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Couple Counseling Increases Antiretroviral (ARV) Uptake by Pregnant Women: A Case Report in Zambia Defense Force (ZDF) Health Facilities. Zambia has a total population of 13.3 million ( 2010). The national HIV prevalence rate is 14.3 %. In pregnant women: 16%
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Couple Counseling Increases Antiretroviral (ARV) Uptake by Pregnant Women: A Case Report in Zambia Defense Force (ZDF) Health Facilities • Zambia has a total population of 13.3 million (2010). • The national HIV prevalence rate is 14.3%. • In pregnant women: 16% • The majority of HIV infection in infants occur through mother-to-child transmission (MTCT). • More than 95% of women attending antenatal care services (ANC) are tested for HIV, although only 10% of couples in Zambia have tested for HIV together. • By December 2009, 63% of pregnant women living with HIV were provided with antiretroviral drugs for PMTCT. • ZDF has a network of 54 health facilities representing 16% of all health services in Zambia. This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.
Approach • Change in strategic direction; universal access to virtual elimination • Revision of the PMTCT guidelines and development of job aids • Orientation of Unit Commanders to encourage male involvement in PMTCT and other health programs in their camps • Mentorship for improved skills for providers and change of attitude about male involvement • Provision of data management tools This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.
Improved ARV ProphylaxisUptake This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.