title: Impact of approaches in improving male partner involvement in the prevention of mother-to-child transmission (PMTCT) of HIV on the uptake of PMTCT services in sub-Saharan Africa: a protocol of a systematic review and meta-analysis.
abstract: Several studies have reported approaches used in improving the delivery of prevention of mother-to-child transmission (PMTCT) of HIV services through the involvement of male partners, but evidence from a systematic review is limited. We aim at determining the impact of male partner involvement on PMTCT in sub-Saharan Africa.
  
  
  
  This will be a systematic review of published literature. Interventional and observational studies on male involvement in PMTCT carried out in sub-Saharan Africa will be included irrespective of the year and language of publication. OVID Medline, Embase, PschINFO, and Cochrane database of controlled trials will be searched. After manual searching of articles, authors shall be contacted for further information. 2 authors (NFT and CJ) will independently screen potential articles for eligibility using defined inclusion and exclusion criteria. Critical Appraisal Skills Programme (CASP) tools, Jadad scale and the STROBE checklist will be used for critical appraisal, and the 2 authors will independently assess the quality of articles. Authors will independently extract data from studies using a pre-established data collection form, and any discrepancies will be sorted by a third author (TRK). Outcomes will be analysed using STATA V.12.0. The random effect model will be used to produce forest plots. The heterogeneity χ(2) statistics and I(2) will be used to assess for heterogeneity. Publication bias will be assessed using funnel plots. This protocol is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) 2015 guidelines.
  
  
  
  No ethical approval since included studies will be published studies that had already obtained ethical approvals. The findings will guide HIV programmes on the best approaches towards involving male partners in PMTCT with a view to improving PMTCT services in sub-Saharan Africa.
  
  
  
  42016032673.
authors.affiliation: Ministry of Public Health, Cameroon Institute of Health and Well-being, University of Glasgow, Glasgow, UK.
authors.forename: Noah F
authors.initials: NF
authors.lastname: Takah
authors.affiliation: Public Health Protection Unit, NHS Greater Glasgow and Clyde, UK.
authors.forename: Iain T R
authors.initials: IT
authors.lastname: Kennedy
authors.affiliation: Institute of Health and Well-being, University of Glasgow, Glasgow, UK Public Health Protection Unit, NHS Greater Glasgow and Clyde, UK.
authors.forename: Cathy
authors.initials: C
authors.lastname: Johnman
mesh_terms: D017954:Africa South of the Sahara; D003695:Delivery of Health Care; D005260:Female; D006678:HIV; D015658:HIV Infections / Q000150:complications* / Q000635:transmission; D006296:Health Services; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008297:Male; D008571:Men; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D012107:Research Design; D012747:Sexual Partners; D000078202:Systematic Reviews as Topic; D015201:Meta-Analysis as Topic