Project Supporting Operational AIDS Research (SOAR)
Through Population Council funding, EGPAF is leading the Integrated Management Team to Improve Maternal-Child Outcomes (IMPROVE) Study, which is a prospective, two-arm cluster-randomized study with facilities randomized to receive either the IMPROVE intervention or routine services offering the national standard of care. The study is following a cohort of HIV-positive and HIV-negative pregnant women until their child reaches 24 months of age. The intervention consists of an integrated management team to improve maternal and child outcomes, an early home visit, and provider training and tools focused on improving patient-centered communication. The main objectives are to evaluate the effect of the intervention on retention in HIV care, viral suppression, adherence to ART in HIV-positive women, and HIV retesting in HIV-negative women. Secondary objectives include assessment of the effect of the IMPROVE intervention on general maternal and child health indices including antenatal care attendance, facility delivery, family planning, and immunization coverage.