CFM: Improving mother-baby pair retention in integrated maternal and child health and HIV services in Eswatini

Mother-baby pairs who do not continually utilize critical integrated maternal, newborn, and child health (MNCH) and HIV services often have poor health outcomes in resource limited settings. The Community Focal Mother (CFM) model in Eswatini has demonstrated success in improving use of and retention in integrated MNCH and HIV services. This includes final knowledge of HIV status of 18-24 month infants, timely vaccination, and provision of mother baby health visits. Trained CFMs visit all mother baby pairs in their homes before they miss a visit to encourage continued attendance at health facilities for care. This model has seen 100 percent retention in services of mother baby pairs since its inception in 2017; all children have completed their child welfare visits per the Ministry of Health recommended schedule and received key integrated HIV and MNCH services.