ArticleSocial science & medicine (1982)2021
Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia: Interview findings from the target community.
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Food insecurity and gender-based violence against women during the COVID-19 pandemic: a systematic review.BMC public health · 2026Pooled it
- Safer conception services for HIV-affected couples must address overlooked relationship dynamics: a commentary and call to action.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2026Article
- Article
- Widowed and at risk: increasing HIV prevalence among widowed women in Siaya county, Kenya in the last decade, 2011-2022.BMC public health · 2025Article
- Major Factors Contributing to Positive and Negative Childbirth Experiences in Pregnant Women Living with HIV.Behavioral sciences (Basel, Switzerland) · 2025Article
- Money, chores and emotional support: Kenyan and Zambian fathers' perceptions of male partner involvement in maternal and infant health within the context of HIV.Culture, health & sexuality · 2024Article
- Development and Empirical Test of the Research-Informed South African Relationship Functioning Assessment (SARFA).Personal Relationships · 2024Article
- Barriers, Facilitators, and Strategies to Improve Participation of a Couple-Based Intervention to Address Women's Antiretroviral Therapy Adherence in KwaZulu-Natal, South Africa.International journal of behavioral medicine · 2024Article
- The Social Construction of Aging Among a Clinic-Based Population and Their Healthcare Workers in Zambia.International journal of public health · 2024Article
- Women want male partner engagement in antenatal care services: A qualitative study of pregnant women from rural South Africa.PloS one · 2023Article
- Identifying barriers to ART initiation and adherence: An exploratory qualitative study on PMTCT in Zambia.PloS one · 2022Article
- Men's perceptions of sexual and reproductive health education within the context of pregnancy and HIV in Zambia: a descriptive qualitative analysis.BMC public health · 2021Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
introductionInterpersonal support can promote positive outcomes among people living with HIV. In order to develop an acceptable psychoeducational couples-based intervention aimed at strengthening the relationship context and improving HIV outcomes before and after pregnancy, we conducted qualitative interviews with pregnant women living with HIV and their male partners.
methodsWe interviewed a convenience clinic-based sample of pregnant women living with HIV (n = 30) and male partners (n = 18) in Lusaka, Zambia. Interviews included pile sorting relationship topics in order of perceived priority. Interviews also focused on family health concerns. Interviews were audio-recorded, translated, transcribed, and thematically analyzed. Pile sorting data was analyzed using descriptive statistics.
resultsAll female participants were living with HIV; 61% of the male partners interviewed were additionally living with HIV. The most prioritized relationship topic among both genders was communication between couples. Honesty and respect were important relationship topics but prioritized differently based on gender. Female participants considered emotional and instrumental support from male partners critical for their physical and mental health; men did not prioritize support. Intimate partner violence was discussed often by both genders. Family health priorities included good nutrition during pregnancy, preventing infant HIV infection, safe infant feeding, sexual health, and men's alcohol use.
conclusionsA major contribution of this study is a better understanding of the dyad-level factors pregnant women living with HIV and their male partners perceive to be the most important for a healthy, well-functioning relationship. This study additionally identified gaps in antenatal health education and the specific family health issues most prioritized by pregnant women living with HIV and their male partners. The findings of this study will inform the development of an acceptable couples-based intervention with greater likelihood of efficacy in strengthening the relationship context and promoting family health during and after pregnancies that are affected by HIV.
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