Working with Men to Improve PMTCT Outcomes
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Working with Men to Improve PMTCT Outcomes
- 1. Working with men to improve PMTCT outcomes. International AIDS Society Meeting, Vienna, July 2010 Dean Peacock, Sonke Gender Justice Network
- 7. South Africa 2009 NCS: More females than males know that HIV can be transmitted through breast milk* * Agree / disagree question
- 8. Percentage of people in South Africa knowing that formula feeding and exclusive breastfeeding can prevent MTCT (2009 Nat’l Communications Survey) Male Female Total Formula feeding 10.5 19.1 14.9 Exclusive breastfeeding 1.1 2.2 1.7
- 9. Number of times the following words appear in the South African National PMTCT Guidelines: men, man, male, father, parent, fatherhood, dad ZERO
Editor's Notes
- Medley, Garcia Moreno, Maman et al: 10 country study on VCT and disclosure. The proportion of women reporting violence as a reaction to disclosure ranged from 3.5% to 14.6%. The true incidence of violence related to HIV status disclosure was hard to determine from these studies, as there were no base rates of violence obtained at the beginning of the studies. Furthermore, most studies did not define violence or describe its severity, therefore making direct comparisons across studies difficult. Interestingly, several studies mentioned that fear of consequences such as abandonment, violence and discrimination were major barriers to disclosure. When the study participants were asked the outcomes of disclosure, however, these fears were seldom realized among women who chose to disclose their status. In Kilewo's study from the United Republic of Tanzania, 46.4% of women who did not disclose their HIV status to their partners reported that fear of divorce was a major barrier to disclosure, but 91.7% of women who did disclose their results reported that their relationship continued afterwards ( 11 ). Heyward found a similar trend in Kinshasa: 63% of women who did not disclose their HIV status reported fear of divorce as the major barrier, yet, 12 months after disclosure, no woman in the study reported divorce or separation ( 17 ). This finding can mean one of two things. It may mean that only women who are confident in the safety and strength of their relationship actually disclose their results, and women who are less confident choose not to. It could also mean that women perceive the risk of a negative outcome to be more likely than it is in fact.
- Medley, Garcia Moreno, Maman et al: 10 country study on VCT and disclosure. The proportion of women reporting violence as a reaction to disclosure ranged from 3.5% to 14.6%. The true incidence of violence related to HIV status disclosure was hard to determine from these studies, as there were no base rates of violence obtained at the beginning of the studies. Furthermore, most studies did not define violence or describe its severity, therefore making direct comparisons across studies difficult. Interestingly, several studies mentioned that fear of consequences such as abandonment, violence and discrimination were major barriers to disclosure. When the study participants were asked the outcomes of disclosure, however, these fears were seldom realized among women who chose to disclose their status. In Kilewo's study from the United Republic of Tanzania, 46.4% of women who did not disclose their HIV status to their partners reported that fear of divorce was a major barrier to disclosure, but 91.7% of women who did disclose their results reported that their relationship continued afterwards ( 11 ). Heyward found a similar trend in Kinshasa: 63% of women who did not disclose their HIV status reported fear of divorce as the major barrier, yet, 12 months after disclosure, no woman in the study reported divorce or separation ( 17 ). This finding can mean one of two things. It may mean that only women who are confident in the safety and strength of their relationship actually disclose their results, and women who are less confident choose not to. It could also mean that women perceive the risk of a negative outcome to be more likely than it is in fact.