Robert Byamugisha|James Tumwine|Nulu Semiyaga|Thorkild Tylleskär
Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey
Mbale Hospital|Makerere University|Infectious Diseases Institute|University of Bergen
mothertochild transmission hiv mtct accounts 95 paediatric hiv infections worldwide several studies shown male participation antenatal care spouses together couple counselling testing hiv increases use interventions hiv prevention prevention programme mtct pmtct launched uganda 2000 mbale 2002 less 10 pregnant women accepted antenatal hiv testing mbale regional referral hospital 2003 couple counselling testing hiv low therefore conducted study determine level male involvement identify determinants pmtct programmea crosssectional survey 388 men aged 18 years whose spouses attending antenatal care mbale regional referral hospital conducted mbale district eastern uganda male involvement index constructed based 6 questions survey complemented eight focus group discussions five indepth interviewsthe respondents median age 32 years interquartile range iqr 2837 majority 74 low male involvement index 5 men accompanied spouses antenatal clinic men attained secondary education likely high male involvement index 19 95 ci 1133 primary formal education respondents whose occupation driver 03 95 ci 0107 fear disclosure hiv serostatus results spouses 04 95 ci 0208 less likely high male involvement index barriers male involvement pmtct programme related poor health system socioeconomic factors cultural beliefsstructural cultural barriers mens involvement pmtct programme mbale district complex interrelated community sensitization men benefits antenatal care pmtct improving clientfriendliness clinics needs prioritised order improve low male participation mitigate effect socioeconomic cultural factors