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Table 6 Category 2: Detailed results for women living with HIV

From: The role of Community Mobilization in maternal care provision for women in sub-Saharan Africa- A systematic review of studies using an experimental design

Citation

Country of origin

Study Design

Community Mobilization Component

Process results

Outcome

1. [30]

South Africa

Randomized Controlled Trial

Involvement of fellow HIV positive pregnant women to mobilize and provide support to fellow HIV positive mothers.

- Women in Treatment Group (TG) exhibited Increased knowledge on how to improve the health of their children

- Increased access to information and resources to improve their health during maternity

- Mothers in Treatment Group (TG) exhibited reduced maternal depression when compared to their counter-parts

2. [31]

Tanzania

Randomized controlled trial

Creation of peer support group that provided a safe space for women with high levels of psychological distress to discuss and share strategies for addressing common concerns related to PMTCT among HIV positive pregnant women.

- Increased disclosure among HIV positive pregnant women in the treatment group as compared to those in the control group.

- Women in Treatment Group experienced a significantly higher rate of overall personal satisfaction with response to disclosure,

- a marginally significant reduction in the level of depressive symptoms for HIV-positive pregnant women participating in a group counseling intervention (Treatment Group)

60% of women in the intervention group were depressed post-intervention, versus 73% in the control group [Relative Risk (RR) 0.82, 95% confidence interval (CI): 0.671.01, p0.066]. H

3. [32]

South Africa

cluster randomized controlled

The intervention consisted of four antenatal and four postnatal small group sessions led by Peer Mentors, in addition to Standard Care. HIV positive pregnant Women were recruited during pregnancy and 70 % were reassessed at 1.5 months post-birth.

Compared to Standard Care WLH, EI (treatment Group) were more likely to ask partners to test for HIV (OR = 1.84; two-sided p = 0.014),

Compared to Standard Care WLH, EI (treatment Group) were more likely to have infants with height-for-age z-score ≥ –2 (OR = 3.30; p = 0.006) and were less likely to report depressed mood (OR = 2.55; p = 0.003).

- Healthcare utilization was similar across conditions.

- Significant improvement in PMTCT

8. [40]

Zambia

(Longitudinal )

Healthcare workers (HCWs) and lay providers conduct rapid HIV testing. support for pregnant women,”

Uptake of services significantly improved

HIV testing among pregnant women improved

- There was also significant improvement in the percentage of HIV positive pregnant women referred for clinical care