Publications by authors named "Michael T Eliya"
Article Synopsis
- In sub-Saharan Africa, three community-facility linkage (CFL) models—Expert Clients, Community Health Workers (CHWs), and Mentor Mothers—are used to help pregnant and breastfeeding women living with HIV access care and prevent mother-to-child transmission of the virus.
- A study in Malawi examined the impact of these models on maternal loss to follow-up, viral suppression, and infant health outcomes among 2,049 mother-infant pairs who enrolled in a PMTCT program over a year.
- Results showed that a significant portion of the women were young (43.7% aged ≤24), with a variety of models utilized: 38% in the Expert Client model, 31% in the CHW model
Background: Pregnant and post-partum adolescent girls and young women (AGYW) living with HIV in sub-Saharan Africa experience inferior outcomes along the prevention of mother-to-child transmission of HIV (PMTCT) cascade compared to their adult counterparts. Yet, despite this inequality in outcomes, scarce data from the region describe AGYW perspectives to inform adolescent-sensitive PMTCT programming. In this paper, we report findings from formative implementation research examining barriers to, and facilitators of, PMTCT care for HIV-infected AGYW in Malawi, and explore strategies for adapting the mothers2mothers (m2m) Mentor Mother Model to better meet AGYW service delivery-related needs and preferences.
View Article and Find Full Text PDFBackground: The INSPIRE-Integrating and Scaling Up PMTCT through Implementation REsearch-initiative was established as a model partnership of national prevention of mother-to-child transmission of HIV (PMTCT) implementation research in 3 high HIV burden countries-Malawi, Nigeria, and Zimbabwe. INSPIRE aimed to link local research groups with Ministries of Health (MOH), build local research capacity, and demonstrate that implementation research may contribute to improving health care delivery and respond to program challenges.
Methodology: We used a mixed methods approach to review capacity building activities, as experienced by health care workers, researchers, and trainers conducted in the 6 INSPIRE projects before and during study implementation.