Waves of Resilience

PMTCT CHALLENGE; Uganda

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

Waves of Resilience hopes to build strong community-led PMTCT service delivery systems.

Waves of Resilience will pilot the community group antenatal care model (CG-ANC) to mitigate the challenges created by the geographical barrier in the Buvuma Islands.

Using this model, pregnant and breastfeeding women (PBFW) will be supported to form motherhood clubs within their communities to enhance ANC attendance, psychosocial support, and increase access to integrated HIV, maternal and child health services.

To build and strengthen community support systems, distribution channels and linkages, they will use an integrated approach, leveraging and blending the influence of Traditional Birth Attendants (TBAs) with the efforts of Community Peer Supporters (CPS) and Health facility linkage facilitators (FLF). Community-led models are sustainable and cost-effective.

PILOT AND SCALING GOALS

• Reach 450 beneficiaries during the pilot.

• Distribute 1 proven intervention during the pilot.

• Raise $8000 in additional funding.

FOUNDING TEAM

Nabanoba Alice Vivian - Team Leader

Namatovu Josephine - Resource Mobilization Officer

Nansubuga Hope - Technical Field Officer

Afya Njema

PMTCT CHALLENGE; Uganda

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

Afya Njema aims to increase access to quality and timely PMTCT services in rural and resource-limited communities.

Afya Njema uses the expert clients model as a low-cost task-shifting approach to bridging the care gaps created by low health facility staffing levels and high patient load in Kabarole district, Uganda.

The pilot will use a combination of community-based and health facility-based expert clients who will serve as a bridge between the community and clinic. The aim will be to test the effectiveness of expert clients in using client-centred differentiated service delivery models to increase HIV testing, linkage and enrollment in care, ART adherence, follow-up and retention in care.

PILOT AND SCALING GOALS

• Reach 1200 beneficiaries during the pilot.

• Distribute 2 interventions during the pilot.

• Fundraise an additional $20,000 from other donors.

FOUNDING TEAM

Gulemye Isaac - Public Health Specialist

Tebusweke Brian - Maternal Health Specialist

Mulungi Faith - Clinical Psychologist

Women for Women Uganda

PMTCT CHALLENGE; UGANDA

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV. 

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

Women for Women Uganda aims to bridge the gap in health services delivery for underserved and disadvantaged communities by establishing and building local partnerships with communities.

Women 4 Women Uganda aims to use the Traditional Birth Attendant-mentor mother hybrid model to contribute to the Elimination of Mother to Child Transmission of HIV. The model is a sustainable approach to overcoming the barrier of geographic isolation faced by remote underserved communities of Kalangala district, an archipelago of 84 islands with limited access to health facilities by pregnant women living with HIV. For ease of integration into other government community health structures, the distribution of TBAs and Mentor mothers will be at the village level with an average of two mentor mothers and one TBA per village.

Women for Women Uganda was co-founded by three young women passionate about health equity in July 2021. Rebecca Mulungi a Fundraising and Communications Professional, Jane Frances Nakanwagi a Monitoring, Evaluation, and Learning Expert, and Ruth Mary Kemigisha a Public Health Specialist.

PILOT AND SCALING GOALS

• Reach 300 beneficiaries during the pilot phase

• Distribute three interventions: Delivery of ART and psychosocial support reaching 300 women living with HIV, HIV counseling and testing reaching 600 women and their spouses, Linkage to safe antenatal and delivery services- 100 women linked to qualified health workers

• Raise an additional $5,000 during the pilot

FOUNDING TEAM

Rebecca Annette Mulungi - Team Lead

Jane Frances Nakanwagi - Monitoring, Evaluation, Assessment, and Learning Specialist

Ruth Mary Kemigisha - Public Health Specialist

Saving Mothers Saving Lives - Zambia

PMTCT CHALLENGE; ZAMBIA

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV. 

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

Saving Mothers, Saving Lives increases adherence to antiretroviral therapy (ART) and retention in HIV care for at least HIV positive pregnant and breastfeeding women.

Launching in Katete District the Mothers for Life-eMTCT project interventions will build on comprehensive integrated HIV and ANC services at the health facility level, adding evidence-based strategies in the community and at individual level to support adherence to and retention in ART. These include: (1) mobile health (mHealth) short message service (SMS) with two-way communication to convey health messages and help retain HIV positive pregnant women in existing ART services, and (2) Community-Based Volunteers who conduct home visits to support eMTCT services.

PILOT AND SCALING GOALS

• Reach 300 HIV+ expectant mothers during the pilot phase

• Raise an additional $7,000 during the pilot phase

• Reach 750 HIV+ expectant mothers by the end of year 1

FOUNDING TEAM

Davies Bwalya - Director

Constance Himakuma - Clinical Lead Mentor

Innocent Tembo - Strategic/Planning (M&E)

CORD's Positive Escort Project

PMTCT CHALLENGE; NIGERIA

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV. 

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

CORD’s Positive Escort Project aims to prevent mother-to-child transmission (PMTCT) of HIV by training and engaging experienced women living with HIV to follow up and ensure 150 HIV+ pregnant women complete Antiretroviral Therapy (ART).

HIV+ positive women who have experienced PMTCT services and maintain close links with the community will be trained and engaged as Positive Escorts to facilitate community-facility continuum of care for PMTCT activities. They will provide pre-test group education sessions, one-on-one and couples counseling, individualized education, psychosocial support, appointment reminders and follow-up services to ensure women adhere to treatment. They will also be role models whose support and presence will reassure the newly diagnosed that HIV related challenges can be successfully overcome.

PILOT AND SCALING GOALS

• Reach 150 expectant mothers during the pilot phase

• Train 50 HIV+ women to serve as Positive Escorts during the pilot phase

FOUNDING TEAM

Adebanjo Adetosoye Moses - Executive Director/Project Lead

Sauti Ya Mama

PMTCT CHALLENGE; KENYA

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV. 

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

Sauti ya Mama (Voice of Mothers) is a high impact social enterprise that aims to prevent mother-to-child transmission (PMCTC) of HIV by ensuring antiretroviral therapy (ART) adherence by HIV-positive expectant mothers and their infants. We strive to ensure as many infants are born free of HIV scourge and continue adhering to ART medication in the next 2 months to ensure the infants are free of HIV completely.

The pilot will take place in Mathare in Nairobi, Kenya. Community Health Volunteers will enroll, advise, and track expectant mothers. SMS reminders will be sent to ensure adherence to the ART regimen. The Sauti ya Mama model will work to create an impact on expectant mothers in low income settings to ensure they live long and productive lives.

PILOT AND SCALING GOALS

• Reach 150 expectant mothers during the pilot phase

• Reach 1,000 expectant mothers by the end of year 1

• Reach 2,000 expectant mothers by the end of year 2

FOUNDING TEAM

Mustafah Otieno - Executive Director

Robert Oliech - Chief Community Health Worker

True Care Support Group

 PMTCT CHALLENGE; NIGERIA

PROVEN INTERVENTION TO BE DISTRIBUTED

Peer support groups to increase the completion of Antiretroviral Therapy (ART) in pregnant women. 

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

 

DISTRIBUTION MODEL INNOVATION

The True Care Support Group will tackle the problem of non-completion of ART by providing a support network that offers peer counseling, training, encouragement, and emotional support to women living with HIV, with a focus on pregnant women living with HIV.

True Care Support Group will operate as both an online and offline network of women living with HIV. Counselors are women who have completed their ART regimen. Upon receiving referrals from hospitals,  counselors invite women to join their groups. Counselors receive incentives to help the women in their group, who are divided into pairs for extra support, complete their own ART regimens through in-person meetings, social media conversations, and SMS reminders. Graduates of the group will have the option to become counselors themselves. 

PILOT AND SCALING GOALS

• Enroll 200 pregnant women living with HIV into support groups during the pilot
• Enroll 5,000 women living with HIV by the end of year 2

 

FOUNDING TEAM

Esther Bamidele - Co-Founder

Olugbenga Akinpeloye - Co-Founder

Inspire Zambia Foundation

PMTCT CHALLENGE; ZAMBIA

PROVEN INTERVENTION TO BE DISTRIBUTED

Retention in care and adherence to anti-retroviral treatment for people living with HIV. 

Learn more about the PMTCT Challenge and how increasing completion of antiretroviral therapy (ART) to prevent mother to child transmission (PMTCT) of HIV can decrease HIV rates and improve lives.

DISTRIBUTION MODEL INNOVATION

Retention in care and adherence to treatment remain challenges for HIV patients in Zambia. Across the country, HIV prevalence remains high at 12.3% among adults and 1.3% among children. 

Inspire Zambia Foundation will run a pilot at two hospitals that support anti-retroviral therapy (ART) services in the province of Lusaka. The pilot will focus on strengthening the links between newly identified HIV patients and the tracking of patients who are already receiving ART treatment. Ensuring that new patients begin, adhere to, and complete crucial ART treatment will be done by building the capacity of community health workers (CHWs). Inspire Zambia Foundation will train CHWs to work as Adherence Counselors using a new curriculum and a system of Mobile Patient Tracking. This intervention enhances the quality of HIV programming in Zambia, focusing on CHWs and their potential to improve patient experience and adherence to the ART regimen. This direct, personal touch has been shown to improve adherence rates and therefore decrease instances of mother to child transmission of HIV.

PILOT AND SCALING GOALS

• Work with 2 health facilities implementing PMTCT interventions during the pilot 

• Work with 66 health facilities implementing PMTCT interventions by the end of year 2 

• Train 15 ACMPTs during the pilot 

• Train 500 ACMPTs by the end of year 2 

• Counsel 900 patients on ART adherence with revised curriculum during pilot 

• Counsel 100,000 patients on ART adherence with revised curriculum by the end of year 2 

FOUNDING TEAM

Fred Chitalu - Team Lead

Mulenga Mukanu - Linkage Coordinator

Ruth Mkala - Curriculum Development and Training Manager

Zita Zulu - Finance Manager