2026-10-12T19:59:21Z https://api.figshare.com/v2/oai

oai:figshare.com:article/33938364 2026-09-18T17:40:08Z category_21 category_64 category_106 category_132 portal_5 item_type_3 month_year_09_2026

<p>Sampling strategy.</p> James G. Carlucci (4634605) Rosa Chemwey Ndiema (25073171) Violet Naanyu (641676) Marylydia Atieno Kiano (25073174) John M. Humphrey (1601860) Bridget Hawryluk (25073177) Edwin Were (342669) Alan McGuire (5009069) Kara Wools-Kaloustian (375804) Biotechnology Cancer Science Policy Infectious Diseases small monthly stipend skills development would key findings included gather formative information ensure feasible enhancements could promote adoption additional participatory research enhanced mm strategy current mm strategy serve </ p less intensive services kenya provides monthly conducted qualitative interviews navigating pmtct services qualitative assessment mm services mm program empathetic mm world constraints women living western kenya unique needs successful implementation robust implementation remain central prism ). level stakeholders july 2023 health education focused services favorable opinions economic barriers defined scope contextualized within client relationships child transmission capacity building build trust address stigma <div><p>Mentor Mother (MM) services are an evidenced-based peer support strategy embedded within prevention of mother-to-child transmission of HIV (PMTCT) programs. The current MM strategy in Kenya provides monthly, facility-based, one-size-fits-all antiretroviral therapy adherence counselling and health education to women living with HIV (WLHIV) who are navigating PMTCT services. MMs receive a small monthly stipend as compensation for providing these services. We aimed to gather formative information from MMs and their client WLHIV, with the goal of developing an enhanced MM strategy that accounts for the unique needs of each WLHIV. From April-July 2023, we conducted qualitative interviews with MMs (n = 16) and WLHIV (n = 36) from three public health facilities supported by Academic Model Providing Access to Healthcare (AMPATH) in western Kenya. Interviews and analysis were guided by the Practical, Robust Implementation and Sustainability Model (PRISM). Key findings included that both MMs and client WLHIV had favorable opinions about the possibility of developing and implementing a risk-stratified MM strategy wherein client WLHIV with identifiable risk factors receive intensified, problem-focused services while low-risk WLHIV are eligible for less intensive services. MMs and client WLHIV also agreed that empathetic MM-client relationships that leverage shared lived experiences to build trust and address stigma should remain central to the MM program. However, MMs were clear that a better-defined scope of work and capacity building through training and skills development would be necessary for successful implementation of an enhanced MM strategy. Additionally, motivating MMs with fair compensation and recognition for their work, as well as providing more resources for client WLHIV with economic barriers to care, could promote adoption and sustainability of an enhanced MM strategy. Additional participatory research, as well as input from system-level stakeholders, is needed to ensure feasible enhancements to MM services are contextualized within the real-world constraints of PMTCT programs.</p></div> 2026-09-18T17:40:01Z Dataset Dataset 10.1371/journal.pgph.0007277.t001 https://figshare.com/articles/dataset/_p_Sampling_strategy_p_/33938364 CC BY 4.0