Abstract:
A rapid results initiative (RRI) aimed at increasing male involvement in prevention of
mother-to-child transmission (PMTCT) and service uptake among pregnant women at
116 antenatal clinics in Western Kenya was compared at baseline, during the RRI, and 3-
months post-RRI. Male involvement increased from 7.4 to 54.2% during RRI (risk
difference [RD] 0.47, CI 0.45-0.48) then 43.4% post-RRI (RD 0.36, CI 0.35-0.37).
Among HIV-infected women, facility delivery increased from 40.0 to 49.9% (RD 0.10,
95% CI 0.06-0.13) and 65.0% post-RRI (RD 0.25, 95% CI 0.22-0.28). HIV-infected
pregnant women linkage to HIV care increased from 58.6 to 85.9% (RD 0.27, CI 0.24-
0.30) and 97.3% post-RRI (RD 0.39, CI 0.36-0.41). Time to ART initiation reduced from
29 days (interquartile range [IQR] 6-56) to 14 days (IQR 0-28) to 7 days (IQR 0-20). A
male-centered RRI can significantly increase men's engagement in antenatal care leading
to improved partner utilization of- PMTCT and antenatal services