Table 3 Intervention themes and elements

• Training and capacity building on MCH/PMTCT, gender norms and HIV risk, HIV stigma and discrimination, planning and conducting activities, and community advocacy

• Mobilization and dialogue on community solutions to the key health and behavioral gaps as identified from health facility and survey data

• Support for the leaders to develop a community action plan (CAP) to organize community-wide social action for MCH/PMTCT.

• Community sensitization and event promotion activities

•Large and small group presentations and facilitated discussions

• Provision of general health and HIV related services. At minimum this will include:

◦ HIV counseling and testing

◦ HIV prevention information and counseling

◦ Blood pressure screening

◦ Glucose screening

◦Growth monitoring for children (MUAC)

◦Family planning information

◦TB screening

◦Referrals to appropriate health services

• Role of men in family health, including male sexual health

• Surgical male circumcision as an HIV prevention mechanism

• Chronic and lifestyle conditions

• Gender-based violence

• STIs, HIV/AIDS, safer sex

• Family planning

• Disclosure and awareness of HIV status

• HIV discordancy among couples

• PMTCT

• The importance of safe sex during pregnancy

• Planning within the family for safe delivery in a health facility

• Infant feeding, including the importance of exclusive breastfeeding for the first six months

• Infant HIV testing and prophylaxis, and general child health even when the child is well.

• Screening and prophylaxis for syphilis, HIV, tuberculosis (TB), and malaria

• Preventive measures during pregnancy (tetanus toxoid immunization, de-worming, folic acid, and malaria prevention)

• The importance of HIV testing for women and their male partners, safer sexual practices, the increased vulnerability to HIV during pregnancy and lactation

• What PMTCT interventions exist and the support available to women and partners with HIV

• Discussing health issues with male partners

• Nutrition during pregnancy and prevention of anemia

• Danger signs during pregnancy and labor

• Preparing for delivery at the facility: birth preparedness and planning for transport

• What to expect during labor and delivery, including HIV testing and prophylaxis if necessary

• Infant and young child feeding (IYCF): EBF for the first six months

• Danger signs during the neonatal period

• Infant health: immunization and clinic visits, HIV testing

• Postpartum health: family planning and safer sex

• Looking after your own health: HIV testing, nutrition, birth spacing, ARV prophylaxis or treatment as applicable

Implemented in all 45 clusters

Implemented in 30 clusters