Strengthening Community Systems to Increase Uptake and Retention of PMTCT Services in Tanzania
Various factors influence poor uptake and retention of prevention of mother-to-child transmission (PMTCT) of HIV services. Decisions to seek PMTCT care, adhere to treatment, and return for care are complicated and influenced by factors beyond the clinic.
Community-based support can play an important role in improving uptake and retention of PMTCT services. The USAID Health Care Improvement (HCI) Project and its follow-on, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, have been working with the Ministry of Health and Social Welfare (MOHSW), EngenderHealth, TUNAJALI-Deloitte, Regional and Counsel Health Management Teams, facility health management teams and quality improvement (QI) teams from health facilities in the Iringa Region of Tanzania. The purpose of the collaboration is to improve uptake, retention, and quality of PMTCT 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 facility-level collaborative improvement activity is known as Assuring Infants and Mothers Get All PMTCT Services (AIMGAPS).