Mother Infant Retention for Health: MIR4Health (MIR4HEALTH)
HIV/AIDS
About this trial
This is an interventional supportive care trial for HIV/AIDS focused on measuring HIV/AIDS, PMTCT, Pregnant Women, Kenya, Maternal Health
Eligibility Criteria
Inclusion Criteria:
- Documented HIV-infection according to two finger-prick rapid tests (both previously diagnosed and newly detected)
- Confirmed pregnancy by urine pregnancy test or clinical assessment
- Age 16 years or older
- Able to provide informed consent for research
- Fluent in Luo or English
- Own a cell phone or have access to one in their households
- Live born infants of women enrolled in the study
Exclusion Criteria:
- Patients who fail to meet any of the inclusion criteria will be excluded
- Significant obstetric condition documented at the first antenatal visit requiring urgent referral to another facility for specialized obstetric care (e.g., significant hypertension or active bleeding per vagina).
- Denial of HIV status or refusal to initiate ART/ARV prophylaxis.
- Stated intention to move from study site area during the pregnancy or within six months postpartum.
Sites / Locations
- Ahero Sub-district Hospital
- Ambira Sub-District Hospital
- Bondo District Hospital
- Got Agulu Sub-district Hospital
- Jaramoji Oginga Oginga Referral Hospital
- Madiany District Hospital
- Masogo Sub-district Hospital
- Nyakatch District Hospital
- Siaya District Hospital
- Ukwala Health Center
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Standard of Care
Study Intervention for Retention (APFU)
Routine ANC, Delivery and Postpartum Care: All consenting women will receive routine ANC/Delivery and Postpartum care offered to pregnant women in Kenya as per national guidelines at the MCH of the respective facility. Routine PMTCT and HIV Care: All newly diagnosed HIV-infected pregnant women are enrolled into HIV care in the MCH and receive PMTCT/HIV care per Kenya national guidelines (Revised 2012 PMTCT Guidelines).
Participants randomized to the experimental arm of the study will receive routine antenatal and HIV services as described above per Kenya national guidelines. In addition each newly identified HIV-infected pregnant woman randomized to the experimental arm will be assigned an outreach worker/counselor (Mama Mshauri), who will perform numerous tasks described in the intervention. In addition to the Mama Mshauri, this arm will receive phone/SMS appointment reminders, and default patient tracking if participants miss an appointment.