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 |