Community Approaches to Enhance HIV and AIDS Program Service Utilization

Protocol Title: A Community Randomized Study to Evaluate the Effect of a Community-Based Peer Facilitator Intervention on Prevention of Maternal to Child Transmission (PMTCT) of HIV Program Outcomes in Zimbabwe
 

About this study: The primary goal of this study is to test whether providing community based peer facilitator-led support for pregnant and postpartum women improves MCH and PMTCT program uptake and adherence to the health care recommendations as compared to communities without the peer support intervention. This study was conducted in the communities surrounding 16 health facilities in Zimbabwe (eight control / eight comparison sites). A qualitative component was conducted with focus group discussions with pregnant women to inform the design of the intervention. The intervention was rolled out around 8 health facilities and 8 matched health facility communities served as controls, with 100 women targeted in each community. This study specifically evaluated the effect community-based, peer-facilitated activities had on: antenatal care attendance among pregnant women, HIV testing uptake, early infant diagnosis, nevirapine use among HIV-exposed infants.

Status: This study has been completed.

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Protocol Title: Project ACCLAIM (Advancing Community Level Action for Improving MCH/PMTCT); Increasing Demand, Access, and Retention in MCH/PMTCT Services at the Community Level.

 

About this Study: This is a three-arm randomized community based trial evaluating the effects of engaging community leaders in MCH/PMTCT, community health fairs (known also as community days) and peer-led health support groups on the demand for, uptake of, and retention in maternal and child health services of pregnant and postpartum women as measured by early ANC attendance (<20 weeks), facility delivery, and infant attendance for child welfare visits six to eight weeks after delivery. The study, funded by the Canadian Department of Foreign Affairs, Trade, and Development (DFATD), involved in-depth interviews with community leaders, community men and women and health workers to better understand the effect of community leader engagement on the demand for and retention of HIV-positive pregnant/postpartum women in MCH/PMTCT services.  A household baseline survey of MCH/PMTCT knowledge, attitudes, practices and beliefs was also carried out.  The evaluative phase of the study involves the implementation of these community-led interventions in randomly selected communities and the assessment of their effects using routine health facility data.  The study is taking place in three countries; Swaziland, Uganda and Zimbabwe and is scheduled to end in March 2016.

Status: This study is ongoing.

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Protocol Title: Evaluation of the effect of the index case approach on the number people tested for HIV and registered in HIV care and treatment in selected facilities in Gaza province

 

About this Study: This U.S. Centers for Disease Control and Prevention--funded study will enroll HIV-positive patients and members of their family, from six clinics in three regions, into care and treatment programs. Families will be visited at home (without knowledge of how they were identified), and all will be provided with voluntary HIV testing and counseling and nutrition counseling and services. Family members who test HIV-positive are provided with educational materials and enrolled in care. Study staff hope to increase the number of people tested for HIV in these communities and survey patients to ascertain quality of and satisfaction with HIV care. 

Status: Study preparation is currently underway.