HIV Infections Clinical Trial
Official title:
Harnessing Mobile Phone Usage for HIV and Horizontal Health Systems Improvement: PMTCT
Optimal development of sustainable health systems must use locally relevant infrastructure.
Mobile phone technology, driven primarily by local market forces rather than foreign
assistance, is spreading rapidly through African communities to improve people's personal
and business communications. Here, the investigators propose using a structured mobile phone
communications system for prevention of mother to child transmission of HIV (PMTCT). The
system is designed to improve antenatal linkage to care, provide reminders to take PMTCT
medications, and improve post-natal support and follow-up, even when mothers deliver at
home. In addition to benefits in PMTCT related outcomes, this model allows evaluation of the
intervention in a public health setting with the ultimate goal of advancing regional health
systems development. The overall goal of of the study is to assess if mobile phones and SMS
text messages can be used to help improve prevention of maternal to child transmission
(PMTCT) of HIV services by strengthening health systems.
Specific objectives are:
1. To determine if mobile phone SMS text messages can demonstrate an improvement in
compliance with a known intervention ( use of nevirapine) for PMTCT, demonstrated by:
1a) improved antenatal care attendance (greater than 4 visits)
1b) increased usage of nevirapine in labour (from 60% to at least 70%)
1c) earlier identification and treatment of HIV positive infants
1d) increased postpartum care for HIV positive mothers
1e) acceptability of cell phone SMS text messages transmission of information among HIV
positive women
2. To demonstrate that mobile phone technology can be used as an effective tool to
strengthen PMTCT health information systems at the facility level by: 2a) determining
factors that constrain or promote the use of cell phone technology to strengthen PMTCT
health information systems from the perspective of patients, health care providers and
policy makers 2b) determining how cell phones can be used as a tool to generate equity
statistics for PMTCT programs and formulate equity orientated PMTCT policies 2c) determine
if early involvement of policy makers in the study improves knowledge translation
n/a
Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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