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Table 1 MoMent peer support program description, roles, and responsibilities

From: “They do not see us as one of them”: a qualitative exploration of mentor mothers’ working relationships with healthcare workers in rural North-Central Nigeria

  Control arm mentor mother Intervention arm mentor mother
Program description and requirements
 HIV-positive woman Yes Yes
 Experiential PMTCT knowledge Yes Yes
 Standard pre-engagement selection criteriaa No Yes
 Standard baseline training and curriculum with certificationb No Yes
 Stipend for work activities Yes (~ 50 USD monthly) Yes (~ 50 USD monthly)
 Schedule for client interactionc No Yes
 Scope of client-related work formally communicatedd No Yes
 Facility or community-based activities Both Both
 Linked to HIV+ clients at ANC clinic Yes Yes
 Activity documentation Weak, not standard, not consistently linked to PMTCT outcomes, often not reviewed Emphasized, standard logbook provided, PMTCT outcomes-specific, reviewed by MM supervisor
 Supportive supervision Weak support and supervision, responsibility of facility staff-in-charge Emphasized, responsibility of supportive MM supervisor who reports to staff-in-charge
 Audits of client interaction activitiese No Yes
 Formal performance evaluations No Yes, based on client feedback
 Re-orientation or disengagement based on performance No Yes
Peer support activities
 Document client interactions Yes, inconsistent (in non-standardized notebooks) Yes, required (in standardized, outcomes-specific logbook)
 Conduct HIV tests for ANC clinic clients No No
 Immediately flag clients with missed appointments No Yes
 Track clients with missed appointments Yes, after several weeks Yes, required within 3 days
 Daily feedback sessions with supervisor No Yes
  1. PMTCT prevention of mother-to-child transmission of HIV, USD US dollars, ANC antenatal care, MM mentor mother
  2. aHIV-positive, 18–45 years old, successfully completed PMTCT program at least once; speaks ≥ 1 local language; disclosed to partner/family member; willing to disclose HIV status to peers
  3. b5-day, 17-module training including pre- and post-test and counseling role-play
  4. cHome visit within 5 days of client assignment, twice monthly visits, visit within 3 or 7 days if non-facility or facility delivery, respectively
  5. dVia written contract provided and explained to all MMs in English or other language they understood
  6. eOne randomly selected client interviewed every 6 months to validate MM reports on interactions with client and for client feedback on MM performance