Abstract
Background
Pregnant women living with HIV (WLH) face daily challenges maintaining their own and their babies' health and mental health. Standard Prevention of Maternal to Child Transmission (PMTCT) programs are not designed to address these challenges.
Methods/Design
As part of a cluster randomized controlled trial, WLH are invited to attend four antenatal and four postnatal small group sessions led by a peer WLH (a Peer Mentor). The WLH and their babies are assessed during pregnancy and at one week, six months, and twelve months post-birth. Mobile phones are used to collect routine information, complete questionnaires and remain in contact with participants over time. Pregnant WLH (N = 1200) are randomly assigned by clinic (N = 8 clinics) to an intervention program, called Masihambisane (n = 4 clinics, n = 600 WLH) or a standard care PMTCT control condition (n = 4 clinics; n = 600 WLH).
Discussion
Data collection with cellular phones are innovative and effective in low-resource settings. Standard PMTCT programs are not designed to address the daily challenges faced by WLH; Peer Mentors may be useful in supporting WLH to cope with these challenges.
Trial registration
ClinicalTrials.gov registration # NCT00972699
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Details
1 University of California at Los Angeles, Global Center for Children and Families, California, USA (GRID:grid.19006.3e) (ISNI:0000 0000 9632 6718)
2 Human Sciences Research Council, Child, Youth, Family and Social Development, Pretoria, South Africa (GRID:grid.417715.1) (ISNI:0000000100711142); University of KwaZulu-Natal, School of Psychology, Durban, South Africa (GRID:grid.16463.36) (ISNI:0000000107234123)
3 Human Sciences Research Council, Child, Youth, Family and Social Development, Pretoria, South Africa (GRID:grid.417715.1) (ISNI:0000000100711142)
4 University of Stellenbosch, Department of Psychology, Stellenbosch, South Africa (GRID:grid.11956.3a) (ISNI:000000012214904X)
5 Oxford University, Department of Psychiatry, Oxford, UK (GRID:grid.4991.5) (ISNI:0000000419368948)
6 Africa Centre for Health and Population Studies, Mtubatuba, South Africa (GRID:grid.413351.1) (ISNI:0000000406222413)