Assuring Infants and Mothers Get All PMTCT Services (AIMGAPS): Best Practices Emerging from a Collaborative Improvement Effort to Increase PMTCT Service Uptake in Tanzania
The USAID Health Care Improvement Project (HCI) has been working with the Ministry of Health and Social Welfare (MOHSW) and EngenderHealth in the Iringa Region of Tanzania to improve uptake, retention, and quality of prevention of mother-to-child transmission (PMTCT) of HIV services across the continuum of care from the antenatal period through the entire breastfeeding period and until the HIV status of the exposed infant is definitively determined. This short report describes how HCI is working with partners to assist frontline health care providers in Iringa to achieve the following objectives:
- Identify gaps in service uptake for each step in the PMTCT continuum of care;
- Examine and identify root causes for these gaps;
- Apply quality improvement (QI) methodology to develop and test changes to the care delivery system to increase uptake and quality of services; and
- Adopt changes which proved to be effective.