Enhancing Retention in Care for HIV-positive Mothers and Their Infants by Improving Facility Tracking and Community Health Worker Tracing in Zimbabwe
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 946
- 试验地点
- 1
- 主要终点
- Proportion of HIV positive women traced
研究概览
简要总结
This study evaluates the effectiveness of an enhanced package of support for activities described in the "Standard Operating Procedures (SOP) for Patient Tracing in Health Facilities in Zimbabwe". This package is intended to increase the effectiveness of active patient tracing activities by developing tools, providing mentorship and implementing systematic review of processes to improve communication, coordination, and supervision between community health workers and facility-based staff.
详细描述
This study consists of a pre-/post- intervention rapid assessment of SOP implementation in study health facilities. The rapid assessment includes a facility audit, and the cross-verification of Mother-baby pair service records, and scheduled appointments. Following the baseline rapid assessment, the research team implements the proposed intervention package in health facilities randomly assigned to the intervention arm of the study. Data collectors conduct monthly visits to study facilities in order to extract appointment attendance information from PMTCT, ART, pharmacy, HIV exposed infants (HEI), and early infant diagnoses (EID) service registers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mother-baby pair (MBP):
- •Mother is HIV-positive
- •Infant was born between October 1st, 2013 and March 30th, 2015, or initiates HIV exposed infant services within the first seven months of the data collection period
- •Mothers and infants are assigned unique facility-issued ID numbers that can be used to pair their records, and link service attendance between clinical units, and over time
- •Enrolled in post-natal PMTCT, ART, or EID services at a study health facility
- •Based on guidelines in the SOP, MBP cannot be classified as lost to follow-up at beginning of data collection period
- •Community Health Workers (CHW):
- •CHW or facility-based staff working at selected study sites
- •Participated in the implementation of MBP tracking and tracing activities for a minimum of three months
- •Participant in district-level or selected facility-level CHW meetings
- •Above age of consent (18 years or above)
- •Able and willing to provide informed consent to participate in the study
排除标准
- •If inclusion criteria not met
结局指标
主要结局
Proportion of HIV positive women traced
时间窗: 6 months
To determine whether the strategies proposed to enhance support for the implementation of Zimbabwe's patient tracing SOP affect rates of MBP retention in PMTCT programs, and infant HIV testing.
次要结局
- Proportion of HIV exposed infants tested for HIV(6 months)
研究者
Godfrey Woelk
Director of Global Implementation Research
Elizabeth Glaser Pediatric AIDS Foundation