Table 1 Summary of selected program interventions implemented
Selected interventions implemented | By who | Method of delivery | Duration of intervention | Frequency of intervention | Target group |
|---|---|---|---|---|---|
Community based interventions | |||||
Training of 60 VHTs and provision of bicycles and sensitization job aids (charts) | Project team | Training was conducted in 2010 and a refresher training conducted in 2011 | 5 days training in 2010 (training) and 3 days in 2011 (refresher) | Twice (once per year) | VHTs |
Community mobilization and sensitization on ANC and skilled (health facility) delivery attendance as well as PMTCT | VHTs | Community meetings | 21 months (entire project period reported in the paper) | At least weekly | Pregnant women(and other women of child bearing age) and men |
Identification and orientation of male partner ANC/PMTCT access clubs on their roles | Project team | Identification was done through local leaders and health workers’ recommendation based on exemplary behaviour. Orientation was done through meetings. | 2 weeks for identification and 3 days for orientation | Once | Men with exemplary behaviour in ANC/PMTCT attendance |
Dialogue and mobilization meetings | Male partner ANC/PMTCT access clubs | Community meetings with other men | 21 months | Twice every month | Men in the community |
Community mobilization and sensitization on ANC | MDD groups | Staging MDD performances in public places like markets among others | 21 months | At least twice every month | Pregnant women (and other women of child bearing age) and men |
Follow-up and referral of pregnant women and their spouses to attend ANC and deliver in health facilities | VHTs | Home visits | 21 months | Routinely as need arose | Pregnant women and their spouses |
Strengthening the linkage between the community and health facility | VHTs and health workers | Performance review meetings between VHTs and health workers. In these meetings, health workers also provide support supervision to VHTs | 20 months | Monthly | VHTs and health workers |
Holding community health education | Health workers | Community meetings were held. VHTs/or male partner ANC/PMTCT access clubs supported in mobilizing communities. | 20 months | Twice every month | Pregnant women (and other women of child bearing age) and men |
Health facility based interventions | |||||
Capacity building for health workers | Health workers | Training on, followed by mentorship comprehensive PMTCT | 5 days training. Mentorship took place on quarterly basis for 21 months | 5 days training. Mentorship took place on quarterly basis | Health workers in the supported facility |
Provision of delivery kits (mama-kits) | Delivery kits were procured and supplied to health facilities. Some items in the kits were then used by health workers to deliver women in health facility. The other items in the delivery kits were handed to mothers after delivery. | 10 months | 3 times | Pregnant women delivering in the health facility | |
Provision of HIV testing kits | Project team | Testing-kits were procured by the project and supplied to the health facility as buffer stocks. The kits were used for testing mothers and their spouses during ANC attendance. | These were provided whenever talk-outs were reported. The project therefore ensured that HIV test kits were available for the entire period (21 months). | These were provided whenever talk-outs were reported | Pregnant women and their spouses |
HIV counselling and testing during ANC | Health workers | HIV counselling and testing of pregnant women and their spouses during ANC attendance at health facility. Their HIV test results were also given to them at the same point. This was done as part of the ANC services package. | 21 months | At least twice every week | Pregnant women and their spouses attending ANC |