Case Synopsis

Jinja district is working hard to prevent mother-to-child transmission (PMTCT) of HIV/AIDS and is using the WHO’S 4-prong approach. Uganda, as a country, has a goal of elimination of mother-to-child transmission (EMTCT) of HIV/AIDS. Jinja district needs to have a rate of mother-to-child transmission below 5% by 2015; the rate in 2014 was 15.7%. The district is facing numerous challenges including infants being lost to follow up, causing Dr. Nantamu (the District Health Officer) to examine alternate approaches such as the Mentor Mothers (m2m) program, to increase participation in the PMTCT services.

Case Objectives

  1. Understand the WHO 4-pronged approach to PMTCT, and its application in a developing country.
  2. Understand behaviour change theories and develop a health promotion plan.
  3. Create a logic model and select appropriate outcome indicators.

Case Study Questions

  1. How is Jinja district doing with respect to implementing the WHO 4-prong approach?
    a. Is the information and data provided in the Case sufficient to decide?
    b. If not, what other pieces of information do you need?
    c. What are the challenges of collecting/obtaining such data in a context such as Jinja?
  2. What behavior change theory would you use as a foundation for your health promotion plan (i.e. implementing m2m)?
  3. Develop a logic model and an implementation plan for m2m.
    a. What outcome measures will you use to evaluate the plan?
    b. What are some challenges in collecting such data?


HIV/AIDS, PMTCT, behavior change, logic model, evaluation

Additional Author Information

Safiyya Nazarali, BScN, CIC, MPH

Esther Buregyeya, MBChB, MPhilHScOT, PhD, Senior Lecturer

Dyogo Nantamu, MBChB, MPH, PGD M&E, District Health Officer

Amardeep Thind, MD, PhD, Professor



Recommended Citation

Nazarali, S., Buregyeya, W., Nantamu, D., Thind, A. (2015). Mentor Mothers: Preventing Mother-To-Child Transmission of HIV/AIDS in Jinja in: Speechley, M., & Terry, A.L. [eds] Western Public Health Casebook 2015. London, ON: Public Health Casebook Publishing.