Evidence map›Paper›PMID 34329355›Full record

Trial reportPloS one2021

Couple oriented counselling improves male partner involvement in sexual and reproductive health of a couple: Evidence from the ANRS PRENAHTEST randomized trial.

Cyprien Kengne-Nde, Mathurin Cyrille Tejiokem, Joanna Orne-Gliemann, Bernard Melingui, Paul Koki Ndombo, Ngo A Essounga, Anne Cécile Bissek, Simon Cauchemez, Patrice T Tchendjou

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01494961 (The Public Health Impact of Couple-oriented Prenatal HIV Counseling in Low and Medium HIV Prevalence Countries), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 58% 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.

NCT01494961 nacompletednot on this map

The Public Health Impact of Couple-oriented Prenatal HIV Counseling in Low and Medium HIV Prevalence Countries

TypeinterventionalSponsorFrench National Agency for Research on AIDS and Viral HepatitisRan2009 to 2011Enrolled1,943ConditionsPartner HIV Testing, Couple HIV Counseling, Couple Communication, HIV IncidenceArmsCouple-oriented post-test HIV counseling
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. How to Engage Men in Preconception Health?: A Scoping Review.Iranian journal of nursing and midwifery research
    Article
  2. 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 at 6 institutions in 2 countries.

Cyprien Kengne-NdeCentre Pasteur Cameroon, Epidemiology and Public Health Service, Yaounde, Cameroon.ORCID 0000-0002-8338-2221
Mathurin Cyrille TejiokemCentre Pasteur Cameroon, Epidemiology and Public Health Service, Yaounde, Cameroon.
Joanna Orne-GliemannINSERM U897, Bordeaux School of Public Health, Bordeaux University, Bordeaux, France.
Bernard MelinguiCentre Pasteur Cameroon, Hematology Laboratory, Yaounde, Cameroun.
Paul Koki NdomboCentre of Mother and Child, Chantal Biya Foundation, Yaounde, Cameroon.
Ngo A EssoungaMinistry of Scientific Research and Innovation, Yaounde, Cameroon.
Anne Cécile BissekDivision of Operational Research, Ministry of Public Health, Yaounde, Cameroon.
Simon CauchemezMathematical Modeling of Infectious Diseases Unit, Pasteur Institute, Paris, France.
Patrice T TchendjouCentre Pasteur Cameroon, Epidemiology and Public Health Service, Yaounde, Cameroon.
Institut Pasteur · FRCentre International De Reference Chantal Biya · CMCentre Pasteur du Cameroun · CMInserm · FRMinistry of Public Health · CMMinistry of Scientific Research and Innovation · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMale partner involvement (MPI) has been recognized as a priority area to be strengthened in Prevention of Mother to Child Transmission (PMTCT) of HIV. We explored the impact of Couple Oriented Counselling (COC) in MPI in sexual and reproductive health and associated factors.

methodFrom February 2009 to October 2011, pregnant women were enrolled at their first antenatal care visit (ANC-1) and followed up until 6 months after delivery in the Mother and Child Center of the Chantal Biya Foundation within the randomized prenahtest multicentric trial. The MPI index was defined using sexual and reproductive health behaviour variables by using multiple correspondence analysis followed by mixed classification. Men were considered as highly involved if they had shared their HIV test results with their partner, had discussed on HIV or condom used, had contributed financially to ANC, had accompanied their wife to ANC or had practiced safe sex. Factors associated to MPI were investigated by the logistic model with GEE estimation approach.

resultsA total of 484 pregnant women were enrolled. The median age of the women was 27 years (IQR: 23-31) and 55.23% had a gestational age greater than 16 weeks at ANC-1. Among them, HIV prevalence was 11.9% (95% CI: 9.0-15.4). The median duration of the women's relationship with their partner was 84 months (IQR: 48-120). MPI index at 6 months after delivery was significantly greater in the COC group than the classical counselling group (14.8% vs 8,82%; p = 0,043; Fig 1). The partners of the women who participated in the COC were more likely to be involved during follow up than others (aOR = 1.45; 95% CI = 1.00-2.10). Partners with no incoming activity (aOR = 2.90; 95% CI = 1.96-4.29), who did not used violence within the couple (aOR = 1.70; 95% CI = 1.07-2.68), and whose partner came early for ANC-1 (aOR = 1.37; 95% CI = 1.00-1.89) were more likely to be involved than others.

conclusionMPI remains low in stable couples and COC improves partner involvement. Our findings also support the need of strengthening outreach towards "stable" couples and addressing barriers. This could go a long way to improve PMTCT outcomes in Cameroon.

trial registrationPRENAHTEST, NCT01494961. Registered 15 December 2011-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT01494961.

Indexed as

CounselingHIV-1Reproductive HealthSexual PartnersAdultAgedFemaleHIV InfectionsHumansInfectious Disease Transmission, VerticalMaleMiddle AgedPregnancyPregnancy Complications, Infectious

Identifiers

PMID34329355
PMCPMC8323939
OpenAlexW3183249482

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.