1 / 13

Kenya Medical Research Institute (KEMRI), Nairobi, Kenya

Impact of a male centered rapid results initiative approach on PMTCT services in FACES supported MOH facilities in Nyanza Province.

xenia
Download Presentation

Kenya Medical Research Institute (KEMRI), Nairobi, Kenya

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Impact of a male centered rapid results initiative approach on PMTCT services in FACES supported MOH facilities in Nyanza Province Akama E.1,2, Mburu M.1,2, Mutegi E1,2, Nyanaro G.1,2, Otieno JP.1,2 Ndolo S.1,2, Ojwang’ L.6 Lewis-Kulzer J.2,3, Abuogi L.2, 4, Oyaro P.1,2, Cohen, C.R.1,3, Bukusi, E.A. 1,2,Onono M.1,2 Kenya Medical Research Institute (KEMRI), Nairobi, Kenya Family AIDS Care and Education Services, Kisumu, Kenya University of California San Francisco, San Francisco, CA, USA University of Colorado School of Medicine2, Department of Pediatrics4,, Aurora, Colorado Ministry of Health (MOH), Kenya

  2. BACKGROUND Studies have shown that male partner participation in antenatal care (ANC) increases uptake of Prevention of Mother-to-Child-Transmission (PMTCT) interventions by their female partners

  3. OBJECTIVES To evaluate the impact of a male-centered Rapid Results Initiative (RRI) aimed at: • increasing male involvement • skilled delivery • time to and linkage to antiretroviral services

  4. Setting • FACES is a PEPFAR-funded comprehensive HIV prevention, care and treatment program based in Migori, Homa bay, Kisumu Counties • The RRI was implemented at 116 FACES supported Kenyan Ministry of Health (MOH) clinics in three counties

  5. RRI Strategies encompassed • abbreviated male medical checkup • calling and visiting men who did not accompany their partners to ANC • text and call reminders to pregnant women to bring their partners to ANC

  6. We compared aggregated site level cohort data of women attending first ANC

  7. Methodology Analysis • We used pre-post cohort analysis using STATA version 12 • We compared the figures obtained during the baseline, RRI and post-RRI surveys to assess whether there were significant changes during the periods with the baseline period as the reference point

  8. Methodology: • Analysis • Temporal changes in indicators were considered significant at a p-value <0.05 • Risk ratios (95% Confidence Intervals) and risk difference were reported for each indicator

  9. RESULTS

  10. A male-centered, scalable RRI can drastically increase men’s engagement in ANC and improve their female partner’s utilization of PMTCT services and health facility skilled delivery

  11. This approach has the potential to reduce both maternal and perinatal morbidity and mortality in HIV affected regions

  12. ACKNOWLEDGEMENTS • Kenyan Ministries of Health (MOH) • Family AIDS Care and Education Services (FACES) • Kenya Medical Research Institute (KEMRI) • University of California San Francisco (UCSF) • U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) • U.S. Centers for Disease Control and Prevention (CDC) • The women, men and children in the communities served The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of U.S. Centers for Disease Control and Prevention/the and the Government of Kenya This research has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S Centers for Disease Control under the terms of Cooperative Agreement # PS001913

More Related