Table 1 Interventions implemented from 2011 to 2015 to improve critical path indicators and time of introducing them
Critical Path Indicator | Period when intervention was introduced | Intervention implemented | |
|---|---|---|---|
Year | Quarter | ||
ANC Bookings | 2011 | Q2 | Incorporated PMTCT messaging in VHW training materials, trained and engaged VHWs in community mobilization for PMTCT and conducted mass-media campaigns to promote early ANC bookings. |
HIV Testing | 2011 | Q2 | Trained more nurses to offer rapid HIV testing to pregnant women; tracked availability of test kits at site level and helped to redistribute as necessary to avoid stock outs. |
Maternal AZT Prophylaxis | 2011 | Q2 | Introduced integrated PMTCT curriculum which trained MNCH nurses to dispense AZT to HIV-positive pregnant women according to 2010 WHO guidelines. |
CD4 Testing | 2011 | Q4 | Procured 154 POC CD4 testing machines and distributed to MNCH clinics and EDTA tubes for remote clinics to collect and send blood specimens for CD4 testing at sites with CD4 testing machines. |
Mothers’ ART | 2011 | Q4 | Introduced ART in MNCH and trained MNCH nurses to initiate eligible HIV-positive pregnant women on ART rather than referring them to existing ART clinics for initiation by doctors. |
Infant ARVs | 2011 | Q2 | Changed HIV-exposed infants’ ARV prophylaxis from seven days daily AZT dose to daily NVP dose until 7 days after breastfeeding. |
EID | 2011 | Q2 | Incorporated EID training into PMTCT training materials and trained nurses in all MNCH facilities to offer EID services. |
All indicators | 2011 | Q2 | Quarterly data analysis, review of site level performance, implementing PDSA cycles to improve the indicators |