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Enhancing ARV Uptake Through Couple Counseling: A Case Study in Zambia Defense Force Facilities

This case report showcases how couple counseling increases antiretroviral (ARV) uptake by pregnant women in Zambia Defense Force (ZDF) health facilities. The approach includes strategic direction changes, revised PMTCT guidelines, male involvement encouragement, and data management tools support.

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Enhancing ARV Uptake Through Couple Counseling: A Case Study in Zambia Defense Force Facilities

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  1. Couple Counseling Increases Antiretroviral (ARV) Uptake by Pregnant Women: A Case Report in Zambia Defense Force (ZDF) Health Facilities • Zambia has a total population of 13.3 million (2010). • The national HIV prevalence rate is 14.3%. • In pregnant women: 16% • The majority of HIV infection in infants occur through mother-to-child transmission (MTCT). • More than 95% of women attending antenatal care services (ANC) are tested for HIV, although only 10% of couples in Zambia have tested for HIV together. • By December 2009, 63% of pregnant women living with HIV were provided with antiretroviral drugs for PMTCT. • ZDF has a network of 54 health facilities representing 16% of all health services in Zambia. This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.

  2. Approach • Change in strategic direction; universal access to virtual elimination • Revision of the PMTCT guidelines and development of job aids • Orientation of Unit Commanders to encourage male involvement in PMTCT and other health programs in their camps • Mentorship for improved skills for providers and change of attitude about male involvement • Provision of data management tools This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.

  3. Improved ARV ProphylaxisUptake This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.

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