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Lay health worker experiences administering a multi-level combination intervention to improve PMTCT retention

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dc.contributor.author Abby DiCarlo, Ruby Fayorsey, Masila Syengo, Duncan Chege, Martin Sirengo, William Reidy, Juliana Otieno, Jackton Omoto, Mark P Hawken, Elaine J Abrams
dc.date.accessioned 2020-09-04T09:29:21Z
dc.date.available 2020-09-04T09:29:21Z
dc.date.issued 2018-12
dc.identifier.uri https://repository.maseno.ac.ke/handle/123456789/2727
dc.description.abstract The recent scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has rapidly accelerated antiretroviral therapy (ART) uptake among pregnant and postpartum women in sub-Saharan Africa. The Mother and Infant Retention for Health (MIR4Health) study evaluates the impact of a combination intervention administered by trained lay health workers to decrease attrition among HIV-positive women initiating PMTCT services and their infants through 6 months postpartum. This was a qualitative study nested within the MIR4Health trial. MIR4Health was conducted at 10 health facilities in Nyanza, Kenya from September 2013 to September 2015. The trial intervention addressed behavioral, social, and structural barriers to PMTCT retention and included: appointment reminders via text and phone calls, follow-up and tracking for missed clinic visits, PMTCT health education at home visits and during clinic visits, and retention and adherence support and counseling. All interventions were administered by lay health workers. We describe results of a nested small qualitative inquiry which conducted two focus groups to assess the experiences and perceptions of lay health workers administering the interventions. Discussions were recorded and simultaneously transcribed and translated into English. Data were analyzed using framework analysis approach. Study findings show lay health workers played a critical role supporting mothers in PMTCT services across a range of behavioral, social, and structural domains, including improved communication and contact, health education, peer support, and patient advocacy and assistance … en_US
dc.publisher BioMed Central en_US
dc.subject Prevention of mother to child transmission(PMTCT), combination intervention, Kenya lay health workers retention en_US
dc.title Lay health worker experiences administering a multi-level combination intervention to improve PMTCT retention en_US
dc.type Article en_US


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