Marseille 2007
Marseille 2007
Abstract book
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Abstract #91  -  Mens role about infant feeding and the prevention of the risk of sexual transmission of HIV (DITRAME study group ANRS 1201-1202-1253)
Session:
  17.2: Challenges for Children (Parallel) on Monday @ 14.00-16.00 in Auditorium/Overflow Chaired by Patrice Engle, Christina Noestlinger
Authors:
  Presenting Author:   Dr Tijou Traore Annick - IRD/ CNRS, France, Metropolitan
 
  Additional Authors:  Dr Annabel Desgres du Lou, Mr Hermann Brou, Dr Renaud Becquet, Dr Valriane Leroy,  
Aim:
In studies about AIDS, men are often designed or perceived as an obstacle in preventing HIV transmission within the couple. The objective of this communication is to study the way men position themselves and get involved in the prevention of the HIV transmission risk from mother to child and in the prevention of the HIV sexual transmission between partners.
 
Method / Issue:
In a PMTCT programme (Ditrame Plus), a routine HIV testing was offered to all pregnant women. HIV-positive women and their child(ren) who participated in this programme were followed for a period of two years after delivery. In-depth and individual semi-directed interviews were carried out with a subgroup of these women after delivery and with their male partners. A second wave of interviews was conducted after one year. This study is based on a qualitative analysis of mens and womens interviews for both rounds, collected among ten couples: five HIV -serodiscordant and five HIV -positive seroconcordant couples.
 
Results / Comments:
The knowledge of the HIV-positive status of their wives and, for some husbands, of their own seropositivity leads men to take into account more the prevention of HIV transmission from mother-to-child rather than prevention of sexual transmission. Thus, the more men take on the fathers status, the more HIV transmission risk is taken into account. By contrast, the more they position themselves as husbands, the more the fear of a risk of infection or surinfection fades.
 
Discussion:
Attitudes and behaviours of these men show to what extent they can set up a positive and active role in HIV prevention, particularly in the postnatal prevention of HIV transmission to the child. Considering a practical objective, it is important to give men the opportunity to get more involved in prevention of mother to child transmission programmes.
 
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