Couple-oriented Prenatal HIV Counseling in Low and Medium HIV Prevalence Countries
NCT ID: NCT01494961
Last Updated: 2011-12-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1943 participants
INTERVENTIONAL
2009-02-28
2011-10-31
Brief Summary
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The aim of the COC intervention is to empower women to communicate with her male partner about HIV, and HIV testing in particular, and encourage him to return for HIV testing and/or couple HIV counseling (where both couple members are counseled together).
Prenahtest is the first randomised trial testing a prenatal intervention to increase partner HIV testing.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Couple-oriented post-test HIV counseling
Women received couple-oriented post-test HIV counseling
Couple-oriented post-test HIV counseling
COC is an individual behavioural intervention, strengthening standard post-test HIV counselling delivered to pregnant women after prenatal HIV testing. COC was based on the assumption that developing women's communication skills and self-efficacy during HIV counselling would enable them to discuss HIV and sexual issues with their partners, and yield tangible effects on partner HIV testing. The structure of the COC intervention was adapted from a WHO PMTCT counselling manual and was described in a COC manual, which was used to train the COC counsellors and could also be used during the counselling session. Tested during the pilot phase of the trial, COC was shown to be feasible and acceptable in the four study sites.
Standard post-test HIV counseling
Women received post-test HIV counseling as per standard site protocol
No interventions assigned to this group
Interventions
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Couple-oriented post-test HIV counseling
COC is an individual behavioural intervention, strengthening standard post-test HIV counselling delivered to pregnant women after prenatal HIV testing. COC was based on the assumption that developing women's communication skills and self-efficacy during HIV counselling would enable them to discuss HIV and sexual issues with their partners, and yield tangible effects on partner HIV testing. The structure of the COC intervention was adapted from a WHO PMTCT counselling manual and was described in a COC manual, which was used to train the COC counsellors and could also be used during the counselling session. Tested during the pilot phase of the trial, COC was shown to be feasible and acceptable in the four study sites.
Eligibility Criteria
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Inclusion Criteria
* Accepting to participate in the study and being able to give informed consent ii
* Currently having a partner (the man who the woman considers as her regular partner on the day of inclusion, even if this person is not the baby's father) iii
* Accepting follow-up (including home visits if necessary) by the project staff until 15 months after delivery
Exclusion Criteria
* Having a male partner who was tested for HIV during her gestational period v
* Having a partner who works out of the predefined study area or is absent for more then 6 months
* Being unwilling/unable to provide address/contact information
* Having an intoxication and/or mental impairment at the moment of recruitment
15 Years
FEMALE
Yes
Sponsors
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Elizabeth Glaser Pediatric AIDS Foundation
OTHER
French National Agency for Research on AIDS and Viral Hepatitis
OTHER_GOV
Responsible Party
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Principal Investigators
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Francois Dabis, MD - PhD
Role: PRINCIPAL_INVESTIGATOR
INSERM U897, Institut de Santé Publique Epidémiologie Développement
Patrice T Tchendjou, MD - MPH
Role: PRINCIPAL_INVESTIGATOR
Centre Pasteur du Cameroon
Locations
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Centre Mère - Enfant Chantal Biya
Yaoundé, , Cameroon
Hospital Materno-Infantil "San Lorenzo" de los Mina
Santo Domingo, , Dominican Republic
Maternity Hospital N°5
Tbilisi, , Georgia
Sane Guruji Hospital
Pune, , India
Countries
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References
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Orne-Gliemann J, Tchendjou PT, Miric M, Gadgil M, Butsashvili M, Eboko F, Perez-Then E, Darak S, Kulkarni S, Kamkamidze G, Balestre E, du Lou AD, Dabis F. Couple-oriented prenatal HIV counseling for HIV primary prevention: an acceptability study. BMC Public Health. 2010 Apr 19;10:197. doi: 10.1186/1471-2458-10-197.
Tchendjou PT, Koki PN, Eboko F, Malateste K, Essounga AN, Amassana D, Mossus T, Tejiokem M, Boisier P, Orne-Gliemann J. Factors associated with history of HIV testing among pregnant women and their partners in Cameroon: baseline data from a Behavioral Intervention Trial (ANRS 12127 Prenahtest). J Acquir Immune Defic Syndr. 2011 Jul 1;57 Suppl 1:S9-15. doi: 10.1097/QAI.0b013e31821ec6e2.
Kengne-Nde C, Tejiokem MC, Orne-Gliemann J, Melingui B, Koki Ndombo P, Essounga NA, Bissek AC, Cauchemez S, Tchendjou PT. Couple oriented counselling improves male partner involvement in sexual and reproductive health of a couple: Evidence from the ANRS PRENAHTEST randomized trial. PLoS One. 2021 Jul 30;16(7):e0255330. doi: 10.1371/journal.pone.0255330. eCollection 2021.
Tiendrebeogo T, Plazy M, Darak S, Miric M, Perez-Then E, Butsashvili M, Tchendjou P, Dabis F, Orne-Gliemann J. Couples HIV counselling and couple relationships in India, Georgia and the Dominican Republic. BMC Public Health. 2017 Nov 25;17(1):901. doi: 10.1186/s12889-017-4901-8.
Orne-Gliemann J, Balestre E, Tchendjou P, Miric M, Darak S, Butsashvili M, Perez-Then E, Eboko F, Plazy M, Kulkarni S, Desgrees du Lou A, Dabis F; Prenahtest ANRS 12127 Study Group. Increasing HIV testing among male partners. AIDS. 2013 Apr 24;27(7):1167-77. doi: 10.1097/QAD.0b013e32835f1d8c.
Other Identifiers
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ANRS 12127 Prenahtest
Identifier Type: -
Identifier Source: org_study_id