Early ART Initiation Among HIV-positive Pregnant Women in Central Mozambique
NCT02371265 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 761
Last updated 2023-05-10
Summary
The overall objective of the study is to develop and test a pilot intervention in central Mozambique to implement the new WHO "Option B+" guidelines that seek to increase the proportion of HIV-positive pregnant women in six antenatal care clinics who start antiretroviral therapy (ART) prior to delivery, and are retained in care after 90- days.
Conditions
Interventions
- OTHER
-
Adherence and retention package
Based on formative research findings, the following core components of the B+ study intervention have been designed and will be stepped in at the study sites to improve early retention in care and adherence: * Workflow modification: 1) Redefinition of key roles of MCH nurses and task shifting to community health workers (CHW's), and 2) enhanced patient tracking via improved management of registries/charts; * Adherence and retention package: 1) Creation of "Adherence Committees" at each site to coordinate and systematize patient follow-up, 2) active patient follow-up and home visits by community health workers (CHWs or activistas), 3) use of text messaging to patients by MCH nurses, 4) improved and intensified counseling coordinated with active CHW and text follow-up, and 5) intensified and improved Option B+ training and supportive supervision.
Sponsors & Collaborators
-
Health Alliance International
collaborator OTHER -
Beira Operations Research Center, Mozambique Ministry of Health
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Rachel Chapman, PhD · University of Washington
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 14 Years
- Max Age
- 50 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-04-30
- Primary Completion
- 2015-08-31
- Completion
- 2015-08-31
Countries
- Mozambique
Study Locations
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