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Engaging Male Partners in Women's Microbicide Use: Evidence from Clinical Trials and Implications for Future Research and Microbicide Introduction

2014; Mary Ann Liebert, Inc.; Volume: 30; Issue: S1 Linguagem: Inglês

10.1089/aid.2014.5005.abstract

1931-8405

Michele Lanham, Rose Wilcher, Elizabeth Montgomery, Robert Pool, Sidney Ruth Schuler, Rachel Lenzi, Barbara Friedland, Betty Njoroge, Elizabeth A. Bukusi, Robyn Dayton,

Reproductive tract infections research

AIDS Research and Human RetrovirusesVol. 30, No. S1 Microbicides: Male Partner Engagement and Sexual BehaviorsFree AccessEngaging Male Partners in Women's Microbicide Use: Evidence from Clinical Trials and Implications for Future Research and Microbicide IntroductionMichele Lanham, Rose Wilcher, Elizabeth T. Montgomery, Robert Pool, Sidney Schuler, Rachel Lenzi, Barbara Friedland, Betty Njoroge, Elizabeth Bukusi, and Robyn DaytonMichele LanhamFHI 360, Social and Behavioral Health Sciences, Durham, NC, United StatesSearch for more papers by this author, Rose WilcherFHI 360, Research Utilization, Durham, NC, United StatesSearch for more papers by this author, Elizabeth T. MontgomeryRTI International, Women's Global Health Imperative, San Francisco, CA, United StatesSearch for more papers by this author, Robert PoolUniversity of Amsterdam, Centre for Social Science and Global Health, Amsterdam, NetherlandsSearch for more papers by this author, Sidney SchulerFHI 360, Social and Behavioral Health Sciences, Washington, DC, United StatesSearch for more papers by this author, Rachel LenziFHI 360, Social and Behavioral Health Sciences, Washington, DC, United StatesSearch for more papers by this author, Barbara FriedlandPopulation Council, HIV and AIDS Program, New York, NY, United StatesSearch for more papers by this author, Betty NjorogeKenya Medical Research Institute, Research Care and Training Program, Centre for Microbiology Research, Nairobi, KenyaSearch for more papers by this author, Elizabeth BukusiKenya Medical Research Institute, Research Care and Training Program, Centre for Microbiology Research, Nairobi, KenyaSearch for more papers by this author, and Robyn DaytonFHI 360, Research Utilization, Durham, NC, United StatesSearch for more papers by this authorPublished Online:30 Oct 2014https://doi.org/10.1089/aid.2014.5005.abstractAboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookXLinked InRedditEmail OA02.01Background: Constructively engaging male partners in women-centered health programs such as family planning and PMTCT has resulted in both improved health and relationship outcomes. Concerted efforts to engage men in women's microbicide use for HIV prevention could make it easier for women to access and use microbicides, if an effective product is identified.Methods: We conducted primary and secondary analyses of male engagement data from six qualitative studies implemented in conjunction with microbicide trials in South Africa, Kenya, and Tanzania. The analyses included 535 interviews and 107 focus groups with trial participants, male partners, and community members. We synthesized the findings across the studies and developed recommendations for future research and microbicide introduction.Results: The majority of women in steady partnerships wanted their partner's agreement to use microbicides. Women whose male partners were resistant to microbicide use used a number of strategies to obtain their approval. Among men who were aware of their partner's microbicide use, involvement ranged from opposition to agreement/non-interference to active support. Both men and women expressed a desire for men to have access to information about microbicides. Some women and men said that it would be helpful if male partners could talk with a health provider about microbicides; however, men were hesitant to go to the clinic during the trials because of their work schedules, fear of HIV testing, and stigma.Conclusions: We recommend counselling women on whether and how to involve their partners, providing couples' counselling on microbicides, and targeting men with community education and mass media to increase their awareness and acceptance of microbicides. These activities should be tested in microbicide trials, open-label studies, and demonstration projects to identify effective male engagement approaches to include in eventual microbicide introduction. Efforts to engage men must take care not to diminish women's agency.FiguresReferencesRelatedDetailsCited byOn-demand microbicide products: design matters6 June 2017 | Drug Delivery and Translational Research, Vol. 7, No. 6 Volume 30Issue S1Oct 2014 InformationCopyright 2014, Mary Ann Liebert, Inc.To cite this article:Michele Lanham, Rose Wilcher, Elizabeth T. Montgomery, Robert Pool, Sidney Schuler, Rachel Lenzi, Barbara Friedland, Betty Njoroge, Elizabeth Bukusi, and Robyn Dayton.Engaging Male Partners in Women's Microbicide Use: Evidence from Clinical Trials and Implications for Future Research and Microbicide Introduction.AIDS Research and Human Retroviruses.Oct 2014.A9-A9.http://doi.org/10.1089/aid.2014.5005.abstractPublished in Volume: 30 Issue S1: October 30, 2014PDF download