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Objective

Peer-Led Mentor Mother Initiative for the elimination of Mother-to-Child transmission of HIV (eMTCT) in Kisii County, Kenya. Omare J 1 , Kituku A 1 , Nyakundi J 2 , Wamalwa E 1 1 – CARE International in Kenya; 2 - Ministry of Health, Kisii County. Background. Results.

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Objective

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  1. Peer-Led Mentor Mother Initiative for the elimination of Mother-to-Child transmission of HIV (eMTCT) in Kisii County, Kenya.Omare J1, Kituku A1, Nyakundi J2, Wamalwa E11 – CARE International in Kenya; 2 - Ministry of Health, Kisii County Background Results CARE and the Ministry of Health implement a comprehensive HIV prevention, care and treatment program in Kisii County, with eMTCT among key focus areas. The Peer Initiative was introduced to improve uptake of interventions among HIV+ women and their infants, offer psychosocial support to HIV+ women and their families and improve partner HIV counseling and testing. Objective Figure 2. CD4 uptake at first contact in ANC Figure 3. Psychosocial support groups To assess impact of the peer-led initiative in improving eMTCT indicators Methodology Results Fourteen HIV+ women who had recently undergone Prevention of Mother to Child Transmission (PMTCT) interventions were recruited from six health facilities with high HIV burden in Kisii County and trained using the Kenya Mentor Mother Programme (KMMP) curriculum. The mentor mothers were deployed in February 2013, and required to conduct HIV pre-test education, facilitate psycho-social support groups, encourage partner involvement, testing, referral and linkage networks at facility-community interface among other task shifting activities. Critical eMTCT indicators were monitored quarterly and data compared during the October-December 2012 and April-June 2013 quarters. After deployment of mentor mothers, the sites (a) increased partner counseling and testing from 3% (39/1024 1st Antenatal Clinic [ANC] attendants) to 17% (272/1604 1st ANC attendants) in ANC clinic and from 0% (0/421 Postnatal Clinic [PNC] clients to 9% (57/626 PNC clients) in the PNC; (b) increased CD4 uptake from 44% (32/73 eligible) to 90% (81/90 eligible); and (c) increased membership in PMTCT support groups from 231 to 418 HIV+ women. Conclusion The peer-led initiative improved PMTCT interventions uptake in Kisii region where HIV+ women experience high stigma. Attribution of support: This presentation was made possible by support from the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) through cooperative agreement 5U2GPS001920-04 from the U.S. Centers for Disease Control and Prevention (CDC), Division of Global HIV/AIDS (DGHA). Disclaimer: The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the U.S. Centers for Disease Control and Prevention/Government of Kenya.

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