PMTCT  (Prevention of Mother To Child Transmission)

The info below summarizes the scope of S2S’s PMTCT menu of supportive capacity building activities. Program areas and activities are prioritized based on the specific facility challenges and needs, site attributes, and available human and commodity resources:

Support provision of PMTCT services

Quality/performance improvement: support the implementation of quality and performance improvement measures, ongoing evaluation of the quality of PMTCT services and program impact.

MCH services: integrate PMTCT with MCH services to serve as an entry point to other HIV services for women, children and male partners, ensure mothers and infants with HIV are appropriately referred to HIV services for continued treatment, care and support.

Family planning services: improve access to available family planning through active and effective wrap around and linking to PMTCT, MCH and ARV services.

Transition PMTCT program: support effective interventions based on current PMTCT national guidelines.

Routine HIV testing and counseling services for PMTCT: target all women of reproductive age at every entry point, group pre-test information session, disclosure support, family testing.

Partner testing: integration of partner testing in PMTCT.

Comprehensive MCH service: enhance basic MCH package to meet needs of HIV-positive pregnant women including safer sex, nutrition, malaria, family planning, immunizations, TB.

ARV for PMTCT: Routine clinical/immunological evaluation of HIV-positive women, prophylaxis for all women not HAART eligible, HAART for all eligible women Infant feeding counseling: ongoing and routine comprehensive infant feeding support during pregnancy, labour and delivery and post-delivery, quality infant feeding counseling and assessment of AFASS of feeding choice.

Enhance existing on-site PMTCT client tracking systems: enhance/implement MCH appointments and client tracking/tracing system, use system to improve client management.

Monitoring and evaluation systems: improve/maximize use of existing PMTCT and paediatric HIV related health information, increase use of site level health information to make program and clinical decisions, support linkage between patient data recording and technical/management tasks/procedure, improve quality and completeness of patient related information, improve information filing system