PMTCT CHALLENGE; ZAMBIA
PROVEN INTERVENTION TO BE DISTRIBUTED
Retention in care and adherence to anti-retroviral treatment for people living with HIV.
Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.
DISTRIBUTION MODEL INNOVATION
Retention in care and adherence to treatment are a challenge for HIV patients in Zambia. HIV prevalence remains high at 12.3% among adults, 1.3% among children, and viral load suppression of 59.8% among people living with HIV (PLHIV).
The pilot will be implemented at two hospitals in Lusaka province that support ART services. The pilot will strengthen the links between newly identified HIV patients, patient referrals and defaulter tracing of patients already receiving ART at Our Lady’s Hospice and Kafue Mission Hospital. This will be done by enriching the scope of work for community health workers (CHW). CHWs will be engaged and trained to work as Adherence Counsellor and Mobil Patient Tracker (ACMPT) using a revised curriculum. ACMPTs will work under direct supervision of the hospital ART Coordinator with daily support from our Linkage Coordinator to provide routine adherence counselling to all patients during HIV testing, clinical follow ups and home visits. Our intervention enhances the quality of HIV programming in Zambia where the role of CHWs and their potential to improve patient linkages and defaulter tracing services has often been overlooked, resulting in losing significant number of patients receiving HTS and ART services.
PILOT AND SCALING GOALS
Work with 2 health facilities implementing PMTCT interventions during the pilot
Work with 66 health facilities implementing PMTCT interventions by the end of year 2
Train 15 ACMPTs during the pilot
Train 500 ACMPTs by the end of year 2
Counsel 900 patients on ART adherence with revised curriculum during pilot
Counsel 100,000 patients on ART adherence with revised curriculum by the end of year 2
Fred Chitalu - Team Lead
Mulenga Mukanu - Linkage Coordinator
Ruth Mkala - Curriculum Development and Training Manager
Zita Zulu - Finance Manager