The Roles of Expert Mothers Engaged in Prevention of Mother-to-Child Transmission (PMTCT) Programs: A Commentary on the INSPIRE Studies in Malawi, Nigeria, and Zimbabwe

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Fabian CataldoGeoff Foster

Abstract

Several initiatives aiming to improve retention and adherence in Prevention of Mother-to-Child Transmission of HIV (PMTCT) programs include "expert mothers" (EMs) as a central tenet of their interventions. This article compares the role of EMs in 3 implementation research studies examining approaches for improving retention in care among mothers living with HIV. We compared and synthesized qualitative data and lessons learned from 3 studies (MoMent in Nigeria, PURE in Malawi, and EPAZ in Zimbabwe) with respect to the involvement of EMs in supporting PMTCT clients. The frame of reference for the comparison is the role that EMs play in PMTCT service delivery for individuals, at the health facility, within the health system, and in the community. EMs' role was positively perceived by PMTCT clients and health care workers, as EMs provided an expanded range of services directly benefiting clients and enabling health care workers to share their workload. Common challenges included difficulties in reaching male partners and fear of stigma. The lack of structure and standardization in EM interventions in relation to eligibility criteria, training, certification, and remuneration were identified as important barriers to EMs' role develo...Continue Reading

References

Jan 26, 2005·Journal of Health Services Research & Policy·Mary Dixon-WoodsAlex Sutton
Apr 27, 2010·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Babafemi O TaiwoRobert L Murphy
Aug 14, 2010·AIDS Care·Karina Kielmann, Fabian Cataldo
Aug 5, 2010·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Henry M SelkeKara Wools-Kaloustian
Apr 21, 2012·Medical Anthropology·Margaret KyakuwaZoe Goldstein
Sep 14, 2013·Journal of the International AIDS Society·Grace W MwaiJanet Seeley
Jan 4, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Fabian CataldoUNKNOWN PURE Malawi Consortium

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Citations

Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Surbhi ModiHelen Dale
May 13, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nigel C RollinsGottfried O Hirnschall
Jun 15, 2019·International Journal of Preventive Medicine·Augustine NdaimaniBabill Stray-Pedersen
Apr 2, 2021·BMC Public Health·Beatrice M'baya Kansinjiro, Alinane Linda Nyondo-Mipando

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