A compilation of various tools (guidelines, standard operating procedures, presentations, job aids and forms) to enhance community involvement in MNCH and PMTCT services among men, women and community leaders. This toolkit showcases how to bring to scale three distinct approaches: “community days”, peer group mentorship and community leadership engagement. All were met with success in Zimbabwe, Swaziland and Lesotho and had a dramatic effect on number of pregnant women who attended antenatal care earlier in pregnancy and number of women who attended all recommended antenatal visits.
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Effectiveness of a Multi-component Facility-based Intervention on HIV-related Infant and Maternal Outcomes
Published April 2025
Introduction Even in the context of widespread access to prevention of vertical HIV transmission (PVT) services, health system challenges compromise health outcomes for women living with HIV and their children. The “Integrated Management Team to Improve Maternal-Child Outcomes” (IMPROVE) study measured the effect of a package of facility-based interventions on PVT and maternal and child […]
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Countries:
Lesotho
Journal Articles
Birth Defects and Adverse Pregnancy Outcomes in Hospital-based Birth Surveillance in Eswatini
Published February 2025
Background The Botswana Tsepamo study identified an initial neural tube defect (NTD) safety signal with dolutegravir antiretroviral therapy (ART) exposure at conception. We conducted similar surveillance in 5 hospitals in Eswatini from September 2021 to September 2023 to evaluate the prevalence of birth defects and adverse pregnancy outcomes by maternal HIV status and ART regimen/timing. […]
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Countries:
Eswatini
Journal Articles
An integrated, multidisciplinary management team intervention to improve patient‑centeredness, HIV, and maternal‑child outcomes in Lesotho
Published December 2024
Background Reducing perinatal HIV transmission and optimizing maternal and child health (MCH) outcomes in high HIV prevalence settings is an urgent, but complex, priority. Extant interventions over-emphasize individual-level provider and patient behaviors, and neglect critical health systems-level changes. The ‘Integrated Management Team to Improve Maternal-Child Outcomes (IMPROVE)’ study implemented a three-part, patient-centered, health-systems- level intervention […]
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Topics:
Maternal and Child Health
Countries:
Lesotho