Evidence map›Paper›PMID 29465291›Full record

ArticleCulture, health & sexuality2018

Men's hopes, fears and challenges in engagement in perinatal health and the prevention of mother-to-child transmission of HIV in rural Kenya.

Pamela Musoke, Abigail Hatcher, Anna Joy Rogers, Lillian Achiro, Elizabeth Bukusi, Lynae Darbes, Zachary Kwena, Patrick Oyaro, Elly Weke, Janet M Turan

Abstract read
In one paragraph

Article in Culture, health & sexuality, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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  4. "AIDS care · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Pamela Musokea Department of Health Care Policy and Organization, School of Public Health , University of Alabama at Birmingham , Birmingham , AL , USA.
Abigail Hatcherb Faculty of Health Sciences , University of the Witwatersrand , Johannesburg , South Africa.
Anna Joy Rogersa Department of Health Care Policy and Organization, School of Public Health , University of Alabama at Birmingham , Birmingham , AL , USA.
Lillian Achiroc KEMRI/RCTP, Centre for Microbiology Research , Nairobi , Kenya.
Elizabeth Bukusic KEMRI/RCTP, Centre for Microbiology Research , Nairobi , Kenya.
Lynae Darbesd Center for Sexuality and Health Disparities, Department of Health Behavior and Biology Sciences, School of Nursing , University of Michigan , Ann Arbor , MI , USA.
Zachary Kwenac KEMRI/RCTP, Centre for Microbiology Research , Nairobi , Kenya.
Patrick Oyaroe Research Care and Training Programme, Family AIDS Care and Educational Services , Kisumu , Kenya.
Elly Wekec KEMRI/RCTP, Centre for Microbiology Research , Nairobi , Kenya.
Janet M Turana Department of Health Care Policy and Organization, School of Public Health , University of Alabama at Birmingham , Birmingham , AL , USA.
Kenya Medical Research Institute · KEUniversity of Alabama at Birmingham · USKenya Wildlife Service · KEUniversity of Michigan–Ann Arbor · USUniversity of the Witwatersrand · ZA

Funding

A Home-Based Couples Intervention to Enhance PMTCT and Family Health in KenyaR34MH102103 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI TURAN, JANET M. · 2014 to 2016
$622k
NIMH NIH HHS R34 MH102103
6 · The paper itself

Abstract

Male involvement in antenatal care has been shown to improve health outcomes for women and infants. However, little is known about how best to encourage male partners to support essential perinatal health activities. We explored men's perceptions of facilitators and barriers to involvement in antenatal care and HIV prevention including fears, hopes and challenges. Forty in-depth interviews were conducted with the male partners of HIV-positive and HIV-negative pregnant women in southwest Kenya. Most male partners believed engaging in pregnancy health-related activities was beneficial for keeping families healthy. However, thematic analysis revealed several obstacles that hindered participation. Poor couple relationship dynamics seemed negatively to influence male engagement. Some men were apprehensive that clinic staff might force them to test for HIV and disclose the results; if HIV-positive, men feared being labelled as 'victimisers' in situations of serodiscordancy, and described fears of abandonment by their wives. Some men avoided accompanying their wives, citing local culture as rationale for avoiding the 'effeminate' act of antenatal care attendance. Amidst these obstacles, some men chose to use their partners' HIV status as proxy for their own. Findings suggest that improving male engagement in essential maternal and child health-related activities will require addressing both structural and interpersonal barriers.

Indexed as

Attitude to HealthMenPerinatal CareAdolescentAdultFearFemaleHIV InfectionsHopeHumansInfectious Disease Transmission, VerticalKenyaMaleMiddle AgedPatient ParticipationPregnancybarriersfacilitatorsKenyamen’s roleprevention of mother-to-child transmission

Identifiers

PMID29465291
PMCPMC6103893
OpenAlexW2793745365

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.