Table 1.
PMTCT CSC Indicators by locus of control and component of high-quality health system
| PMTCTa CSC Indicator | Locus of controlb | Component of High-Quality Health Systemc |
|---|---|---|
| Attitude and commitment of PMTCT service providers | Provider | Positive user experience |
| Disclosure support and maintenance of confidentiality of HIVa positive status | Provider | Positive user experience |
| Prevalence of stigma and discriminatory behaviors towards women living with HIV | Provider | Positive user experience |
| Level of male involvement on PMTCT Issues | Community | Population |
| Availability of adequate infrastructure, equipment and supplies to deliver PMTCT services | Health System | Tools |
| Availability of trained health workers capable of providing PMTCT services | Health system | Workforce |
| Adherence to clinical advice and ARTa treatment by service user | Individual / Patient | Confidence in systems |
| Access to high quality PMTCT counseling and information | Health System | Competent care and systems |
| Accessibility to facilities providing PMTCT services | Healthy System | Platforms |
| Influence of cultural and religious beliefs on access to and utilization of HIV testing and treatment services | Community | Population |
| Availability of social support from leaders, community-based organizations and relatives at community level | Community | Population |
| Convenient and timely access to HTC1/ART/PMTCT/EIDa services and results at facility level | Health Facility | Competent care and systems |
| Availability of integrated services | Health System | Competent care and systems |
| Follow-up of defaulters | Health System | Competent care and systems |
| Level of supervisory support | Health System | Tools |
a PMTCT: prevention of mother-to-child transmission; HIV: human immunodeficiency virus; ART: antiretroviral therapy; HTC: HIV testing and counseling; EID: early infant diagnosis
b Locus of control was assigned as either individual / patient, provider, health facility, community or health system based on where / who had the highest capacity and authority to effect change in the indicator
c Component was assigned based on Kruk et al.’s high quality health system framework components