Center for Integrated Health Program implements is one of the six organization implementing the WHO /Global Affairs Canada funded multi-country INSPIRE project the Lafiyan Jikin Mata (LJM) Study, which means ‘Excellent Health for Mothers” in Hausa language. The study is cluster randomized controlled study, geared towards increasing retention-in-care of HIV positive women in PMTCT through Continuous Quality Improvement-Breakthrough Series intervention (CQI-BTS). The study which began in 2012 and runs until 2017 is being implemented in 32 randomly selected healthcare facilities located in two high HIV prevalence Nigerian states of Benue and Kaduna. 16 healthcare facilities were randomized to intervention and 16 to control arms of the study.

The LJM study responds to two national PMTCT priority questions:

National PMTCT Priority 5 “How can the quality and consistency of PMTCT services be improved in facilities to ensure that all mothers and infants, irrespective of place of delivery, receive full and timely PMTCT interventions including early infant diagnosis?”

National PMTCT Priority 3 “How can communities’ best be engaged to improve access and uptake of PMTCT interventions?”

The aim of the study is to address the question:

Will continuous quality improvement (CQI), using a Breakthrough Series (BTS) approach, increase uptake of PMTCT services and retention in care of HIV-infected pregnant women and mothers at 6 and 12 months postpartum?

 

 

 

 

 

 

The primary outcome of the study seeks to measure Proportion of HIV+ pregnant women in care at 6 months postpartum with secondary outcomes focusing on the following:

1. Proportion of HIV+ pregnant women initiating ARV prophylaxis or treatment within 2 weeks of enrolment

2. Proportion of HIV+ pregnant women in care 12 months postpartum

3. Proportion of HIV-exposed infants with DBS samples taken at 6-8 weeks of life

4. Proportion of HIV-exposed infants receiving co-trimoxazole prophylaxis

5. Proportion of HIV-exposed infants receiving ARV prophylaxis from birth to 6 weeks of life

Details of the study including intervention package, selection of study participants and healthcare facilities and data management analysis plans has been published in the Journal of Acquired Immune Deficiency Syndrome and can be accessed via this link: http://www.who.int/hiv/pub/journal_articles/inspire_5.pdf?ua=1

Study specific tools were developed and used for data collection alongside national ANC registers. Click below links for samples of study specific tools:

LAFIYAN JIKIN MATA DATA COLLECTION TOOLS
DRIVER DIAGRAM
LAFIYAN JIKIN MATA STANDARD OF CARE ASSESSMENT TOOL
PLAN DO STUDY ACT. PDSA NARRATIVE
LJM DQA FACILITY REPORT SHEET
LAFIYAN JIKIN MATA DATA QUALITY ASSESSMENT TOOL
ANNEX A LAFIYAN JIKIN MATA DATA COLLECTION TOOLS

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