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Table 2 Critical path logical framework

From: Using the critical path method to rollout and optimise new PMTCT guidelines to eliminate mother-to-child transmission of HIV in Zimbabwe: a descriptive analysis

Critical path impact goal To reduce the MTCT rate from an estimated 30% in 2010 to less than 12 in 2015
 
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
 
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
 
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