The purpose of this study is to determine whether giving small financial incentives will motivate parents to test their children for HIV.The study will be a randomized controlled trial (RCT) with 5 arms with equal allocation to each arm: no incentive, or one of 4 different levels of financial incentive. We will randomize 800 parents with children of unknown status at HIV treatment clinics in Western Kenya.
Optimal development of sustainable health systems must use locally relevant infrastructure. Mobile phone technology, driven primarily by local market forces rather than foreign assistance, is spreading rapidly through African communities to improve people's personal and business communications. Here, the investigators propose using a structured mobile phone communications system for prevention of mother to child transmission of HIV (PMTCT). The system is designed to improve antenatal linkage to care, provide reminders to take PMTCT medications, and improve post-natal support and follow-up, even when mothers deliver at home. In addition to benefits in PMTCT related outcomes, this model allows evaluation of the intervention in a public health setting with the ultimate goal of advancing regional health systems development. The overall goal of of the study is to assess if mobile phones and SMS text messages can be used to help improve prevention of maternal to child transmission (PMTCT) of HIV services by strengthening health systems.
Every legitimate government has an obligation to ensure universal coverage of health services regardless of geographic, social, economic or gender factors. However, universal coverage does not in itself guarantee universal and equitable access to healthcare services due to existing structural inequalities. Social protection schemes provide mechanisms through which governments can improve equitable access to healthcare services while preventing catastrophic health expenditure by instituting financing and organizational arrangements that can increase coverage of bigger populations and enhance the affordability of healthcare services.