Engaging Partners in Childbirth for Prevention of Mother-To-Child Transmission of HIV (EPOCH Study): preliminary work for a randomised controlled trial

Description

Engaging Partners in Childbirth for Prevention of Mother-To-Child Transmission of HIV (EPOCH Study): preliminary work for a randomised controlled trial

Aims

 To develop a multi-component family-centred intervention to enhance constructive engagement of male partners and improve uptake of Prevention of Mother-To-Child Transmission (pMTCT).

Method

Three key elements: 1) mixed methods evidence synthesis 2) Qualitative exploration of the views of women, men and key stakeholders 3) Observational cohort study. All 3 elements will be synthesised to develop a protocol for a future RCT.

Background

Mother-to-Child transmission of HIV accounts for 10% of HIV burden in African countries. Although WHO recommends prioritising prevention (pMTCT) only 7 out of 10 pregnant women living with HIV received antiretroviral treatment (WHO).

Evidence-based pMTCT interventions (e.g. HIV testing, antiretroviral therapy, delivery in a pMTCT facility, safe infant feeding) are available in many African maternity units, but uptake is poor. Barriers to uptake are closely linked with the role of male partners who may support their partners due to the associated stigma, issues around disclosure and the lack of men friendly environments.

People

Dr Leroy Edozien (PI), Professor Dame Tina Lavender, Professor Grace Omoni,  Professor Angela Chimwaza, Dr Weston Khisa, Dr Zoe Darwin, Dr Lilis Susanti, Miss Hannah Hartley, Dr Phoebe Pallotti, Professor Linda McGowan

Funding body: MRC/Wellcome/DFID Development Grant

Contact: Professor Linda McGowan