Money, chores and emotional support: Kenyan and Zambian fathers' perceptions of male partner involvement in maternal and infant health within the context of HIV

In sub-Saharan Africa, involving male partners in the prevention of mother-to-child transmission of HIV improves maternal and infant outcomes. Male involvement is typically conceptualised as male partners attending antenatal care, which is difficult for many men. Little is known about how men view t...

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Bibliographic Details
Published in:	Culture, health & sexuality Vol. 26; no. 6; pp. 747 - 762
Main Authors:	Hampanda, Karen, Scandlyn, Jean, Fasano, Marcella, Matenga, Tulani Francis L., Onono, Maricianah, Odwar, Tobias O., Mutale, Wilbroad, Shankalala, Perfect, Chi, Benjamin H., Turan, Janet M., Abuogi, Lisa L.
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 02-06-2024 Taylor & Francis Ltd
Subjects:	Adult Attendance Children Childrens health Disease transmission Emotional support Family roles Father-child relations Fathers Fathers - psychology Female gender roles Health Health status HIV HIV Infections - prevention & control HIV Infections - psychology HIV Infections - transmission Human immunodeficiency virus Humans Infant Infant Health Infants Infectious Disease Transmission, Vertical - prevention & control Kenya Male male partner involvement Males Maternal & child health Maternal and infant welfare Maternal characteristics Maternal Health Men Money Mothers Occupational roles Participation Perceptions Postpartum period Postpartum women Pregnancy Prenatal care Prevention Prevention of mother-to-child transmission of HIV Qualitative Research Sexual Partners - psychology Social Support Sociocultural factors Young Adult Zambia Kenya Zambia male partner involvement Prevention of mother-to-child transmission of HIV gender roles pregnancy prenatal care
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Summary:	In sub-Saharan Africa, involving male partners in the prevention of mother-to-child transmission of HIV improves maternal and infant outcomes. Male involvement is typically conceptualised as male partners attending antenatal care, which is difficult for many men. Little is known about how men view their involvement in family health within the context of HIV, particularly outside of clinic attendance. Through interviews with 35 male partners of pregnant or postpartum women living with HIV in Kenya and Zambia, this study elicited perceptions of male involvement in maternal and infant health in families affected by HIV. Men supported the importance of clinic attendance but reported conflicts with the need to work and fulfil their role as the family's financial provider. Providing money for necessities was deemed more critical for their family's health than clinic attendance. Men's involvement was conveyed through various other supportive actions, including helping with household chores and providing emotional support (showing love and reducing women's stress). Future strategies to promote male partner involvement in the prevention of mother-to-child transmission of HIV and maternal and child health should build upon the actions men view as most meaningful to promote their family's health within their real-world life circumstances and cultural context, particularly their role as financial providers.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1369-1058 1464-5351 1464-5351
DOI:	10.1080/13691058.2023.2249078