Project Masihambisane: a cluster randomised controlled trial with peer mentors to improve outcomes for pregnant mothers living with HIV

Autor: Ndlovu Lindo, Mkhize Lungile, Mtungwa Nonhle, de Kadt Julia, Rochat Tamsen, Stein Alan, Tomlinson Mark, van Heerden Alastair, Van Rooyen Heidi, Richter Linda, Rotheram-Borus Mary-Jane, Ntombela Lungile, Comulada W Scott, Desmond Katherine A, Greco Erin
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Trials, Vol 12, Iss 1, p 2 (2011)
Druh dokumentu: article
ISSN: 1745-6215
DOI: 10.1186/1745-6215-12-2
Popis: 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
Databáze: Directory of Open Access Journals