PEPFAR

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 Presidents Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.

Approach
PEPFAR

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 Presidents Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.

PEPFAR

Improved ARV Prophylaxis Uptake

100% 90% 93% 90% 72.10%

80%
70% 60% 50% 40% 30% 20%

ARV Prophylaxis Couple Counseling

10%
0%

10%

Year 2009

Year 2010

Data from 7 sites within ZDF

This work has been supported by the Presidents Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.