Table 6.

Variation in the model of care for PMTCT programs by health facility

Health facility	Health care workers involved in PMTCT service delivery	Model of care for initiating Option B+	Strategies for enhancing retention in care
Mityana Hospital	There are 8 health care workers involved in PMTCT: 3 nursing officers, 3 senior enrolled midwives, 2 expert clients and 2 data clerks.	At ANC, mothers are started on ARV on the same day they test positive. Formal postnatal care appointments are scheduled. Mothers are given ARVs monthly and after delivery until the baby is 6 months, thereafter, drug refills are given every 2 months or more based on the mother’s request. After delivery, women who are due for transfer from ANC are escorted by an expert client to the ART clinic and handed over to the provider on duty.	Mildmay Uganda facilitates expert clients to follow up clients who do not return for their ART refills. Mildmay Uganda also supports routine counselling and health education through monthly family support group meetings. Routine outreach activities are conducted.
Luwero HC IV	There are 13 health workers involved in PMTCT: 2 medical officers, 9 registered midwives and 2 nursing assistants.	Mothers are started on ARVs during pregnancy although some who might refuse to start ART are asked to return when they are ready. Formal postnatal appointments are scheduled. Frequency of ART drug refills postpartum is every 2 months for mothers on Option B+ who are compliant and monthly for those who are not compliant.	PREFA facilitates expert clients to follow up clients who do not return for their ART refills. PREFA also supports routine counselling and health education through monthly family support group meetings. Routine outreach activities are conducted.
Masaka RRH	There are 14 health workers involved in PMTCT: 2 nursing officers, 8 midwives, 2 counsellors and 2 expert clients	The decision to start taking ARVs entirely lies with the client. Mothers who are not ready are encouraged to return at a later date to start ARV therapy. All appointments with the mother are tied to those of the baby (mother-baby). EID mother-baby pair reviews are done monthly post-delivery for the first 6 months and continued 3-monthly until the baby is 18 months.	Uganda Cares facilitates expert client to follow up clients who do not return to the facility. No family support group meetings are provided. Routine outreaches activities are conducted.