title: What do You Need to Get Male Partners of Pregnant Women Tested for HIV in Resource Limited Settings? The Baby Shower Cluster Randomized Trial.
abstract: Male partner involvement has the potential to increase uptake of interventions to prevent mother-to-child transmission of HIV (PMTCT). Finding cultural appropriate strategies to promote male partner involvement in PMTCT programs remains an abiding public health challenge. We assessed whether a congregation-based intervention, the Healthy Beginning Initiative (HBI), would lead to increased uptake of HIV testing among male partners of pregnant women during pregnancy. A cluster-randomized controlled trial of forty churches in Southeastern Nigeria randomly assigned to either the HBI (intervention group; IG) or standard of care referral to a health facility (control group; CG) was conducted. Participants in the IG received education and were offered onsite HIV testing. Overall, 2498 male partners enrolled and participated, a participation rate of 88.9%. Results showed that male partners in the IG were 12 times more likely to have had an HIV test compared to male partners of pregnant women in the CG (CG = 37.71% vs. IG = 84.00%; adjusted odds ratio = 11.9; p < .01). Culturally appropriate and community-based interventions can be effective in increasing HIV testing and counseling among male partners of pregnant women.
authors.affiliation: Global Health and Implementation Research Initiatives, School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV, USA. echezona.ezeanolue@unlv.edu.|HealthySunrise Foundation, 8752 Castle Ridge Avenue, Las Vegas, NV, 89129, USA. echezona.ezeanolue@unlv.edu.|School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Box 454009, Las Vegas, NV, 89154-4009, USA. echezona.ezeanolue@unlv.edu.
authors.forename: Echezona E
authors.initials: EE
authors.lastname: Ezeanolue
authors.affiliation: Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, Plot 25 Liberty Estate, Independence Layout Enugu, Enugu, 400001, Enugu State, Nigeria.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Obiefune
authors.affiliation: School of Community Health Sciences, Lombardi Recreation Center, University of Nevada, Reno, MS-274, RM212, Reno, NV, 89557, USA.
authors.forename: Wei
authors.initials: W
authors.lastname: Yang
authors.affiliation: HealthySunrise Foundation, 8752 Castle Ridge Avenue, Las Vegas, NV, 89129, USA.
authors.forename: Chinenye O
authors.initials: CO
authors.lastname: Ezeanolue
authors.affiliation: Global Health and Implementation Research Initiatives, School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV, USA.|HealthySunrise Foundation, 8752 Castle Ridge Avenue, Las Vegas, NV, 89129, USA.|School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Box 454009, Las Vegas, NV, 89154-4009, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Pharr
authors.affiliation: Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, Plot 25 Liberty Estate, Independence Layout Enugu, Enugu, 400001, Enugu State, Nigeria.
authors.forename: Alice
authors.initials: A
authors.lastname: Osuji
authors.affiliation: Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, Plot 25 Liberty Estate, Independence Layout Enugu, Enugu, 400001, Enugu State, Nigeria.
authors.forename: Amaka G
authors.initials: AG
authors.lastname: Ogidi
authors.affiliation: Global Health and Implementation Research Initiatives, School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV, USA.|HealthySunrise Foundation, 8752 Castle Ridge Avenue, Las Vegas, NV, 89129, USA.
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Hunt
authors.affiliation: Global Health and Implementation Research Initiatives, School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV, USA.|HealthySunrise Foundation, 8752 Castle Ridge Avenue, Las Vegas, NV, 89129, USA.
authors.forename: Dina
authors.initials: D
authors.lastname: Patel
authors.affiliation: Center for Healthful Behavior Change, New York University Langone Medical Center, 550 1st Ave, New York, NY, USA.
authors.forename: Gbenga
authors.initials: G
authors.lastname: Ogedegbe
authors.affiliation: Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave., Tucson, AZ, 85724, USA.
authors.forename: John E
authors.initials: JE
authors.lastname: Ehiri
mesh_terms: D000293:Adolescent; D000328:Adult; D002835:Christianity; D003376:Counseling / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D006295:Health Resources; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009549:Nigeria; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control; D037841:Pregnant People; D011295:Prenatal Care; D012747:Sexual Partners; D055815:Young Adult
keywords: Community-based research; HIV testing; Male involvement; Nigeria; Prevention of mother-to-child transmission of HIV