dc.description.abstract | There is emerging evidence that in resource-limited settings with a high human
immunodeficiency virus (HIV) burden, male partner involvement in prevention of mother-tochild
HIV transmission (PMTCT) is associated with improved uptake of effective interventions
and infant HIV-free survival. There is also increasing evidence that male partner involvement
positively impacts non-HIV related outcomes, such as skilled attendance at delivery, exclusive
breastfeeding, uptake of effective contraceptives, and infant immunizations. Despite these
associations, male partner involvement remains low, especially when offered in the standard
antenatal clinic setting. In this review we explore strategies for improving rates of antenatal
male partner HIV testing and argue that the role of male partners in PMTCT must evolve from
one of support for HIV-infected pregnant and breastfeeding women to one of comprehensive
engagement in prevention of primary HIV acquisition, avoidance of unintended pregnancies,
and improved HIV-related care and treatment for the HIV-infected and uninfected women, their
partners, and children. Involving men in all components of PMTCT has potential to contribute
substantially to achieving virtual elimination of mother-to-child HIV transmission; promoting
partner-friendly programs and policies, as well as pursuing research into numerous gaps in
knowledge identified in this review, will help drive this process. | en_US |