random sampling technique. Secondly, the overall sample was proportionally allocated to the selected health facilities. Then, sampling frame was prepared for each selected health facility based on registration book appointment.

Finally, a simple random sampling technique was used to select the required number of participants. Structured and pre-tested questionnaires were used to collect the data which was adapted from similar studies. The questionnaire was translated from English to Amharic by language experts in and back translated to English by another language expert to ensure consistency.

The questionnaire had five parts, i. Did you discuss with your male partner about counseling and testing for HIV the last time, you were pregnant?

Did your male partner support your antenatal visits financially? Do your male partner accept if health professionals inform you to use a condom during the time of your pregnancy? The total score of the items ranges from 0 to 6. Data were collected by trained clinical nurses and supervised by BSc Nurses. Two-day training for data collectors and supervisors were given about data collection methods and how to handle ethical issues. Regular supervision by the supervisor and the principal investigator were made to ensure that all necessary data are properly collected.

Each day during data collection, filled questionnaires were checked for completeness and consistency by supervisors and principal investigator. Incomplete questionnaires were discarded. Collected data were entered to Epi-data version 3. Frequencies and percentages were computed for categorical variables. A total of pregnant women who had ANC follow-up have participated in this study. Majority More than half of male partners Nearly one-fourth From the total participants, Almost two-thirds Around one-third In this study, nearly one-third This finding was higher than the previous studies done in Gondar, Mekelle and Addis Ababa which accounts In our study, those women who have third and fourth ANC visit have more likely to have male partner involvement.

Women with multiple ANC visits may receive feedback and invitations to deliver for their male partner. Giving feedback to a partner might imply good couple communication and acceptance by the male partner to be involved in PMTCT. In this study couples who decided to give birth at the health facility is more likely to have male partner involvement. A pregnant woman with a supportive male partner would be more likely to deliver in a health facility by a skilled health professional. Male partners did not have time to attend ANC with their partners since they utilize the time to source money to take care of their families when they have socio-economic difficulties.

Therefore, men mostly choose to spend their time at work fending for their families, instead of waiting for long hours at the clinics where for most of the time they are not involved.

In this study, having consult of male partner by pregnant women also involves males nine times as those who do not in PMTCT service. If the couples discuss the need for HIV testing, that means they are ready to accept the test result and they are more likely to adhere to the PMTCT treatment. Male partners who provide support for their pregnant women both financially and psychologically are more likely considered to be involved in PMTCT.

This decreases stigma on pregnant women and charging user fee also promote pregnant women participating in PMTCT services. This study does not completely guarantee the effect of confounding factors and there is a risk of biased responses such as social desirability bias by which pregnant women either exaggerate or minimize the role of the male partner for some reason.

The situation may provide different results if male partners had been chosen for the interview. The number of FANC visit, birthplace interest, awareness about partner monthly income, source of the family-saving scheme, maternal perception about the importance of consulting partner before HIV testing, and kinds of partner support were significant predictors of male involvement in PMTCT.

The study was conducted in accordance with the Declaration of Helsinki. All participants gave written informed consent to participate in the study. The datasets generated and analyzed during the current study are not publicly available due to the obligation to secrecy towards the participants.

The authors would like to thank all participants and data collectors for devoting their time to contribute their ideas during data collection. All authors made substantial contributions to conception and design, acquisition of data or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; gave final approval of the version to be published; and agree to be accountable for all aspects of the work.

Report on the global AIDS epidemic. Fact Sheet Sub Saharan Africa Global AIDS epidemics. Available from: www. Accessed February 17 , WHO; Arts Soc Sci Journal. J Acquir Immune DeficSyndr. Male partner involvement in the prevention of mother to child transmission of HIV infection in Mwanza Region, Tanzania. Pan Afr Med J.

Africa I. Haile F, Brhan Y. Tilahun M, Mohammed S. Available from: etd. BMC Public Heal. Mohammed F, Assefa N. Determinants of desire for children among HIV-positive women in the afar region, Ethiopia: case control study.

PLoS One. Attitudes to routine HIV counseling and testing, and knowledge about prevention of mother to child transmission of HIV in eastern Uganda: a cross-sectional survey among antenatal attendees. J Reprod Heal. Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey. Reprod Health. Amano A. HIV testing men in the antenatal setting: understanding male nondisclosure.

Fam Med Med Sci Res. USAID; HIV status disclosure, facility-based delivery and postpartum retention of mothers in a prevention clinical trial in rural Nigeria. Int Health. This work is published and licensed by Dove Medical Press Limited.

Male partner - Crossword Clue

Complications during pregnancy, childbirth and the postpartum period present a significant and complex public health problem in low income countries such as Ethiopia. One strategy endorsed by the World Health Organisation WHO to improve maternal and child health outcomes is to encourage male partner involvement in pregnancy care. Six outcome variables were constructed to indicate whether or not women: commenced ANC in the first trimester, attended at least four ANC appointments, received a urine test, received a blood test, were counselled on potential complications during pregnancy and met these focused antenatal care guidelines. Binary logistic regression was performed to estimate the relationship between the predictor and outcome variables.

Metrics details. We conducted a cross-sectional survey of mother-infant pairs attending week-6 or month-9 infant immunizations at high-volume MCH clinics throughout Kenya. Clinics were selected using probability proportionate to size sampling.

Metrics details. Ethiopia has recorded substantial progress in maternal health recently. However, poor utilization of maternal health care services is challenging further improvement. Although male partners are decision-makers in households, the impact of their involvement on maternal health care services has not been well studied. Two structured questionnaires were used to collect the data from men and women.

I love my male partner – but I yearn to be with a woman

I had sexual experiences with women long ago and feelings of need and loss around this part of my identity are really hitting me now. I love him, like him and we still have an active sex life. However, I have become more and more sure in recent years that I am much more attracted to women. I am less attracted to my partner, which makes me sad, as he is an attentive and caring lover. He is also monogamous, although he knows to some extent how I feel. I am not sure what I want or what to do. Please consider especially how your words or the tone of your message could be perceived by someone in this situation, and be aware that comments that appear to be disruptive or disrespectful to the individual concerned will be removed. For advice from Pamela Stephenson Connolly on sexual matters, send us a brief description of your concerns. Email private. Submissions are subject to our terms and conditions: see gu.

Account Options Sign in. Ver eBook. Chronic Diseases. Marvin Stein , Andrew Baum. Although considerable progress has been made in the understanding and treatment of a range of medical disorders, it had recently been pointed out that 85 percent of the population will be stricken by chronic disorders which may be accompanied by many years of suffering.

Kero, A.

Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 8 October Published 6 March Volume Pages 87—

Schlegel Cambridge University Press , M02 28 - pages 0 Reviews For many years, the focus of fertility research and treatment has been the female. In reality, at least half of all infertility cases have a male factor as a major or contributing cause. Recent advances in the diagnosis and treatment of male infertility have enabled pregnancies in cases where the male partner was previously considered to be untreatable or even sterile.

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This comprehensive, multidisciplinary guide provides an up-to-date presentation of fertility preservation techniques with male cancer patients and other challenging conditions. Divided into four thematic sections, part one provides an overview of the pathophysiologic processes interrelating cancer and its treatment with infertility and discusses different methods of sperm preservation and fertility outcomes in cancer patients. Part two then explores male fertility preservation in various non-cancerous conditions, such as immunosuppressed, hypogonadal and transgender patients. The fundamental principles of cryobiology and sperm optimization are covered in part three, which also offers essential building blocks for scientists to develop a sperm banking service and implement high standards of practice. The final section describes the current practices of male fertility preservation along with its psychological impact on patients, and extends beyond to future innovative methods—tissue preservation, xenografting and artificial gametes—being researched and implemented in this field.

On InternationalNursesDay, we pay tribute to nurses who are on the frontlines around the world continuing to administer sexual and reproductive health SRH services to women, men, and families during COVID From the bottom of our hearts: Thank You! UniteforGlobalHealthSecurity Join us. Celebrating mothers includes protecting maternalhealth care. Load More For example, gender norms that define men as strong may discourage them from seeking health services as they might view asking for help from a nurse or doctor as a sign of weakness.

It can be a big issue for the sex lives of women at midlife or beyond because it's so widespread among their typical male partners: in a large nationwide survey.

Correspondence to Marina AS Daniele email: marina. Bulletin of the World Health Organization ; Ending preventable maternal and perinatal mortality necessarily involves engaging with families and communities.







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