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Building HIV-positive and HIV-negative Pregnant Adolescent and Young Mothers’ Knowledge, Skills, Resilience, and Problem-solving Abilities

Through a Home Visiting Program Using a Novel Case Management Approach

The AIDSFree Program (June 2017-December 2019) aims to improve HIV and other health/social outcomes for both HIV-positive and HIV-negative pregnant adolescents (10-19), young mothers and their children. The program uses a case management approach comprised of a Home Visiting Team (HVT): peer-led mentoring for the pregnant AGYW/mother, support for parents/caregivers to address structural barriers to care, decrease stigma, and mobilize support (with male/female teams to reach men); and supervisory support for ongoing quality assurance. Through home-visits, HVTs support access to and retention in ante-natal care, including prevention of mother-to-child transmission (PMTCT) services and post-partum services for the mother-baby pair. Building resilience and problem-solving ability are key components as well as ensuring a strong bi-directional referral network to health/social services. Training for mentors and supervision of the HVT are important to overall success of the program.