Critical path impact goal | To reduce the MTCT rate from an estimated 30% in 2010 to less than 12 in 2015 |
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Critical path indicators (CPIs) | ➢ Number and % women booked for first ANC visit (ANC booking is attending at least one ANC visit and is counted at the 1st ANC visit) ➢ Number and % women tested for HIV in ANC ➢ Number and % HIV-positive women started on AZT prophylaxis in ANC ➢ Number and % pregnant women eligible for ART by CD4 count in ANC ➢ Number and % eligible pregnant women initiated on ART in ANC ➢ Number and % HIV-exposed infants started on Nevirapine prophylaxis ➢ Number and % infants (< 2 months age) tested for HIV using DNA PCR |
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Programme management indicators (PMIs) | ➢ Number of sites offering comprehensive PMTCT services (HIV testing and ARVs for PMTCT) ➢ Number of sites offering ART services on-site (in MNCH or ART clinic) ➢ Number of sites offering CD4 testing on-site (using point-of-care machine or on-site laboratory CD4 testing machine) ➢ Number of sites offering EID services on-site (collecting dried blood spot and sending to a central laboratory for testing) ➢ Number of health facility nurses trained on PMTCT, ART, EID etc. ➢ Number of sites with an interruption in HIV testing for at least one day (due to absence of trained rapid HIV testers or stock-out of HIV test kits) ➢ Number of sites with a stock-out of maternal and infant ARVs ➢ Number of sites visited for supportive supervision |
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Critical path activities | ➢ Supporting programme coordination, adaptation of global PMTCT guidelines, developing training materials, technical working groups etc. ➢ Supporting rapid roll-out of new PMTCT guidelines in health facilities ➢ Training and mentoring health facility nurses on PMTCT guidelines and use of PDSA cycles to improve PMTCT service delivery ➢ Providing and maintaining POC devices for CD4 testing in ANC ➢ Supporting EID and CD4 specimen courier services ➢ Supporting HIV test-kit and ARV stock management and redistribution |