Antenatal couple counselling increases uptake of intervention to prevent HIV-1 tranmission
Date
2004-12Author
Farquhar, C
Kiarie, J N
Richardson, BA
Kabura, MN
John, FN
Nduati, RW
Mbori-Ngacha, DA
John-Stewart, GC
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
To determine effect of partner involvement and couple counseling on uptake of interventions to prevent HIV-1 transmission, women attending a Nairobi antenatal clinic were encouraged to return with partners for voluntary HIV-1 counseling and testing (VCT) and offered individual or couple posttest counseling. Nevirapine was provided to HIV-1-seropositive women and condoms distributed to all participants. Among 2104 women accepting testing, 308 (15%) had partners participate in VCT, of whom 116 (38%) were couple counseled. Thirty-two (10%) of 314 HIV-1-seropositive women came with partners for VCT; these women were 3-fold more likely to return for nevirapine (P = 0.02) and to report administering nevirapine at delivery (P = 0.009). Nevirapine use was reported by 88% of HIV-infected women who were couple counseled, 67% whose partners came but were not couple counseled, and 45%whose partners did not present for VCT (P for trend = 0.006). HIV-1-seropositive women receiving couple counseling were 5-fold more likely to avoid breast-feeding (P = 0.03) compared with those counseled individually. Partner notification of HIV-1-positive results was reported by 138 women (64%) and was associated with 4-fold greater likelihood of condom use (P = 0.004). Partner participation in VCT and couple counseling increased uptake of nevirapine and formula feeding. Antenatal couple counseling may be a useful strategy to promote HIV-1 prevention interventions
URI
http://www.ncbi.nlm.nih.gov/pubmed/15577420http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/17538
Citation
Journal of Acquired Immune Deficiency Syndrom. 2004;37(5): 1620-6Publisher
Department of paediatrics, University of Nairobi
Description
Journal article
Collections
- Faculty of Health Sciences (FHS) [10377]