Visit 2. Mid Pregnancy Barriers: Enablers: Key Messages and additional Counselling response or Topics What makes it difficult What would make it information solution to do? easier to do? Testing during pregnancy for HIV, TB and Partner testing, culture, other STIs for women and their partners Family support stigma, fear (HH handbook Visit 1) Accessing HIV & TB treatment and taking Reminders, support for side Stigma, access to medicines, medicines every day (ART adherence for effects, connecting to existing family influencers, side effects HIV support groups HIV-positive mothers) Early infant diagnosis and Co-Trimoxazole Partner participation, Access, beliefs preventive treatment knowledge Partner participation, Gender dynamics, myths Condoms during sexual intercourse increased knowledge, HIV&AIDS, TB and inappropriate beliefs, pregnant and breastfeeding to prevent increased self efficacy in knowledge, attitudes and PMTCT negotiating and using concerning condoms condoms consistently Nutrition, rest and antenatal care for the Family attitudes, work, Family support for HIV-positive mother poverty Increased facilitated alliance All women, but especially HIV-positive Access to care, distance from with TBAs, modified social women deliver in a health facility for special health centre, costs ,lack of norms that demand facility funds for facility delivery kit care and PMTCT delivery Beliefs, fear, familial, Knowledge, support from pressure to supplement family community Early and exclusive breastfeeding feeding
Visit 2. Mid Pregnancy Topics Key Messages and additional information Barriers: What makes it difficult to do? Enablers: What would make it easier to do? Counselling response or solution HIV&AIDS, TB and PMTCT Testing during pregnancy for HIV, TB and other STIs for women and their partners (HH handbook Visit 1) Partner testing, culture, stigma, fear Family support Accessing HIV & TB treatment and taking medicines every day (ART adherence for HIV-positive mothers) Stigma, access to medicines, family influencers, side effects Reminders, support for side effects, connecting to existing HIV support groups Early infant diagnosis and Co-Trimoxazole preventive treatment Access, beliefs Partner participation, knowledge Condoms during sexual intercourse pregnant and breastfeeding to prevent Gender dynamics, myths and inappropriate beliefs, knowledge, attitudes concerning condoms Partner participation, increased knowledge, increased self efficacy in negotiating and using condoms consistently Nutrition, rest and antenatal care for the for HIV-positive mother Family attitudes, work, poverty Family support All women, but especially HIV-positive women deliver in a health facility for special care and PMTCT Access to care, distance from health centre, costs ,lack of funds for facility delivery kit Increased facilitated alliance with TBAs, modified social norms that demand facility delivery Early and exclusive breastfeeding Beliefs, fear, familial, pressure to supplement feeding Knowledge, support from family community
ttCFacilitatorsManual_Methodology.docx