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Monica Nolan , Nicole Fulton, Morgan Goheen, Milker Simba and Mitch Besser

Promoting client retention during PMTCT and follow up care : Lessons learned through active client follow-up in Kenya and South Africa . Monica Nolan , Nicole Fulton, Morgan Goheen, Milker Simba and Mitch Besser . Description . Kenya Pilot. Reason for ACFU. Missed Event.

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Monica Nolan , Nicole Fulton, Morgan Goheen, Milker Simba and Mitch Besser

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  1. Promoting client retention during PMTCT and follow up care :Lessons learned through active client follow-up in Kenya and South Africa Monica Nolan, Nicole Fulton, Morgan Goheen, Milker Simba and Mitch Besser

  2. Description Kenya Pilot Reason for ACFU Missed Event • 2nd AN Visit • CD4 Test • CD4 Result • Mom HAART • 2nd PN Visit • Baby Cotrim. • HIV 6wk Test • HIV 6wk Result • Baby HAART m2mpiloted two ACFU strategies at selected clinic sites in Kenya and South Africa • Kenya: pilot conducted at 10 sites in Nairobi • Defaulting clients identified from m2m client records • Targeted events were multiple • ACFU = text message and up to six phone calls • Reasons for missing visits and outcomes tracked Reasons for non attendance n = 251

  3. Lessons Learned Kenya, n = 465 ACFU Client Outcomes

  4. Description • South Africa: pilot conducted at 10 sites in East London • Quasi experimental : 5 ACFU and 5 non-ACFU sites • All pregnant clients enrolled from 32 weeks • Targeted event was infant testing at 6 weeks • Defaulting clients identified from m2m client records • ACFU = up to three phone calls followed by home visit • See m2m poster THPE0286 for details.

  5. Conclusions • Telephone ACFU appears feasible, acceptable and effective in influencing client retention and thus contribute to improved PMTCT and other outcomes • m2m is working to integrate active client follow-up as part of m2m services

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