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Maternal Health Outcomes and Male Partner Involvement Among HIV Infected Women in Rural South Africa.

Maternal Health Outcomes and Male Partner Involvement Among HIV Infected Women in Rural South Africa.

Authors :
Matseke MG
Ruiter RAC
Rodriguez VJ
Peltzer K
Sifunda S
Source :
Maternal and child health journal [Matern Child Health J] 2021 Jun; Vol. 25 (6), pp. 919-928. Date of Electronic Publication: 2021 Apr 17.
Publication Year :
2021

Abstract

Introduction: This study aimed to investigate the association between Male Partner Involvement (MPI) and maternal health outcomes among women attending Prevention of Mother-to-Child Transmission of HIV (PMTCT) services in rural South Africa. The association between Male Partner Participation in the main study (MPP) and maternal health outcomes among these women was also investigated.<br />Methods: The study utilized data collected from 535 HIV infected women in a randomized controlled trial between 2015 and 2016. Maternal health outcome data (delivery mode, pregnancy systolic and diastolic blood pressure, pregnancy body mass index, pregnancy CD4 count, and pregnancy viral load) were collected from the women's antenatal record forms accessed from the primary healthcare facilities. Bivariate and multivariable logistic regression models were used to estimate the association between socio-demographic characteristics of the women, MPI, and MPP with maternal health outcomes.<br />Results: The mean age of the women was 29.03 years (SD = 5.89). No significant associations were found between MPI and any of the maternal health outcomes contrary to what was hypothesized. Both the bivariate and multivariate analysis indicated a significant association between MPP and higher pregnancy viral load, contrary to the study hypothesis. Insignificant associations were found between MPP and both pregnancy CD4 count and pregnancy blood pressure. The only significant association between maternal health outcomes and socio-demographic characteristics, was between educational attainment and higher pregnancy CD4 count in both the bivariate and multivariate analysis.<br />Conclusion for Practice: The study showed no significant support for MPI in improving maternal health outcomes of women in PMTCT in rural South Africa. Future studies should include additional maternal health outcomes for investigation.

Details

Language :
English
ISSN :
1573-6628
Volume :
25
Issue :
6
Database :
MEDLINE
Journal :
Maternal and child health journal
Publication Type :
Academic Journal
Accession number :
33864595
Full Text :
https://doi.org/10.1007/s10995-020-03071-6