Men’s Role in Prevention of Mother to Child Transmission of HIV: The Case of Fundong Health District, Northwest Region Cameroon

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DOI: 10.21522/TIJPH.2013.10.02.Art002

Authors : Nji Valery Che, Njunda Anna, Nsagha Dickson She


The challenge of incorporating men in HIV prevention from mother to child transmission (PMTCT) activities has remained a major barrier to women’s adoption of basic PMTCT activities. Available research that has been done to incorporate men in PMTCT activities used women as the sample. PMTCT was introduced in Cameroon in 2000 and in the Fundong Health District in 2002. This study was aimed at determining factors that influence men’s participation and involvement in PMTCT programs. A descriptive cross-sectional correlation design was used with 384 participants ranging in age from 24 to 77 years. Both quantitative and qualitative methods were employed. Structured questionnaires were given to 384 men in six randomly selected health areas. A focus group discussion was held with randomly selected key PMTCT service providers in the district. Stata version 10 was used to do univariable and multivariable analyses on the data. Respondents had a mean age of 42.83 and a standard deviation of 10.41. The level of involvement was above average. There was a positive correlation between the age and level of men’s involvement in PMTCT. Knowledge and awareness had an adjusted OR (95%CI) of 5.24(2.78, 9.85) with a P-value of 0.01. Socio-cultural factors had an adjusted OR (95%CI) of 2.98(1.73, 5.11) with a P-value of 0.01. Hospital-based factors had an adjusted OR (95%CI) of 1.53(0.93, 2.53) and a P-value of 0.09. In conclusion, even though socio-cultural factors were seen as deterrents, men’s role and participation increased with more knowledge, awareness, and understanding of the PMTCT programme and the manner in which nurses offer PMTCT services.

Keywords: HIV, Male involvement, prevention, transmission.


[1] Nkuoh, N. G., Meyer, D. J., Tih, P. M., and Nkfusai, J. (2010). Barriers to Men’s Participation in Antenatal and Prevention of Mother-to-Child HIV Transmission Care in Cameroon, Africa. Journal of Midwifery & Women’s Health. 1526-9523/$36.00 _ doi: 10.1016/j.jmwh.2010.02.009.

[2] Muwa, B., Mugume, Alex., Buzaalirwa, L., Nsabagasani, X., Kintu, P., Nkwake, A. (2007). The role of family support groups in improving male involvement in PMTCT programs. Uganda Programme for Human and Holistic Development (UPHOLD.

[3] Tshibumbu, D. (2006). Factors influencing men’s involvement in prevention of mother-to-child transmission (PMTCT) of HIV programmes in Mambwe district, Zambia. University of South Africa (UNISA) 2006.

[4] Akarro, J., Deonisia, M., $ Sichona1, F. (2011). An Evaluation of Male Involvement on the Programme for PMTCT of HIV/AIDS: A Case Study of Ilala Municipality in Dar es Salaam, Tanzania. Arts and Social Sciences Journal, Volume 2011: ASSJ-20 pg 2.

[5] Byamugisha, R., Tumwine, J.K., Semiyaga, N., & Tylleskar, T. (2010) Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey Reproductive Health, 7:12. DOI:10.1186/1742-4755-7-12.

[6] Nzioka, C. (2000). Factors influencing male interest in family planning in Kenya. African Journal of Reproductive Health, 2(2), 122–141.

[7] Tsague L, Njom N. A., Engozo’o A., Monny L. M., Ayouba A., Nerrienet E, Tene G., Eteki N., Nkam M., Tejioken M., Tchendjou P., Tih P., Thonnon J., Affana G., Penda I., Same Ekobo C., Dillow A., Koulla S., Zekeng L., (2005). Three years of the National PMTCT program in Cameroon: From a Pilot to a National Public Health program. CD Only: The XV International AIDS Conference: Abstract no. E10214.

[8] Dukti, M. (2010). Male Involvement in the Prevention of Mother‐ to‐ Child Transmission of HIV (PMTCT) Program in Kayunga District Uganda. Pg 1.

[9] Munene, E.M., $ Gathenya, G. (2004). Mobilising male support in prevention of mother to child transmission of HIV (PMTCT). Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. D12345. Society for Women and AIDS in Kenya (SWAK), Nairobi, Kenya.

[10] Theuring, S., Mbezi, P., Luvanda H., Jordan-Harder, B., Kunz. A., and Harms, G. (2009). Male Involvement in PMTCT Services in Mbeya Region, Tanzania, AIDS Behav, Pg 9. DOI 10.1007/s10461-009-9543-0.

[11] Mukaire, J Kisitu, D. K., John, B., Ssekamatte-S, Valadez, J. J., (2004). LQAS Monitoring Report Assessment of HIV/AIDS Related Knowledge, Practices and Coverage in 19 Districts of Uganda.

[12] Mbizvo M., & Bassett, M. (1996). Reproductive health and AIDS prevention in Sub-Saharan Africa: The case for increased male participation. Health Policy Plan 11:84-92.

[13] Boniphace, Y. (2008/2009). Willingness and Participation toward Prevention of Mother to Child Transmission among Males of Reproductive Age. A Study from Kilimanjaro-Tanzania. Official Publication of the Tanzani a Medical Students’ Association.