Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy.
<h4>Background</h4>Efforts to promote male partner involvement in the prevention of mother-to-child transmission (PMTCT) may inadvertently exploit gender power differentials to achieve programme targets.<h4>Methods</h4>We explored women's relative power and perceptions o...
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| Format: | Article |
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0238097&type=printable |
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| author | Karen M Hampanda Oliver Mweemba Yusuf Ahmed Abigail Hatcher Janet M Turan Lynae Darbes Lisa L Abuogi |
| author_facet | Karen M Hampanda Oliver Mweemba Yusuf Ahmed Abigail Hatcher Janet M Turan Lynae Darbes Lisa L Abuogi |
| author_sort | Karen M Hampanda |
| collection | DOAJ |
| description | <h4>Background</h4>Efforts to promote male partner involvement in the prevention of mother-to-child transmission (PMTCT) may inadvertently exploit gender power differentials to achieve programme targets.<h4>Methods</h4>We explored women's relative power and perceptions of male partner involvement through interviews with postpartum Zambian women living with HIV (n = 32) using a critical discourse analysis.<h4>Results</h4>Women living with HIV reported far-reaching gender power imbalances, including low participation in household decision-making, economic reliance on husbands, and oppressive gendered sexual norms, which hindered their autonomy and prevented optimal mental and physical health during and after their pregnancy. When the husband was HIV-negative, sero-discordance exacerbated women's low power in these heterosexual couples. Male involvement in HIV care was both helpful and hurtful, and often walked a fine line between support for the woman and controlling behaviours over her. Inequities in the sexual divisions of power and labour and gender norms, combined with HIV stigma created challenging circumstances for women navigating the PMTCT cascade.<h4>Conclusions</h4>Future programmes should consider the benefits and risks of male partner involvement within specific relationships and according to women's needs, rather than advocating for universal male involvement in PMTCT. This work highlights the persistent need for gender transformative approaches alongside PMTCT efforts. |
| format | Article |
| id | doaj-art-dfd64a725edc41ea86dcaa0e9a13efa2 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-dfd64a725edc41ea86dcaa0e9a13efa22025-08-25T05:31:06ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01158e023809710.1371/journal.pone.0238097Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy.Karen M HampandaOliver MweembaYusuf AhmedAbigail HatcherJanet M TuranLynae DarbesLisa L Abuogi<h4>Background</h4>Efforts to promote male partner involvement in the prevention of mother-to-child transmission (PMTCT) may inadvertently exploit gender power differentials to achieve programme targets.<h4>Methods</h4>We explored women's relative power and perceptions of male partner involvement through interviews with postpartum Zambian women living with HIV (n = 32) using a critical discourse analysis.<h4>Results</h4>Women living with HIV reported far-reaching gender power imbalances, including low participation in household decision-making, economic reliance on husbands, and oppressive gendered sexual norms, which hindered their autonomy and prevented optimal mental and physical health during and after their pregnancy. When the husband was HIV-negative, sero-discordance exacerbated women's low power in these heterosexual couples. Male involvement in HIV care was both helpful and hurtful, and often walked a fine line between support for the woman and controlling behaviours over her. Inequities in the sexual divisions of power and labour and gender norms, combined with HIV stigma created challenging circumstances for women navigating the PMTCT cascade.<h4>Conclusions</h4>Future programmes should consider the benefits and risks of male partner involvement within specific relationships and according to women's needs, rather than advocating for universal male involvement in PMTCT. This work highlights the persistent need for gender transformative approaches alongside PMTCT efforts.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0238097&type=printable |
| spellingShingle | Karen M Hampanda Oliver Mweemba Yusuf Ahmed Abigail Hatcher Janet M Turan Lynae Darbes Lisa L Abuogi Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy. PLoS ONE |
| title | Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy. |
| title_full | Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy. |
| title_fullStr | Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy. |
| title_full_unstemmed | Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy. |
| title_short | Support or control? Qualitative interviews with Zambian women on male partner involvement in HIV care during and after pregnancy. |
| title_sort | support or control qualitative interviews with zambian women on male partner involvement in hiv care during and after pregnancy |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0238097&type=printable |
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