Male Partner Involvement in Prevention of Mother to Child Transmission of HIV/AIDS at Hoima Refferal Hospital in Hoima Municipality

TABLE OF CONTENT

DECLARATION...................................................................................................................................................I

DEDICATION ....................................................................................................................................................II

APPROVAL ......................................................................................................................................................III

ACKNOWLEDGEMENT.................................................................................................................................... IV

TABLE OF CONTENT ........................................................................................................................................ V

LIST OF TABLES ............................................................................................................................................. VII

LIST OF ACRONYMS ..................................................................................................................................... VIII

OPERATIONAL DEFINITIONS .......................................................................................................................... IX

ABSTRACT....................................................................................................................................................... X

CHAPTER ONE:.................................................................................................................................................1

1.0 INTRODUCTION..........................................................................................................................................1

1.1 BACKGROUND............................................................................................................................................1

1.2 PROBLEM STATEMENT...............................................................................................................................2

1.3CONCEPTUAL FRAME WORK.......................................................................................................................4

1.4 OBJECTIVES OF THE STUDY.........................................................................................................................5

1.4 .1 BROAD OBJECTIVE..................................................................................................................................5

1.4.2 SPECIFIC OBJECTIVES...............................................................................................................................5

1.5 RESEARCH QUESTIONS...............................................................................................................................5

1.6 SCOPE OF THE STUDY.................................................................................................................................6

1.6.1 GEOGRAPHICAL SCOPE............................................................................................................................6

1.6.2 CONTENT SCOPE .....................................................................................................................................6

1.6.3 TIME SCOPE ............................................................................................................................................6

1.7 JUSTIFICATION ...........................................................................................................................................6

CHAPTER TWO.................................................................................................................................................7

LITERATURE REVIEW........................................................................................................................................7

2.0 INTRODUCTION..........................................................................................................................................7

2.1.0KNOWLEDGE AND ATTITUDE OF MALE PARTNER INVOLVEMENT IN PMTCT............................................7

2.1.1 KNOWLEDGE ABOUT MTCT AND PMTCT.................................................................................................7

2.1.2 FACTOR THAT INFLUENCE ATTITUDE TOWARD PMTCT ...........................................................................9

2.2.0LEVEL OF MALE PARTNER INVOLVEMENT IN PMT CT THROUGH HCT.....................................................11

2.2.1 HEALTH SYSTEMSVERSUS MALE PARTNER INVOLVEMENT IN THE PMTCT ............................................11

2.3FACTORS ASSOCIATED WITH MALE PARTNER INVOLVEMENT IN HCT DURING PMTCT..............................12

CHAPTER THREE.............................................................................................................................................14

vi

METHODOLOGY.............................................................................................................................................14

3.0 INTRODUCTION........................................................................................................................................14

3.1 STUDY DESIGN .........................................................................................................................................14

3.2 STUDY AREA.............................................................................................................................................14

3.3 STUDY POPULATION ................................................................................................................................15

3.4 SAMPLING PROCEDURE ...........................................................................................................................15

3.5 SAMPLING SIZE ........................................................................................................................................15

3.6 DEFINITION OF VARIABLES.......................................................................................................................16

3.7 DATA COLLECTION ...................................................................................................................................16

3.7.1 RESEARCH INSTRUMENT ......................................................................................................................16

3.7.2 DATA COLLECTION PROCEDURE .........................................................................................................16

3.7.3 QUALITY DATA CONTROL ......................................................................................................................16

3.7.4 DATA MANAGEMENT............................................................................................................................16

3.7.5 DATA ANALYSIS....................................................................................................................................17

3.8 ETHICAL CONSIDERATIONS ......................................................................................................................17

3.9 SELECTION CRITERIA ................................................................................................................................17

3.10 DISSEMINATION OF RESULTS .................................................................................................................18

CHAPTER FOUR..............................................................................................................................................20

4.1 INTRODUCTION........................................................................................................................................20

4.2 RESPONDENT’S SOCIAL DEMOGRAPHIC DATA .........................................................................................20

4.3 KNOWLEDGE AND ATTITUDE OF MALE PARTNER INVOLVEMENT IN PMTCT............................................23

4.4.LEVEL OF MALE INVOLVEMENT IN PMTCT THROUGH HCT .......................................................................24

4.5 FACTORS ASSOCIATED WITH MALEPARTNER INVOLVEMENT IN HCT DURING PMTCT..............................26

CHAPTER FIVE ................................................................................................................................................27

DISCUSSIONS, CONCLUSION AND RECOMENDATION.....................................................................................27

5.0 INTRODUCTION........................................................................................................................................27

5.1 DISCUSSION .............................................................................................................................................28

5.2 CONCLUSIONS FOR THE PMTCT PROGRAM..............................................................................................31

5.3 RECOMMENDATIONS...............................................................................................................................31

APPEDIX ;II QUESTINARES..............................................................................................................................37

1.0 DEMOGRAPHIC INFORMATION................................................................................................................37

APPENDIX :III MAP SHOWING HOIMA REGION..............................................................................................41

APPENDIX: IV MAP OF UGANDA SHOWING HOIMA DISTRICT...................................................................42

ABSTRACT Introduction: This study was carried out to document the male involvement in the prevention of mother to child transmission of HIV/AIDS at Hoima referral hospital in Hoima municipality. Broad objective The purpose of the study was to asses the knowledge and attitude, the level of male involvement and factors associated with male involvement in the prevention of mother-tochild transmission of HIV in Hoima municipality. Methodology: This study was a descriptive cross section in which quantitative method of data collection was employed in collection of data from respondents. Questionnaires were distributed to participants toasses the knowledge and attitude, the level of male involvement and factors associated with male involvement in PMTCT in Hoimamunicipality. Sample size of 200 participants was used, this included the Male partners who hard escorted their pregnant partners to the antenatal clinic aged between 20-50years.The predominant religion were Catholics 59% and seventh day Adventists . Regarding educational levels, majority of respondents had completed secondary level and above (61%) and the predominant ages were between 20-29 years. Results: The study revealed that very few males partner were involved in the PMTCT programespecially during HCT because of being at old age group above 30years couples, couples not living together, high number of wife’s pregnancies four and above, having no knowledge on methods of MTCT, and husbands failure to discuss HCT with their wives . Conclusions: From the findings i concluded that majority of the respondents have ever had about the male involvement in the PMTCT but there was still low male involvement in PMTCT programs at antenatal clinics. Recommendation: There is aneed to do an in-depth assessment of women’s experiences when tested HIV-positive in the presence of their partners at the ANC, as well as to develop strategies to improve male involvement. The study again recommends a formative research on the use of incentives to promote male involvement in the PMTCT program and the government should train more of the Health promoters and the VHTs in order to reach even those that are deep in the village that are not having easy access to the health facility