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Table 1 Summary of selected program interventions implemented

From: Trends in antenatal care attendance and health facility delivery following community and health facility systems strengthening interventions in Northern Uganda

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