title: Partner involvement in perinatal care and PMTCT services in Mbeya Region, Tanzania: the providers' perspective.
abstract: Partner involvement is considered to increase the effectiveness of female-oriented services for sexual and reproductive health (SRH), like those for antenatal care (ANC) or the prevention of mother-to-child transmission of HIV (PMTCT). However, male participation rates remain mostly low, and previous research has identified restrictive provider attitudes among barriers for partner participation in such services. Individual perspectives and experiences of healthcare providers are assumed to significantly influence the quality of delivered services. This study aimed at exploring providers' attitudes regarding partner involvement in ANC/PMTCT and other SRH services. A hundred interviews based on a semi-structured questionnaire were conducted among healthcare providers employed in an ANC-based PMTCT program in Mbeya Region, Tanzania. Interviewees expressed overall approval of male partner integration into the services, but this approval decreased when specifying for different service types, especially in those related to perinatal examinations or labor and delivery. Divergence between general attitudes and self-reported individual behavior was observed, querying the reliability of expressed attitudes. Among providers having at least one child, personally experienced partner attendance and approval of partner involvement were significantly associated for most service types. Although general views on partner involvement in SRH services seem to be mostly supportive, there is a need for health services to strengthen providers' positions toward male involvement, for example by communicating clear policies and job guidelines, and by encouraging partner service attendance among providers themselves.
authors.affiliation: Institute of Tropical Medicine and International Health, Charite-Universitatsmedizin, Berlin, Germany. stefanie.theuring@charite.de
authors.forename: Stefanie
authors.initials: S
authors.lastname: Theuring
authors.forename: Philo
authors.initials: P
authors.lastname: Nchimbi
authors.forename: Brigitte
authors.initials: B
authors.lastname: Jordan-Harder
authors.forename: Gundel
authors.initials: G
authors.lastname: Harms
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D015658:HIV Infections / Q000523:psychology / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D018743:Perinatal Care; D017410:Practice Guidelines as Topic; D012737:Sex Factors; D012747:Sexual Partners / Q000523:psychology*; D011795:Surveys and Questionnaires; D013636:Tanzania; D055815:Young Adult