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Table 2 Example micro-interventions from SAIA projects

From: The Systems Analysis and Improvement Approach: specifying core components of an implementation strategy to optimize care cascades in public health

SAIA project, setting, and service area

Identified problem

Micro-intervention

Specific tasks

SAIA 3-country study, Mozambique, Kenya and Côte d’Ivoire

Prevention of mother-to-child transmission of HIV

Laboratory delays are causing delays in treatment initiation

Increase communication between clinic and laboratory staff

[Named ANC nurse] will call [named laboratory technician] daily to check on results and make sure the report will be sent by Friday

SAIA-SCALE, Mozambique

Prevention of mother-to-child transmission of HIV

Low proportion of HIV-exposed infants are entering child-at-risk care (CCR)

Monitor delivery ward–CCR linkage log daily

[3 named CCR nurses] will review the linkage log daily to identify eligible mother-infant pairs and make reminder phone calls

SAIA-SCALE, Mozambique

Prevention of mother-to-child transmission of HIV

Low proportion of HIV-exposed infants are entering child-at-risk care (CCR)

Involvement of male partners to encourage uptake

[2 named ANC nurses] will extend partner invites for education on CCR importance to pregnant patients in ANC

SAIA-MH, Mozambique

mental health

Patients are not returning after initial diagnosis

Outreach to new patients

[Service provider] will call patients 3 days before follow-up visit is due

SAIA-FP, Kenya

HIV testing in family planning

Clients are declining testing in the family planning clinic

Improve counseling so clients recognize the benefit of testing

Health talks will be held at clinic to improve client sensitization