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. 2019 Aug 13;19:288. doi: 10.1186/s12884-019-2419-z

Table 3.

Summary of themes related to potential feasibility and acceptability of a cMM program in southwestern Kenya

Themes Key results
Perceived benefits and acceptability of cMMs • Advantage of having a woman directly in the community with recent PMTCT experience
• Potential for HIV-related stigma reduction
• Female empowerment
• Reduction of healthcare providers’ workload
• Elimination of travel to clinic for certain services
Ideal role of cMMs and ideal aspects of cMM visit • Target population: HIV-infected pregnant or postpartum women, extended groups (people at HIV risk)
• Topics to be covered during the visits: PMTCT, reproductive health, tools to overcome fears related to living with HIV, child health, first aid, marital counseling, non-communicable diseases, TB, other
• Private visits, male partner involvement in at least part of the visit
• No universally convenient timing for the visits – to be adjusted to individual /community preferences
Ideal characteristics of cMMs • HIV-infected and open about her HIV status
• Good adherence to HIV treatment
• Familiar with community culture and beliefs
• Ability to maintain strict confidentiality
• Middle-aged
• Knowledgeable and a good educator
• Good communication skills
• Friendly and engaging
Potential risks and barriers related to the cMM approach • Breach of confidentiality
• Inadvertent disclosure of HIV status
• Lack of private meeting places in clients’ homes
• Potential stigmatization and social isolation of cMMs in the communities