Sub-National Y N U Local/Service Delivery Y N U 9 Are there laws or judicial precedents providing for the criminalization of vertical transmission? National Y N U Sub-National Y N U Local/Service Delivery Y N U 10 Is civil society involved in programmes and services? National Y N U Sub-National Y N U Local/Service Delivery Y N U 11 Is there supervision of public and private service delivery levels? National Y N U Sub-National Y N U Local/Service Delivery Y N U 12 What is the relationship of your programme or unit with the service delivery level? Is there supervision? If so, describe how it takes place. If service delivery level, what is relationship of your site with national programmes? National Y N U Sub-National Y N U Local/Service Delivery Y N U 13 What is the relationship of your programme, unit, or site with the private sector? Is there supervision? If so, describe how it takes place. National Y N U Sub-National Y N U Local/Service Delivery Y N U Financing Checklist Item Level Yes No Unable to Verify Comments 1 Are there significant financial barriers for the range of EMTCT services (SRH, MCH, HIV, syphilis)? National Y N U Sub-National Y N U Local/Service Delivery Y N U 2 Does funding for the programmes National
to prevention of mother-to-child transmission (PMTCT)?. Y N U Sub-National Y N U Local/Service Delivery Y N U 3 Are service providers trained to provide services for adolescents and other vulnerable groups? National Y N U Sub-National Y N U Local/Service Delivery Y N U 4 Is your programme or unit adequately staffed? Are there gaps? If so, for which categories of staff? Please elaborate on staffing related to RMNCH, HIV and syphilis services. National Y N U Sub-National Y N U Local/Service Delivery Y N U 5 Have service providers (including yourself) received training in areas related to EMTCT since 2010? If yes, in which areas or topics? National Y N U Sub-National Y N U Local/Service Delivery Y N U Service Delivery Checklist item Level Yes No Unable to verify Comments 1 Is there a comprehensive SHR/MCH/HIV/STI service delivery package available at the sites? National Y N U Sub-National Y N U Local/Service Delivery Y N U 2 Is service delivery organized in such a way to facilitate optimal accessibility, efficiency and timeliness of interventions? National Y N U Sub-National Y N U Local/Service Delivery Y N U 3 Are there mechanisms to facilitate comprehensive service delivery, including referral and National Y N U Sub-National Y N U Local/Service Delivery Y N U 4 Are turnaround times for HIV and syphilis tests and initiation of National Y N U Sub-National Y N U
treatment reasonable? Local/Service Delivery Y N U 5 Are HIV-positive pregnant women receiving lifelong ART? National Y N U Sub-National Y N U Local/Service Delivery Y N U 6 Are there measures in place to prevent or address loss to follow up of pregnant women who tested positive for HIV or syphilis, and exposed infants? National Y N U Sub-National Y N U Local/Service Delivery Y N U 7 Are there policies for HIV and syphilis management for pregnant women who arrive late in pregnancy and/or at delivery? National Y N U Sub-National Y N U Local/Service Delivery Y N U 8 Does your programme have groups that are considered priority, vulnerable or underserved? If so, which groups and why? National Y N U Sub-National Y N U Local/Service Delivery Y N U 9 Has your programme developed strategies to reach these priority, vulnerable or underserved groups? If so, please summarize the strategy for each group. National Y N U Sub-National Y N U Local/Service Delivery Y N U 10 Have service providers been trained to provide services for these groups? National Y N U Sub-National Y N U Local/Service Delivery Y N U 11 Is the comprehensive national EMTCT plan widely available and easily accessible? National Y N U Sub-National Y N U Local/Service Delivery Y N U 12 Does the plan include primary prevention, including promotion of National Y N U Sub-National Y N U
safer sexual practices and condom use? Local/Service Delivery Y N U 13 Does the plan include condom distribution? National Y N U Sub-National Y N U Local/Service Delivery Y N U 14 Does the plan include family planning and birth-spacing services? National Y N U Sub-National Y N U Local/Service Delivery Y N U 15 Does the plan include family planning services for women and girls living with HIV? National Y N U Sub-National Y N U Local/Service Delivery Y N U 16 Does the plan include promotion of early initiation of antenatal care? National Y N U Sub-National Y N U Local/Service Delivery Y N U 17 Does the plan include routine HIV testing and treatment for pregnant women? National Y N U Sub-National Y N U Local/Service Delivery Y N U 18 Does the plan include HIV testing and treatment for sexual partners? National Y N U Sub-National Y N U Local/Service Delivery Y N U 19 Does the plan include counselling on infant feeding for HIV-positive women? National Y N U Sub-National Y N U Local/Service Delivery Y N U 20 Does the plan include follow up and National Y N U
recorded and reported? Local/Service Delivery Y N U 6 Are data collection and reporting mechanisms and forms standardized and functional National Y N U Sub-National Y N U Local/Service Delivery Y N U 7 Are reports periodically generated and disseminated at the national, regional and local levels? National Y N U Sub-National Y N U Local/Service Delivery Y N U 8 Are EMTCT reports received at the service delivery level? National Sub-National Local/Service Delivery Y N U 9 Are their consequences if your site does not report or if there are errors or discrepancies in the reports? What? National Y N U Sub-National Y N U Local/Service Delivery Y N U Tools to record persons interviewed during the visit Tool 1 Interviews with national and regional programme managers Name Position Email Tel. number (mobile)
Tool 2 Interviews with service providers Name Position Email Tel. number (mobile) Tool 3 Interviews with civil society representatives, including women living with HIV and syphilis (if any of the interviewees would like to remain anonymous, do not record the name Name (optional) Representing which civil sociey organization Gender M F Trans. WLHIV? Y N Contact (optional) Comments