Evidence map›Paper›PMID 32429879›Full record

ArticleBMC public health2020

Reaching hard-to-reach men through home-based couple HIV testing among pregnant women and their male partners in western Kenya: a qualitative study.

Daisy Krakowiak, Pamela Makabong'o, Marielle Goyette, John Kinuthia, Alfred Onyango Osoti, Victor Asila, Molly Ann Gone, Jennifer Mark, Carey Farquhar

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01784783 (HIV Testing and Educating Male Partners to Improve Maternal and Infant Outcomes), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01784783 nacompletednot on this map

HIV Testing and Educating Male Partners to Improve Maternal and Infant Outcomes: Home-based Partner Education and Testing (HOPE) Study

TypeinterventionalSponsorUniversity of WashingtonRan2013 to 2015Enrolled601ConditionsHIVArmsHOPE Intervention, INVITE Intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
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

9 authors.

Daisy KrakowiakDepartment of Epidemiology, University of Washington, Seattle, Washington, USA. daisykr@uw.edu.ORCID http://orcid.org/0000-0001-6915-2844
Pamela Makabong'oDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Marielle GoyetteDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
John KinuthiaDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Alfred Onyango OsotiDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
Victor AsilaDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Molly Ann GoneDepartment of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Jennifer MarkDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
Carey FarquharDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.

Funding

HIV Testing and Educating Male Partners to Improve Maternal and Infant OutcomesR01HD075108 · NICHD · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 2012 to 2013
$684k
NIH HHS AI087399NIH HHS R01 HD075108
6 · The paper itself

Abstract

backgroundGlobally only 79% of adults living with HIV (human immunodeficiency virus) know their status and men in sub-Saharan Africa are considered a particularly hard-to-reach population for HIV testing. Home-based HIV couple testing during the antenatal period is a safe and effective method that has been used to test male partners of pregnant women. The goal of this qualitative study was to identify elements that made couple testing successful and describe important characteristics of this home-based intervention from couples' perspectives.

methodsCouples who received scheduled home-based couple testing during pregnancy in Kisumu, Kenya, were purposively sampled based on HIV status from January to May 2015. An interviewer administered all of the in-depth interviews and two coders were directly involved in the data analysis and reconciled codes several times in the process.

resultsTwenty-one couples were enrolled: 9 concordant HIV-negative couples, 8 HIV discordant couples, 3 HIV concordant HIV-positive couples, and 1 whose concordance status was unknown. Median age at the time of home-based couple testing was 24 and 28 years for women and men, respectively. Median relationship duration was 3 years and couples had a median of two pregnancies. The major themes that emerged were that home-based couple testing 1) removed the female burden of requesting couple testing, 2) overcame logistical barriers associated with clinic-based testing, 3) encouraged participants to overcome their fear of testing and disclosure, 4) provided privacy in the home, and 5) provided quality time with the health advisors. Importantly, some women appreciated individual testing at the clinic before couple testing and some couples preferred skilled, anonymous health advisors delivering the intervention rather than known community health workers.

conclusionsThe results of this qualitative study suggest that home-based couple testing during pregnancy overcame many of the barriers that limit men's access to and uptake of clinic-based testing. It encouraged participants to overcome their fear of testing and disclosure through a setting that afforded privacy and quality time with skilled health advisors. These qualitative results may help design effective partner and couple HIV testing programs in the antenatal setting and alongside or within other assisted partner notification services.

trial registrationClinicaltrials.gov registry: NCT01784783. Registered prospectively on June 15, 2012.

Indexed as

AdultContact TracingDisclosureFemaleHealth Services AccessibilityHIV InfectionsHome Care ServicesHumansKenyaMaleMass ScreeningMaternal Serum Screening TestsMenMotivationPregnancyPregnant PeopleCounsellingHealth systemsHIVInterventionMenPregnancySexual partnersTestingWomen

Identifiers

PMID32429879
PMCPMC7236963

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Registered trials

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.