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HORIZONS PROJECT
Ndola Demonstration Project on Maternal and Child Health in Zambia:
Preventing Mother-to-child Transmission of HIV
This pre- and postintervention study explored integrating infant feeding counseling and HIV voluntary counseling and testing (VCT) into maternal and child health care (MCH) services in Ndola, Zambia.
The study demonstrated that providing VCT and infant feeding counseling to mothers attending MCH clinics are vital components of any mother-to-child transmission reduction strategy, whether or not antiretrovirals are available. These services enable mothers to make informed and healthy decisions.
Key findings included:
- Service integration is feasible.
- Mother-to-child transmission knowledge improved but remains incomplete.
- Breastfeeding practices improved.
- VCT awareness increased but uptake remains low.
- Communication about risk reduction needs more emphasis in the community.
- Routine antenatal care services need additional resources, too.
- Care and support links remain poor.
The intervention succeeded in raising awareness about HIV and prevention of mother-to-child HIV transmission (PMTCT) and in setting up VCT and infant feeding counseling services as part of the existing MCH services, as well as good referral links in the community. Regardless of the availability of antiretrovirals, counseling interventions will remain crucial components for the success of any PMTCT program.
Location
Ndola, Zambia
Duration
May 2001–May 2003
Horizons and Population Council researchers
Naomi Rutenberg, Katie Schenk
Non-Council collaborators
Yusuf Ahmed (Department of Obstetrics and Gynaecology, University Teaching Hospital)
Chipepo Kankasa, Chewe Luo (Department of Paediatrics and Child Health, University Teaching Hospital)
Doreen Mulenga (UNICEF)
Moses Sichone (National AIDS/TB/STDS/Leprosy Program, Central Board of Health)
Hope Humana
LINKAGES
National AIDS Control Programme
National Food and Nutrition Commission
UNAIDS
UNFPA
WHO
Zambia Integrated Health Project
Donors
US Agency for International Development
National AIDS Control Programme
Publications/Resources on this project
See Also
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Publications/Resources |
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"Empowering communities to respond to HIV/AIDS—Ndola demonstration project on maternal and child health: Operations research final report" (2003) (PDF) "HIV voluntary counseling and testing: An essential component in preventing mother-to-child transmission of HIV" (2003) (full text) "Infant feeding and counseling within Kenyan and Zambian PMTCT services: How well does it promote good feeding practices?" (2003) (full text) |