HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa

Partner involvement has been deemed fundamental for the prevention of mother-to-child transmission (PMTCT) of HIV, although it remains difficult to achieve. This study aimed to explore the attitudes and behaviours of pregnant women and their partners who participated in a behavioural risk reduction intervention in six community health centres in the Mpumalanga province of South Africa. Qualitative methods only were used in this study. Women and their partners took part in four gender-concordant groups that addressed HIV, PMTCT, disclosure of HIV status and safer sex practices. The results indicate that men value and understand the importance of being involved in women's reproductive health, although some components of the PMTCT programme such as condom use were still met with some resistance. Participants demonstrated high levels of HIV- and sexually transmitted infection-related knowledge. Men lacked knowledge about PMTCT but were interested in acquiring information so that they could support their partners. All groups highlighted the emotional and physical benefits of disclosing one's HIV status. The involvement of men in antenatal care has the potential to prevent women from becoming infected with HIV both during pregnancy and post-partum when they are more vulnerable to infection and have a high risk of transmission to the infant. There is a need for interventions that focus on both increasing male involvement and promoting condom use during pregnancy

Condom · Environmental health · Family medicine · Focus group · Population · Pregnancy · Psychological intervention · Qualitative research · Reproductive health · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues

• Mixed-methods cross-sectional study of the prevention of vertical HIV transmission program users unaware of male partner’s HIV status, in six South African districts with a high antenatal HIV burden

  Open Access•Tshiamo M Mmotsa, Vuyolwethu Magasana et al.•BMC Public Health•2023

  Incluir item

• The role of trust and health literacy in nurse-delivered point-of-care STI testing for pregnant women living with HIV, Tshwane District, South Africa

  Open Access•Andrew Medina-Marino, Andrew Medina‐marino et al.•BMC Public Health•2020

  Incluir item

• Mixed-Methods Evaluation of a Novel, Structured, Community-Based Support and Education Intervention for Individuals with HIV/Aids in KwaZulu-Natal, South Africa

  Open Access•Christopher G Kemp, Christopher Kemp et al.•AIDS and Behavior•2016

  Incluir item

• Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi

  Open Access•Alinane Linda Nyondo, Angela Chimwaza et al.•BMC International Health and…•2014

  Incluir item

• Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa

  Open Access•Karl Peltzer, Suat Babayigit et al.•SAHARA-J Journal of Social…•2018

  Incluir item

• Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa

  Open Access•Kristin Dunkle, Kristin L Dunkle et al.•The Lancet•2004

  Incluir item

• Knowledge, perceived stigma, and care-seeking experiences for sexually transmitted infections

  Open Access•Mônica Malta, Francisco I Bastos et al.•BMC Public Health•2007

  Incluir item

• Couple-oriented prenatal HIV counseling for HIV primary prevention

  Open Access•Joanna Orne-Gliemann, Patrice Tchendjou et al.•BMC Public Health•2010

  Incluir item

• The Influence of Power on HIV Risk Among Pregnant Women in Rural Haiti

  Open Access•T Kershaw, Trace S Kershaw et al.•AIDS and Behavior•2006

  Incluir item

• HIV/Aids/STD Knowledge, Attitudes, Beliefs and Behaviours in a Rural South African Adult Population

  Open Access•Karl Peltzer•South African Journal of Psychology•2003

  Incluir item

• Intimate Partner Violence and Safer Sex Negotiation

  Open Access•Rita M Melendez, Hoffman et al.•Archives of Sexual Behavior•2003

  Incluir item

• Intention, perceived control, and weight loss

  Deborah E Schifter, Deborah Schifter et al.•Journal of Personality and Social…•1985

  Incluir item

• HIV Sero-status Disclosure and Sexual Behaviour among HIV Positive Patients who are on Antiretroviral Treatment (ART) in Mpumalanga, South Africa

  Open Access•Motlatso Mlambo, Karl Peltzer•Journal of Human Ecology•2011

  Incluir item

• From prenatal HIV testing of the mother to prevention of sexual HIV transmission within the couple

  Open Access•Annabel Desgrées Du Loû, Annabel Desgrées-Du-Loû et al.•Social Science & Medicine•2009

  Incluir item

• Theories of reasoned action and planned behavior as models of condom use

  Dolores Albarracin, Blair T Johnson et al.•Psychological Bulletin•2001

  Incluir item

• Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

  Annabel Desgrées Du Loû, Annabel Desgrées-Du-Loû et al.•Reproductive Health Matters•2008

  Incluir item

• Sexual risk reduction among Zambian couples

  Open Access•Ndashi Chitalu, Phillimon Ndubani et al.•SAHARA-J Journal of Social…•2009

  Incluir item