Mother Infant Retention for Health: MIR4Health
NCT01962220 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 680
Last updated 2015-12-22
Summary
Linking HIV-infected pregnant women into prevention of mother to child transmission (PMTCT) services and keeping them in care is important in ensuring that both mother and infant benefit from interventions that improve maternal health and decrease HIV transmission to infants. We propose an evaluation of strategies to link newly diagnosed HIV-infected women to care and keep them in care during pregnancy and after delivery in our study called MIR4HEALTH. The study will be conducted in Nyanza Province, Kenya. All participants will provide informed consent and will be randomized to receive the intervention, including individualized patient education, adherence support and phone call/Short Message Service (SMS) reminders for clinic appointments, or the standard of care (no additional intervention services).
Conditions
Interventions
- BEHAVIORAL
-
Study Intervention for Retention (APFU)
Each newly identified HIV-infected pregnant woman randomized to the experimental arm will be assigned an outreach worker/counselor (Mama Mshauri). Mama Mshauri tasks will include: * Immediately engaging the newly identified pregnant woman, providing individualized adherence and disclosure support, management of ART side effects, and helping the client navigate the health system. * Providing tailored individualized health education during home visits. Additional intervention components include: * Appointments and Reminders: SMS or telephone reminders 1 week and 3 days before appointments. Reinforcement of importance of follow-up during home visits and every contact. * Patient Tracking and Defaulter Tracing: Monthly visits and immediate calls/home visit if she misses an appointment.
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
Kenya Ministry of Health
collaborator OTHER_GOV - lead OTHER
Principal Investigators
-
Ruby Fayorsey, MD/MPH · ICAP Columbia University
-
William Reidy, PhD · ICAP Columbia University
-
Eluid Mwangi, MD/MPH/MBA · ICAP - Kenya
-
Duncan Chege, PhD · ICAP - Kenya
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-03-31
- Primary Completion
- 2015-06-30
- Completion
- 2015-06-30
Countries
- Kenya
Study Locations
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