Your SlideShare is downloading. ×
Effective Monitoring for HIV Prevention: Re-testing HIV-Negative Pregnant Clients
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Effective Monitoring for HIV Prevention: Re-testing HIV-Negative Pregnant Clients

111

Published on

HIV+ logbook tracks HIV + mother-baby pairs from pregnancy to 18 months post-partum …

HIV+ logbook tracks HIV + mother-baby pairs from pregnancy to 18 months post-partum

HIV- logbook tracks HIV- women through pregnancy for retesting at three months

Published in: Healthcare
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
111
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
5
Comments
0
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide
  • KMMP designed to fill known gaps in delivery of PMTCT, MNCH and HIV care, treatment, and support services and contribute to eMTCT goal

  • Transcript

    • 1. Effective Monitoring for HIV Prevention: Re-testing HIV-Negative Pregnant Clients Presenter: Phylis Mutiso, mothers2mothers NOPE Conference, Nairobi June 2014
    • 2. Presentation Outline • Introduction – About m2m – KMMP services • Mentor Mother M/E tools • Methods • Lessons learnt
    • 3. Background mothers2mothers (m2m) • Provide Peer Education (PE) and Psychosocial support (PSS) to HIV positive pregnant women and new mothers to promote PMTCT
    • 4. Background • m2m directly implements this model at 30 high volume health facilities under umbrella of MOH Kenya Mentor Mother Program (KMMP) • The KMMP seeks to improve PMTCT uptake and retention by integrating mothers living with HIV into health facilities to provide PE & PSS to their peers as Mentor Mothers (MMs)
    • 5. Background • MMs are competitively recruited and undergo a two-week national KMMP curriculum-based Pre-Service Training(PST) • PST prepares them to provide quality services to clients through task shifting approach
    • 6. KMMP Services • one-on-one/couple PE and PSS • support groups • defaulter tracing • internal referrals and linkages • services are captured in appropriate KMMP M&E tools
    • 7. KMMP Monitoring & Evaluation Tools Longitudinal records HIV+ logbook tracks HIV + mother-baby pairs from pregnancy to 18 months post-partum HIV- logbook tracks HIV- women through pregnancy for retesting at three months
    • 8. Context • PMTCT national guidelines recommend re-test of HIV pregnant clients after three months • Roll out of re-testing has been slow across the country • Monitoring of client uptake and outcomes of re-testing remains a challenge
    • 9. Description • MMs provide services through interaction with HIV positive pregnant clients & new mothers • They provide 2 part-focused interaction (first visit and return visit for re-testing) with HIV negative to motivate them to return for re-testing and influence their male partners to come in for testing at the health facility
    • 10. Description • Client details are recorded in an HIV negative longitudinal register which is updated when clients return for services • Client return date is booked in a calendar diary • Diaries are reviewed daily to identify clients due for re-testing who have missed appointments • The defaulter tracing process is started the next day
    • 11. Description • MMs conduct telephonic defaulter tracing • Depending on client consent, it starts with an SMS • If a client does not respond to the sms a telephone call is made • MMs develop list of clients for home visiting by CHWs through the CHEW
    • 12. Lessons Learned
    • 13. Lessons Learnt • Re-testing remains a challenge • Most clients come late in pregnancy • Re-testing uptake lower in Western Kenya than in Nairobi • Sero-conversion is higher in Western- (Nyanza where prevalence is at 15.1% KAIS 2012)
    • 14. Lessons Learnt • Data from 30 health facilities from Jan to Dec indicates that only 23% of HIV negative clients returned for re- testing (7,816 out of 34,103) • 1 % (89 out 7816) sero converted during pregnancy and tested HIV positive, standing a high chance of infecting their infants
    • 15. Conclusion • Effective program monitoring is an essential part of PMTCT programming – To ensure available services are being utilized – To link high risk clients to care as quickly as possible
    • 16. Conclusion • Monitoring for re- testing should include post natal period • Re-testing must be integrated in to health system monitoring

    ×