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Evaluating the effectiveness of selected community-level interventions on key maternal, child health, and prevention of mother-to-child transmission of HIV outcomes in three countries (the ACCLAIM Project): a study protocol for a randomized controlled trial

Journal Articles

Efforts to scale up and improve programs for prevention of mother-to-child transmission of HIV (PMTCT) have focused primarily at the health facility level, and limited attention has been paid to defining an effective set of community interventions to improve demand and uptake of services and retention. Many barriers to PMTCT are also barriers to pregnancy, childbirth, and postnatal care faced by mothers regardless of HIV status. Demand for maternal and child health (MCH) and PMTCT services can be limited by critical social, cultural, and structural barriers. Yet, rigorous evaluation has shown limited evidence of effectiveness of multilevel community-wide interventions aimed at improving MCH and HIV outcomes for pregnant women living with HIV. We propose to assess the effect of a package of multilevel community interventions: a social learning and action component, community dialogues, and peer-led discussion groups, on the demand for, uptake of, and retention of HIV positive pregnant/postpartum women in MCH/PMTCT services.

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Advocacy Tool Kit on Pediatric HIV Treatment

Issue Briefs

In partnership with the Organization of African First Ladies against HIV/AIDS (OAFLA), the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) developed a tool kit on pediatric HIV treatment to guide African First Ladies in their advocacy efforts in country and within the region.  With this toolkit, the First Ladies Offices have statistics, messages and key actions that they can undertake to advocate on pediatric HIV treatment. The tool kit touches on key areas important to addressing pediatric HIV treatment, including: PMTCT, early infant diagnosis (EID) and linkage to care, pediatric formulations, and stigma and discrimination. This toolkit will facilitate the achievement of the goals that OAFLA has developed in its strategic plan of 2014-2018. The Pediatric HIV Tool Kit was presented by EGPAF during a capacity building workshop for Technical Advisers to the First Ladies in Addis Ababa, Ethiopia on January 27, 2016.

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Download (Advocacy Tool Kit on Pediatric HIV Treatment (French)) Download (Advocacy Tool Kit on Pediatric HIV Treatment (Portuguese))

Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho

Journal Articles

By Gill, Hoffman,Tiam, Mohai, Mokone, Isavwa, Mohale, Makhohlisa, Ankrah, Luo, Guay

To improve PMTCT and antenatal care-related service delivery, a pack with centrally prepackaged medicine was rolled out to all pregnant women in Lesotho in 2011. This study assessed acceptability and feasibility of this copackaging mechanism for drug delivery among pregnant and postpartum women.

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Bringing Rural Sub-Saharan African Communities and the Global Response to the HIV and AIDS Epidemic

Technical Briefs

This technical brief highlights background, methodology and early results of our Advancing Community Level Action for Improved Maternal and Child Health and PMTCT (ACCLAIM) project. The project aims to improve utilization and outcomes of maternal and child health and prevention of mother-to-child HIV transmission services through community engagement in Swaziland, Uganda and Zimbabwe.

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EGPAF’s Work in Pediatric and Adolescent HIV Care and Treatment

Fact Sheets

This fact sheet highlights the importance of access to HIV testing, care and treatment among children and adolescents. It also illustrates EGPAF’s work within this area.

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Catalyzing Expanded Access to Early Testing, Care and Treatment for HIV-Exposed Infants

Fact Sheets

A fact sheet on EGPAF’s participation in the UNITAID project, which aims to scale up access to point-of-care technology for improved early infant HIV diagnosis and access to treatment.

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Lesotho's Minimum PMTCT Package: lessons learned for combating vertical HIV transmission using co-packaged medicines

Journal Articles

By Lotus McDougal, Mpolai M Moteetee, Florence Mohai, Malisebo Mphale, Binod Mahanty, Blandinah Motaung, Victor Ankrah

This article features our analysis of a program to improve prevention of mother-to-child HIV transmission (PMTCT) adherence by implementing a package given to all pregnant women (some including only prenatal vitamins and other information - some including both prenatal and PMTCT drugs for women who tested HIV-positive during pregnancy). This program was rolled out in Lesotho. Our study examines feasibility of the package.

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Maternal, Newborn, and Child Health: The Foundation of a Successful Response to Pediatric HIV

Fact Sheets

This fact sheet illustrates the importance of maternal, newborn and child health care in the context of HIV prevention, care and treatment. It also highlights EGPAF’s work within this field and how we have utilized the platform of maternal, newborn and child health programs to ensure HIV prevention, care and treatment access to many women, children and families.

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Strengthening Antiretroviral Treatment for Women and Children in Maternal, Neonatal, and Child Health Services

Technical Briefs

This brief outlines the approach EGPAF developed and implemented to improve PMTCT and HIV care and treatment service delivery. The approach involved galvanized support from the Ministry of Health and partners and resulted in improved capacity to deliver HIV-specific health services to a wider population in Zimbabwe.

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Supporting Improved Health Outcomes for Mothers and Babies Through the Use of Electronic Database Systems

Technical Briefs

Highlights EGPAF’s work in strengthening the HIV service utilization data management system in Zimbabwe. The implementation of an electronic data base has resulted in a wide-scale ability to follow mothers and children through the prevention of mother-to-child HIV transmission service cascade.

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