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Community Health Workers and Prevention of Mother-to-Child HIV Transmission in Tanzania

NCT03058484 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1830

Last updated 2017-02-23

No results posted yet for this study

Summary

The investigators implemented and evaluated a pilot program in Shinyanga Region, Tanzania to bring prevention of HIV services to communities using community health workers (CHWs). The intervention aimed to integrate community-based maternal and child health services with HIV prevention, treatment, and care-bridging the gap between women and facility, and enhancing the potential benefits of Option B+. Option B+ is the current World Health Organization recommendation for prevention of mother-to-child transmission, but its success in sub-Saharan Africa may be threatened by overburdened clinics and staff. Consequently, paraprofessionals like CHWs can be key partners in the delivery and/or enhancement of health services in the community.

The study focuses on whether this approach: increases retention in care; improves adherence to antiretrovirals (ARVs); or improves the number of women initiating antiretroviral therapy and the timing of initiation. Investigators hypothesize improvements along primary and secondary outcome indicators in the treatment group. This evaluation helps illuminate both the impact and feasibility of the intervention, and the role that CHWs may play in the elimination of mother-to-child transmission services.

Conditions

  • Vertical Transmission of Infectious Disease
  • HIV Infections

Interventions

BEHAVIORAL

Community Health Worker intervention

The intervention included four integrated components: 1) formal linkage of CHWs to health facilities; 2) CHW-led antiretroviral therapy (ART) adherence counseling; 3) loss to follow-up tracing by CHWs; and 4) distribution of Action Birth Cards (ABCs), a birth planning tool.

Sponsors & Collaborators

  • Amref Health Africa

    collaborator OTHER

  • Ministry of Health and Social Welfare, Tanzania

    collaborator OTHER_GOV

  • International Initiative for Impact Evaluation

    collaborator OTHER

  • Organisation for Public Health Interventions and Development (OPHID)

    collaborator UNKNOWN

  • University of California, Berkeley

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Model
PARALLEL

Eligibility

Sex
FEMALE
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2015-05-01
Primary Completion
2016-03-30
Completion
2016-03-30

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03058484 on ClinicalTrials.gov