UNCPM 22402 - Leveraging Infant Visit PrEP INtegration & tasK Shifting to Improve Post-partum HIV Prevention in Malawi
The goal of the Leveraging Infant Visit PrEP INtegration \& tasK Shifting to Improve Postpartum HIV Prevention in Malawi (LINK) study is to evaluate both the effectiveness of a postpartum prevention package (LINK model) among post-partum women and its implementation into existing clinical care models in Lilongwe, Malawi. The main question the study seeks to answer is: Do women at clinics implementing the LINK model have improved Pre-exposure Prophylaxis (PrEP) persistence compared to women at clinics receiving the standard of care? Researchers will compare the LINK model to standard of care by randomizing twelve sites to either the LINK model or the standard of care. Then researchers will review existing medical record and health surveillance data, and qualitative and quantitative data collected from intervention and control sites.
• Female enrolled in PrEP care at a study site
• Breastfeeding documented while on PrEP
• Living without HIV
• Female who has presented for PrEP visit at a participating clinical site at least \
⁃ 6 months after initiating PrEP
• Aged 15 years (assent with parental/guardian consent for women aged 15-17)
• Living without HIV
⁃ \- Female presenting with infant under 3 for under-five visit to participating clinical site
• Female presenting for child vaccination to participating clinical site
• Aged15 years and older (assent with parental/guardian consent for women aged 15-17)
• Aged 18 years and older
• Involved in relevant activities pertinent to integration or provision of PrEP services such as PrEP providers, peer mothers, HIV diagnostic assistants, or clinic managers, OR policy and implementing partner stakeholders such as officials from the Malawi Ministry of Health, donors in HIV prevention (e.g. PEPFAR, the Global Fund), members of community advocacy groups, the Lilongwe DHO, and other persons involved in infant vaccine and HIV prevention program and policy development and implementation in HIV prevention in Lilongwe