A Multidisciplinary "Integrated Management Team to Improve Maternal-Child Outcomes (IMPROVE)" Intervention to Improve Maternal and Child Outcomes in Lesotho (IMPROVE)
Human Immunodeficiency Virus
About this trial
This is an interventional supportive care trial for Human Immunodeficiency Virus focused on measuring maternal child health, prevention of mother to child transmission, HIV
Eligibility Criteria
Inclusion Criteria:
Pregnant woman attending first ANC visit at a study facility . There is no age restriction for study enrollment as young pregnant women in Lesotho are consider emancipated.
- HIV status known at time of enrollment
- Residing in an area around a study facility
- Willing and able to provide informed consent
Exclusion Criteria:
- Pregnant women attending 2nd or later ANC visits
- Attending care at study facility temporarily
- Significant medical or psychological condition that would preclude active study participation
- Inability to provide informed consent
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
IMPROVE
Standard of care
A cluster of 6 health facilities are to receive the IMPROVE Intervention. The IMPROVE intervention includes: (1) Multidisciplinary integrated management teams to coordinate patient-focused and outcome-oriented PMTCT and MCH services; (2) Enhanced Positive Health, Dignity, and Prevention (PHDP)-focused counseling and skills-building training and job aids; and (3) Increased early community-based counseling and support for first (antenatal care clinic) ANC attendees with particular attention to HIV-positive women to minimize loss to follow-up.
A cluster of 6 health facilities receive Standard of Care. Routine health facility services offering the national standard of care for pregnant and breastfeeding women in Lesotho