Health care worker capacity building | Provide on-the-job mentorship to optimize PMTCT services |
Demonstrate proper DBS sample collection for HF staff in MCH, labor, and postnatal wards, as needed |
Orient new lay counselors on standard documentation and register completion |
Pair lay counselors based on experience levels to enable peer-to-peer learning |
Data quality and documentation | Review registers monthly and provide refresher trainings to fill gaps, as needed |
Reinforce proper documentation practices among all MCH lay counselors |
Enlarge and display national register standard operating procedures |
Assign nurses to supervise lay counselor documentation practices |
Confirm and update caregiver contact information with every visit |
Conduct quarterly reviews for data quality in relevant registers |
Client and family education and engagement | Provide targeted, one-on-one health education talks to HIV-infected mothers |
Deliver HF invitations to increase male partner involvement/participation in MCH services |
Recruit and engage mentor mothers to provide health education from the peer perspective |
Provide one-on-one health information and counseling to HIV-infected mothers regarding male involvement in care and the importance of disclosure |
Male partner engagement during ANC visits for all education provided |
Introduce a “care buddy” to increase retention in care where clients attend treatment preparation sessions with a friend, family member, or support person to help with treatment adherence |
Workflow process improvements | Develop and use DBS tracking forms between ANC and laboratory departments |
Develop and display a flowchart to illustrate MOH standard of care |
Prioritize immediate action on positive HIV test results received from laboratory |
Develop interfacility communication system to enable confirmed patient transfers |
Assign HIV test (DBS) stock management focal persons |
Active HEI case finding through retrospective ANC chart review and follow up |
Engage the facility-based “linkage officer” to facilitate communication of DBS HIV test results with MCH staff |
Screen postnatal discharge cards upon arrival at postnatal care for HIV testing |
Develop and use a tracking list to follow up on missing DBS results |
Designate specific days to prioritize the provision of EID and ANC services |
Community engagement | Engage community-based volunteer peer mothers in active tracking and follow-up |
Introduce geographic HIV-infected pregnant women social networks |
Convene sensitization meetings to engage religious leaders in the community |
Engage safe mother action groups in tracking and follow-up activities |