PMTCT and EID
Targeted support for HIV-infected mothers and their infants

This strategy aims to decrease loss to follow up of mother-infant pairs by partnering them with a community health worker (CHW). This CHW monitors the pair as they move through the PMTCT cascade of services, supporting them through counseling, home-based visits and facilitated linkage to PMTCT activities. 

Download PMTCT and EID Materials

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Standard Operating Procedure Summary

Featured Case Studies

• EID Positive Register
  
• Techniques for Tracking Patients​
  
• PMTCT Cascade of Services

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Tools and Forms

PMTCT Program Package: This procedure outlines the tools used for the PMTCT program, a routine follow up system for mother-infant pairs and exposed infants. The tools include:

• A PMTCT MasterCard and Locator Form designed for CHWs to help keep track of important information and dates regarding their patient’s care
• A PMTCT Register designed to keep track of all registered patients and their follow-up
  
• A PMTCT Follow Up Schedule designed to provide guidance to CHWs as they conduct home visits and help their patients access services
• A PMTCT Follow Up Summary designed for CHWs to keep track of home visits to patients 

 
EID Positive Register: This procedure explains the process of linking infants with a positive DNA PCR result to ART immediately. Malawi National HTC Guidelines for exposed infants recommend a DNA PCR test done at six weeks, followed by two confirmatory rapid tests at 12 and 24 months in order to determine the HIV status of the infant. The Positive DNA PCR Register is designed to be used for those exposed infants that received a positive DNA PCR result for their test at six weeks of age. By closely monitoring all positive DNA PCR results, CHWs are able to quickly return results and enroll infants into care. Additionally, the register can help identify gaps in the DNA PCR laboratory process.

Pre-ART Flipchart: Special Issues for Pregnant and Breastfeeding Women: This nationally-adopted pre-ART flipchart highlights special issues for HIV-infected pregnant and breastfeeding women when they first begin ART. It covers key topics such as:

• The importance of ART adherence for health and transmission prevention
• Family planning
• PMTCT techniques (i.e. exclusive breastfeeding, mother’s adherence to ART, NVP for the infant)
  

Client Tracing Tools: These tools are designed to support the CHW to organize and report on client tracing efforts, regardless of the reason for tracing. The Client Tracing Form provides a document to record the client’s locator information, tracing attempts and final tracing outcome. The CHW Client Tracing List helps the CHW manage and track all his/her clients that require tracing and their current tracing status.

Community Health Worker Training Curriculum: This curriculum is designed to provide CHWs with the knowledge needed to perform any activity in this toolkit. It is recommended that all CHWs receive the full training.