Optimizing Integrated PMTCT Services in Rural North-Central Nigeria
Suspected Damage to Fetus From Viral Disease in the Mother, HIV
About this trial
This is an interventional prevention trial for Suspected Damage to Fetus From Viral Disease in the Mother focused on measuring Prevention of mother to child HIV transmission, HIV/AIDS
Eligibility Criteria
Inclusion Criteria:
- HIV-infected women (and their infants) who present to ANC or delivery with unknown HIV status;
- HIV-infected women (and their infants) with previous history of ARV prophylaxis or treatment, but who are not on prophylaxis or treatment at the time of presentation for antenatal care or delivery.
Exclusion Criteria:
HIV-infected women with known status who are on ARV prophylaxis or treatment at the time of presentation to ANC.
Sites / Locations
- CHC Agwara
- Rural Hospital
- MCH Chanchaga
- NCWS Farin Doki
- BHC Garam
- PHC Gauraka
- BHC Ijah
- BHC Izom
- Rural Hospital
- MCH Paiko
- BHC Wuse
- Rural Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Integrated family-focused PMTCT arm
Standard of care
Intervention package includes: 1) task-shifting to lower-cadre providers at PMTCT sites; 2) POC CD4+ cell count testing; (3) integrated mother-infant care; and (4) a prominent role for influential family members (male partners), working in close partnership with community-based health workers/volunteers. Patients attending sites randomized to this arm will also receive group health education; opt-out HIV testing, same-day HIV test results; infant feeding counseling; HBC services; infant prophylaxis, early infant diagnosis, and linkage to family spacing services, if desired.
Arm will receive standard of care activities, namely: group health education; opt-out HIV testing, same-day HIV test results; infant feeding counseling; HBC services; infant prophylaxis, early infant diagnosis, linkage to family spacing services, if desired.