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The problem
Intervention: Integrated PMTCT-ECD program providing education and counselling sessions during routine PMTCT visits for HIV-positive mothers and infants (aged 1.5-24 months), with mothers encouraged to share information with fathers but no direct father targeting
Who it was tested with: HIV-positive mothers and their infants (aged 1.5-24 months) enrolled in the program for over 6 months at four health facilities in Malawi.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"Qualitative study using individual in-depth interviews with mothers participating in a PMTCT-ECD programme. Interviews assessed mothers' perceptions of father buy-in and engagement in the programme and ECD activities. Data were coded using inductive and deductive strategies and analysed using constant comparison methods." The study demonstrates that indirect engagement of fathers through mothers can promote ECD practice at home and improve couple dynamics, but clinic-based delivery creates barriers to direct father participation.
Qualitative study without comparison group; only mothers' perceptions reported, not fathers' direct perspectives; small sample size from four facilities limits generalizability
Across countries and designs
4 studies · 1 country
