Community-Based Peer Facilitator Intervention (Zimbabwe)
- Conditions
- HIV-infection/Aids
- Interventions
- Behavioral: Peer-facilitated community support group
- Registration Number
- NCT02496793
- Lead Sponsor
- Elizabeth Glaser Pediatric AIDS Foundation
- Brief Summary
The goal of this community randomized operations research study was to evaluate the effect of a peer-facilitated community support group intervention on uptake of maternal and neonatal child health (MNCH) and PMTCT services and on adherence outcomes in Zimbabwe.
- Detailed Description
To increase uptake of, and retention within maternal and child health/prevention of maternal-to-child HIV transmission (MCH/PMTCT) services, the investigators conducted a community-based peer facilitator intervention study in Hurungwe District of Zimbabwe. Using a paired community randomized design, 16 health facility-linked communities were randomly allocated to the intervention or control condition, with a total of approximately 1,600 pregnant and lactating women, (100 women in each community), recruited into the study. In the intervention communities, 24 trained peer facilitators (3 in each community) using participatory educational approaches were encouraging women to form antenatal and post-natal groups, and to utilize and adhere to MCH/PMTCT services and recommendations.
Peer facilitators, by the definition of this project, were women from the community who were peers to pregnant and lactating women; who had recently been through the process themselves and could speak to their experience. A key activity of the community-based peer facilitators was the encouragement of the formation of women into groups, and the participation of these women into antenatal care (ANC), prevention of maternal to child transmission (PMTCT), and postnatal care (PNC) programs. The group process was enable solidarity and support among the women at the vulnerable times of pregnancy and lactation.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 1600
- Pregnant and breastfeeding women who were 18 years of age and above, regardless of HIV status, were eligible to participate in support groups.
- Women less than 18 years and those who were mentally ill were excluded as they could not give informed consent.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Peer Facilitator and Support Group Peer-facilitated community support group Peer-facilitated community support group is the experimental intervention. The intervention tested in this study involved using trained peer facilitators to create demand for and retention within the ANC/PMTCT program.The peer facilitators were volunteer women from the community, who had recently been through the ANC process themselves and could speak about their experience(s). the support group meetings was to develop skills and generate self-efficacy for the women to be able to take actions such as routine antenatal and postnatal clinic attendance using participatory learning techniques. The peer facilitators were provided with job aids which outlined key points for the various educational sessions.
- Primary Outcome Measures
Name Time Method To measure proportion of women less than 20 weeks gestation at first ANC attendance 12 months The number of women attending first ANC attendance at 20 weeks gestation as a proportion of all women attending first ANC attendance at any age of gestation
To measure proportion of pregnant women attending four ANC visits 12 months The number of pregnant women attending four ANC visits as a proportion of pregnant women attending any ANC visit
To measure proportion of HIV exposed babies tested for HIV 12 months The number of HIV exposed babies test for HIV as a proportion of the number of HIV exposed babies
To measure proportion of HIV exposed babies initiated on NVP prophylaxis at birth 12 months The number of HIV exposed babies initiated on NVP prophylaxis at birth as a proportion of the number of HIV exposed babies tested for HIV at birth
- Secondary Outcome Measures
Name Time Method Pregnant and postnatal women tested for HIV as a proportion of these women in the community 12 months The number of pregnant and postnatal women tested for HIV as a proportion of the number of pregnant and postnatal women estimated to have HIV in the community