Health Systems 2 Maternal and child health Studies

The public health impact of a couple-oriented prenatal HIV counseling in low and medium HIV prevalence countries. Dominican Republic (Prenahtest ANRS 12127 Project)

The Prenahtest study investigated the efficacy of a couple-oriented HIV counselling session (COC) in encouraging couple HIV counselling and testing, and improving intra-couple communication about sexual and reproductive health, in India, Georgia, Dominican Republic and Cameroon. Using a clinical trial design, 484 to 491 pregnant women were recruited in each site and individually randomized to receive either the COC intervention, enhanced counselling with role playing, or standard post-test HIV counselling. Culturally defined gender roles were found to have a profound impact on effectiveness of the COC session, beyond the traditional definition of the communication patterns related to sexual and reproductive health topics.

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