About this trial
The TRI-MOM program aims to implement and evaluate a simplified (based on inexpensive rapid diagnostic tests), integrated (in governmental health facilities) and coordinated (between health care workers) strategy for the triple elimination of HIV, syphilis and HBV mother-to-child transmission (MTCT) in nine maternal and child health services, 5 in Burkina Faso and 5 in The Gambia.
The TRI-MOM program has two components:
1. an "intervention" component consisting of a pilot study to reinforce the antenatal screening and prevention of MTCT (PMTCT) capacities for the 3 targeted infections through the implementation of a simplified, integrated and coordinated strategy of triple elimination of MTCT. 2. an "evaluation" component which will assess the impact of the TRI-MOM strategy on PMTCT services, reduction of HBV MTCT and women empowerment.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women attending a postnatal visit in one of the selected maternities (no maternal age limit)
Disqualifiers
Refusal to participate in the study
Unable to provide consent
Trial design
Single group
Treatments tested in this trial
TRI-MOM intervention
Other interventionThe TRI-MOM strategy includes 4 main activities: 1. Training of healthcare professionals in charge of maternal health (nurses, midwives and doctors in charge of maternal health services) 2. Triple screening of HIV, Syphilis and HBV by rapid diagnostic tests 3. Assessment and treatment of women positive for any of the 3 targeted infections 4. Raising awareness on MTCT among pregnant women visiting antenatal services and empowering women infected with at least one of the three infections
Treatment groups
Trial outcomes
Primary outcomes
Coverage of the strategy in the study maternities before its implementation
Proportion of women screened for HIV, Syphilis and HBV during pregnancy
Coverage of the strategy in the study maternities after its implementation
Proportion of women screened for HIV, Syphilis and HBV during pregnancy
Secondary outcomes
Knowledge of the targeted infections before the strategy implementation
Proportion of women with a good level of knowledge (defined by a score) of the targeted infections (HIV, syphilis, and HBV) and of PMTCT
Knowledge of the targeted infections after the strategy implementation
Proportion of women with a good level of knowledge (defined by a score) of the targeted infections (HIV, syphilis, and HBV) and of PMTCT
Acceptability of the implemented strategy and PMTCT and preferences : screening refusal before the strategy implementation
Proportion of pregnant women who refuse the screening for any of the 3 targeted infections
Acceptability of the implemented strategy and PMTCT and preferences : screening refusal after the strategy implementation
Proportion of pregnant women who refuse the screening for any of the 3 targeted infections
Sponsors and contacts
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Institut de Recherche pour le Developpement
Lead sponsor
Centre Muraz
Collaborator
Medical Research Council
Collaborator
Institut Pasteur
Collaborator
REVS PLUS Burkina Faso
Collaborator
Young Gambian Mums Fund
Collaborator
National AIDS Control Program Gambia
Collaborator