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INTRODUCTION. Chikankata Mission Hospital is a faith based organisation run by the Salvation Army church It was founded in 1948. The Hospital has 5 major operational areas; namely: A hospital with a 200 bed capacity College of Biomedical Science – 140 students

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INTRODUCTION

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Introduction

INTRODUCTION

  • Chikankata Mission Hospital is a faith based organisation run by the Salvation Army church

  • It was founded in 1948.

  • The Hospital has 5 major operational areas; namely:

  • A hospital with a 200 bed capacity

  • College of Biomedical Science – 140 students

  • College of Nursing - 210 students

  • Community Health, Research and Development Programme

  • HIV/AIDS Response Programme which was established in 1986.


Maternal child health

Maternal Child Health

  • An institutional section that deals with Pre-Natal, Post-Natal, Neo-Natal and Family Planning services

  • Currently over 3600 women of child bearing age are accessing services

  • In addition, the section promotes PMTCT service


Specific pmtct services

SPECIFIC PMTCT SERVICES

  • Counselling and Testing

  • Condom distribution

  • Information, education and Communication

  • Provision of ARVs

  • Adherence counselling

  • Nutritional supplementation

  • Malaria and STI management

  • Couple counselling


Challenges encountered with traditional approach to pmtct

CHALLENGES ENCOUNTERED WITH TRADITIONAL APPROACH TO PMTCT

  • Varying level of knowledge between males and females of child bearing age

  • Early pregnancies

  • No defined male responsible partner to pregnancies

  • Low turn up of women

  • Poor involvement of male partners

  • Myths and misconception surrounding PMTCT


Mitigation strategy

MITIGATION STRATEGY

  • Overcoming the challenges required a community driven and sustainable mechanism

  • This demanded for community conversations involving different stakeholders

  • Resulted into a consideration of a male involvement initiative


Male involvement initiative

MALE INVOLVEMENT INITIATIVE

An intervention that seeks to promote the engagement and support of male partners in the delivery of effective and efficient PMTCT services


Male involvement

MALE INVOLVEMENT

GUIDING PRINCIPLES

  • Respect for male partners

  • Provision of service to couples

  • Confidentiality

  • Community involvement

  • Empowerment

  • Male motivation


Key steps

KEY STEPS

STEP 1: Conscietisation of the female partner

STEP 2: Dialogue with local leaders

STEP 3: Conversations with the community

STEP 4: Conversation with males

STEP 5: Conversation with couples

STEP 6: Orientation of Health workers

STEP 7: Execution of the intervention

STEP 8: Review and Reflection


Next 8 slide

NEXT 8 SLIDE

Pictorial Representation of the 8 steps


Success so far

SUCCESS SO FAR

  • Increase in number of couples who know their HIV status

  • Increase in number of couples on ARVs

  • Community leaders are writing support letters for pregnant women with unidentified responsible males

  • 1 trained male midwife

  • Couples are impacting other couples’ behaviour

  • Reduced number of infant HIV infection


Future prospects

FUTURE PROSPECTS

  • Address traditional and cultural factors that prevent males to fully engage

  • Further reinforce integration of PMTCT into family planning services

  • Further promote male involvement in PMTCT which opens the avenues to access wider health services provision

  • Develop a comprehensive training package in male involvement.


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