Evidence map›Paper›PMID 33256655›Full record

ArticleBMC public health2020

Social determinants of male partner attendance in women's prevention-of mother-to-child transmission program in Malawi.

Isotta Triulzi, Olivia Keiser, Claire Somerville, Sangwani Salimu, Fausto Ciccacci, Ilaria Palla, Jean Baptiste Sagno, Jane Gondwe, Cristina Marazzi, Stefano Orlando and 2 more

Abstract read
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. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Pooled it
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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

12 authors.

Isotta TriulziInstitute of Management, Scuola Superiore Sant'Anna, Piazza Martiri Libertà, 56127, Pisa, Italy. isotta.triulzi@santannapisa.it.ORCID http://orcid.org/0000-0002-1421-7863
Olivia KeiserInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Claire SomervilleGender Center, Graduate Institute of International and Development Studies, Geneva, Switzerland.
Sangwani SalimuDREAM Programme, Community of Sant'Egidio, Blantyre, Malawi.
Fausto CiccacciUniCamillus, Saint Camillus International University of Health Sciences, Rome, Italy.
Ilaria PallaInstitute of Management, Scuola Superiore Sant'Anna, Piazza Martiri Libertà, 56127, Pisa, Italy.
Jean Baptiste SagnoDREAM Programme, Community of Sant'Egidio, Blantyre, Malawi.
Jane GondweDREAM Programme, Community of Sant'Egidio, Blantyre, Malawi.
Cristina MarazziLumsa University, Rome, Italy.
Stefano OrlandoDepartment of Biomedicine, University of Tor Vergata, Rome, Italy.
Leonardo PalombiDepartment of Biomedicine, University of Tor Vergata, Rome, Italy.
Giuseppe TurchettiInstitute of Management, Scuola Superiore Sant'Anna, Piazza Martiri Libertà, 56127, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMale partners are rarely present during PMTCT (Prevention-Mother-To-Child-Transmission) services in Sub-Saharan Africa (SSA). Male involvement is increasingly recognised as an important element of women's access to care. This study aims to identify the socio-demographic characteristics, HIV-Knowledge, Attitude and Practice (KAP) among women accompanied and not accompanied by their male partners.

methodsWe included pregnant women enrolled in PMTCT programme between August 2018 and November 2019 in the Southern Region of Malawi. Eligible women were aged 18 years or older, living with a male partner, enrolled for the first time in one of the four selected facilities. We provided a KAP survey to women and their partners attending the facilities. Our primary objective was to assess and analyse the proportion of women who were accompanied by their partner at least once. We applied descriptive statistics and logistic regressions to study the association between being accompanied and explanatory variables.

resultsWe enrolled 128 HIV-positive women: 82 (64.1%) were accompanied by their male partners and 46 (35.9%) were alone. In the multivariable model, women's unemployment and owning a means of transport are negatively associated with male attendance (respectively adjusted OR 0.32 [95% CI, 0.11-0.82] and 0.23 [95% CI, 0.07-0.77]), whereas, in the univariable model, high women's level of knowledge of HIV is positively associated with male attendance (OR 2.17 [95% CI, 1.03-4.58]). Level of attitude and practice toward HIV were not significantly associated to our study variable.

conclusionsOur study shows a high male attendance in Malawi compared to other studies performed in SSA. This study highlights that women's level of knowledge on HIV and their economic condition (employment and owning a means of transport) affects male attendance. Moreover, the study points out that gender power relationships and stringent gender norms play a crucial role thus they should be considered to enhance male involvement.

Indexed as

Sexual PartnersSocial Determinants of HealthAdultFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansInfectious Disease Transmission, VerticalMalawiMalePregnancyPregnancy Complications, InfectiousSurveys and QuestionnairesYoung AdultAccessBehaviourGenderHIVKnowledgePregnancySocial determinants

Identifiers

PMID33256655
PMCPMC7708238

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LicenceCC BY
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Registered trials

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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.