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Mentor Mother Model

The magic of our model is that it is peer-based and local: integrated services are delivered by people from the same community as those they serve—meaning they are rooted in shared realities and experiences.

mothers2mothers (m2m) employs and trains local women living with HIV as Community Health Workers called Mentor Mothers who work alongside doctors and nurses in facilities and communities as professionalised members of the health care system. They provide women, adolescents, children, and special populations—our four core client groups—with integrated primary health care services, focusing on early detection, referrals, and education and support that ensures our clients stay in care for the long term.

Mentor Mothers are a vital link between health centres and their surrounding communities, connecting, and keeping, people in care. Working hand in hand with doctors, nurses and Mentor Mothers at health centres, Community Mentor Mothers go door-to-door in the catchment areas served by the nearest health centre to deliver services, as well as educate, engage, and follow up with clients who have not received medical care or who have stopped treatment. Mentor Mothers based at nearby health centres can then support clients to access the services they need. Digital tools strengthen the community and health centre connection, ensuring accurate tracking, followup, and reporting. 

Services for our Core Client Groups:

m2m unlocks the potential of women to create healthy families. We train and employ local women living with HIV as Mentor Mothers—Community Health Workers to educate and support women and their families to access integrated primary healthcare services, start any treatment they need, and stay in care. 

Services include:

HIV Prevention, Care, and Treatment

Mentor Mothers offer support, education, and services to prevent new HIV infections, including prevention of mother-to-child transmission of HIV (PMTCT). We also serve women living with HIV, especially those who are pregnant and breastfeeding, and offer nutrition, sexual and reproductive health education, and family planning support. A key focus is ensuring clients start and stay on treatment for life. This includes offering HIV, Syphilis, and Hepatitis B testing for the women we support, their babies, and partners.

Reproductive, maternal, newborn, child, and adolescent health (RMNCAH)

m2m provides services and referrals to women living with HIV and women who are HIV-free to ensure a healthy pregnancy, safe childbirth, and appropriate postnatal care. We also educate, support, and refer all of the women we serve to access essential health services, including sexual and reproductive health, and family planning.  

Household Economic Strengthening

m2m is improving the financial wellbeing and food security of women and families by providing services to strengthen financial literacy and create opportunities for income-generating activities, including Village Savings and Loans Associations. In addition, m2m employs and pays women living with HIV as Peer Mentors, which has a direct economic impact on communities.

Tuberculosis (TB)

Mentor Mothers educate clients about the symptoms and risks of TB, especially for those living with HIV. They refer clients with symptoms for testing, and support those who test positive to follow and adhere to treatment.

Non-Communicable Diseases (NCDs)

Mentor Mothers educate and screen women and their families for NCDs such as Hypertension, Diabetes, and Cervical Cancer—referring them to health centres for clinical treatment, as needed. They also provide home-based support and measurement of key indicators such as blood pressure and blood sugar readings. 

Malaria 

m2m educates women and families about how to protect and prevent themselves from contracting Malaria, and referring those with symptoms for further treatment and care.  

Our Impact

0.04%

of HIV-negative pregnant and breastfeeding clients supported by an m2m Mentor Mother in 2021 contracted HIV—45 times lower than a 2020 estimate of the rate cross sub-Saharan Africa. 

78%

of mothers we supported in 2021 always and consistently coped with motherhood , up from 72% in 2020. Maternal mental well-being is a key factor in mother-baby attachment, and in a mother’s ability to provide effective nurturing care for her infant. 

> 1,866

women living with HIV were employed directly by m2m as frontline health workers in 2021, creating economic well-being for women who are often marginalised.

1.https://journals.lww.com/aidsonline/Abstract/2020/04010/Incident_HIV_among_pregnant_and_breast_feeding.12.aspx

With adolescent girls and young women in sub-Saharan Africa now three times as likely to acquire HIV as their male peers, it’s clear that adolescent girls and young women are disproportionately bearing the brunt of the HIV/AIDS epidemic. m2m fosters the health and well-being of adolescent girls and boys, and young men and women, with a focus on preventing HIV infections and related illnesses.  

Services include:

HIV Prevention, Care, and Treatment 

m2m Peer Mentors offer support, education, and services to their peers to increase awareness, ensure access to health services, and reduce HIV infections among adolescent girls and young women. They also support pregnant and postnatal adolescent girls and young women who are living with HIV to enjoy a healthy pregnancy and prevent mother-to-child transmission of HIV. 

Sexual and reproductive health (SRH) services

Through proven peer-led, age-appropriate sexual and reproductive health education and services, m2m Peer Mentors promote HIV, Syphilis, and Hepatitis B testing and support adolescents and young adults to prevent new infections and avoid unplanned pregnancies. We also provide cervical cancer screening and referral services.  

Tuberculosis (TB)

m2m Mentor Mothers educate clients about the symptoms and risks of TB, especially for those living with HIV. They refer clients with symptoms for testing, and support those who test positive to follow and adhere to treatment. 

Orphans and Vulnerable Children and Adolescents (OVCA)

m2m’s presence in communities, means that we are able to identify vulnerable and at-risk adolescents—including those in household leadership positionsand support those young people to access any health care and social services they need. This includes providing HIV education, screenings for disease and violence, monitoring school attendance, supporting households to become stronger economically, and capacitating families and the broader communities to care for these young people.  

Our Impact

0.61%

of clients who are adolescent girls and young women (ages 10-24), and who were HIV-negative when enrolled in m2m’s programme, contracted HIV in 2021. 

93%

of  all adolescent clients who are adolescents and young adults  (ages  10-24)  tested for HIV and received their test results in 2021.

402,616

adolescents (aged 10-19) were enrolled in m2m’s programme in 2021, a 51% increase from the previous year.

m2m is committed to ensuring that every child thrives, not just survives, by integrating services to protect and improve the health and development of infants and children, age 0-9, into our core programme. 

Services include:

Paediatric HIV Prevention, Care, and Treatment 

m2m is dedicated to preventing the transmission of HIV between mother and child, and has achieved virtually elimination for enrolled clients for eight consecutive years. In addition, m2m is tackling unacceptably low rates of testing and treatment among HIV-exposed children. We work in health centres and communities to identify all at risk children, and provide support and HIV testing services to them and their families. We ensure they are linked, initiated, and retained in care if they test positive. 

Reproductive, Maternal, Newborn, and Child Health (RMNCH)

m2m leverages our strong relationships with families to improve children’s health, becoming a trusted advisor and linking families to health centres for services to prevent and treat childhood illnesses. This includes providing nutrition education and offering locally-relevant advice, screening for malnutrition and making referrals as needed, providing information on water, hygiene and sanitation, and also delivering programmes to enhance access to immunisations. 

Early Childhood Development (ECD)

Mentor Mothers help to promote an environment of nurturing care and active development for young children by providing advice and support to their parents and caregivers on early learning stimulation, responsive and playful parenting, health, nutrition, water, sanitation, hygiene and safety. They also identify young children with disabilities and advocate for their care. 

Orphans and other Vulnerable Children (OVC)

m2m Case Coordinators provide dedicated OVC services, including early identification and comprehensive HIV care, treatment, and support. Case Coordinators work to keep OVCs safe by strengthening the provision of and linkage to child protection services that prevent or address sexual and gender-based violence, and increase school enrolment, attention and completion through linkage to early childhood development support and school support interventions. m2m also works to strengthen the stability of the household, by building family support, household economic security, and providing linkages to social protection. 

Malaria

m2m is seeking to address the unacceptably high number of malaria deaths among children by educating families about how to protect and prevent their children from contracting Malaria, and referring children with symptoms for further treatment and care. 

Our Impact

0.7%

– the rate of mother-to-child transmission of HIV among m2m enrolled clients in 2021. This is well below the benchmark of 5% that the UN defines as “virtual elimination.”

192,248

– the number children (ages 0-9) m2m reached in 2021.

99%* 

of children enrolled in our early childhood development programme in 2021 achieved their developmental milestones by their first birthday.

*Data from Ghana, Kenya, Malawi, South Africa, and Uganda—where we provide ECD services integrated into our RMNCH services.

m2m also works with special populations. This includes male partners of existing clients, as well as groups where there are high numbers of new HIV infections and additional health risks. This includes internally displaced people, and Key Populations such as men who have sex with men. 

Services include:

HIV Prevention, Care, and Treatment

m2m provides education, testing services, counselling, and support for Triple Elimination of HIV, Syphilis, and Hepatitis B for those who are at risk of contracting HIV and to those whose support and understanding is key to ensuring their family starts and stays on a path to better health. 

Tuberculosis

Mentor Mothers educate clients about the symptoms and risks of TB, especially for those living with HIV. They refer clients with symptoms for testing, and support those who test positive to follow and adhere to treatment.

Non-Communicable Diseases (NCDs)

Mentor Mothers educate and screen women and their families for NCDs such as Hypertension, Diabetes, and Cervical Cancer—referring them to health centres for clinical treatment, as needed. They also provide home-based support and measurement of key indicators such as blood pressure and blood sugar readings. 

Services for our Core Client Groups:

m2m unlocks the potential of women to create healthy families. We train and employ local women living with HIV as Mentor Mothers—Community Health Workers to educate and support women and their families to access integrated primary healthcare services, start any treatment they need, and stay in care. 

Services include:

HIV Prevention, Care, and Treatment

Mentor Mothers offer support, education, and services to prevent new HIV infections, including prevention of mother-to-child transmission of HIV (PMTCT). We also serve women living with HIV, especially those who are pregnant and breastfeeding, and offer nutrition, sexual and reproductive health education, and family planning support. A key focus is ensuring clients start and stay on treatment for life. This includes offering HIV, Syphilis, and Hepatitis B testing for the women we support, their babies, and partners.  

Reproductive, maternal, newborn, child, and adolescent health (RMNCAH)

m2m provides services and referrals to women living with HIV and women who are HIV-free to ensure a healthy pregnancy, safe childbirth, and appropriate postnatal care. We also educate, support, and refer all of the women we serve to access essential health services, including sexual and reproductive health, and family planning.  

Household Economic Strengthening

m2m is improving the financial wellbeing and food security of women and families by developing and delivering our own programmes to strengthen the economic health of households, or referring and linking clients with existing services. This includes the HIV-positive women m2m employs and pays as Peer Mentors.

Non-Communicable Diseases (NCDs)

Mentor Mothers educate clients about the symptoms and risks of TB, especially for those living with HIV. They refer clients with symptoms for testing, and support those who test positive to follow and adhere to treatment. 

Tuberculosis

Mentor Mothers educate and screen women and their families for NCDs such as Hypertension, Diabetes, and Cervical Cancer—referring them to health centres for clinical treatment, as needed. They also provide home-based support and measurement of key indicators such as blood pressure and blood sugar readings.

Malaria

m2m educates women and families about how to protect and prevent themselves from contracting Malaria, and referring those with symptoms for further treatment and care. 

Our Impact

0.12%

of women who were HIV-negative at enrollment into the m2m programme acquired HIV – 50 times lower than the 2014 pan-African benchmark of 3.6%.

94%

of m2m’s relevant enrolled client delivered their babies attended by a skilled heath personnel, compared to 59% on average in sub-Saharan Africa. This reduces the risk of maternal and infant death.

> 1,500

women living with HIV were employed directly by m2m as Community Health Workers in 2018, creating economic wellbeing for women who are often marginalised.

With adolescent girls and young women in sub-Saharan Africa now three times as likely to acquire HIV as their male peers, it’s clear that adolescent girls and young women are disproportionately bearing the brunt of the HIV/AIDS epidemic. m2m fosters the health and well-being of adolescent girls and boys, and young men and women, with a focus on preventing HIV infections and related illnesses.  

Services include:

HIV Prevention, Care, and Treatment 

m2m Peer Mentors offer support, education, and services to their peers to increase awareness, ensure access to health services, and reduce HIV infections among adolescent girls and young women. They also support pregnant and postnatal adolescent girls and young women who are living with HIV to enjoy a healthy pregnancy and prevent mother-to-child transmission of HIV. 

Sexual and reproductive health (SRH) services

Through proven peer-led, age-appropriate sexual and reproductive health education and services, m2m Peer Mentors promote HIV, Syphilis, and Hepatitis B testing and support adolescents and young adults to prevent new infections and avoid unplanned pregnancies. We also provide cervical cancer screening and referral services.  

Tuberculosis (TB)

m2m Mentor Mothers educate clients about the symptoms and risks of TB, especially for those living with HIV. They refer clients with symptoms for testing, and support those who test positive to follow and adhere to treatment. 

Orphans and Vulnerable Children and Adolescents (OVCA)

m2m’s presence in communities, means that we are able to identify vulnerable and at-risk adolescents—including those in household leadership positionsand support those young people to access any health care and social services they need. This includes providing HIV education, screenings for disease and violence, monitoring school attendance, supporting households to become stronger economically, and capacitating families and the broader communities to care for these young people.  

Our Impact

0.08%

of HIV-negative adolescent girls and young women (aged 10-24) enrolled in our programme between 2016 and 2019 contracted HIV.

81%

of  adolescents  (ages  15-24)  enrolled in m2m’s high-intensity pilot intervention had an understanding of  breastfeeding,  contraception,  and  sexually transmitted  infections,  compared  to  72% before  the  intervention.

402,616

adolescents (aged 10-19) were enrolled in m2m’s programme in 2021, a 51% increase from the previous year.

m2m is committed to ensuring that every child thrives, not just survives, by integrating services to protect and improve the health and development of infants and children, age 0-9, into our core programme. 

Services include:

Paediatric HIV Prevention, Care, and Treatment 

m2m is dedicated to preventing the transmission of HIV between mother and child, and has achieved virtually elimination for enrolled clients for eight consecutive years. In addition, m2m is tackling unacceptably low rates of testing and treatment among HIV-exposed children. We work in health centres and communities to identify all at risk children, and provide support and HIV testing services to them and their families. We ensure they are linked, initiated, and retained in care if they test positive. 

Reproductive, Maternal, Newborn, and Child Health (RMNCH)

m2m leverages our strong relationships with families to improve children’s health, becoming a trusted advisor and linking families to health centres for services to prevent and treat childhood illnesses. This includes providing nutrition education and offering locally-relevant advice, screening for malnutrition and making referrals as needed, providing information on water, hygiene and sanitation, and also delivering programmes to enhance access to immunisations. 

Early Childhood Development (ECD)

Mentor Mothers help to promote an environment of nurturing care and active development for young children by providing advice and support to their parents and caregivers on early learning stimulation, responsive and playful parenting, health, nutrition, water, sanitation, hygiene and safety. They also identify young children with disabilities and advocate for their care. 

Orphans and other Vulnerable Children (OVC)

m2m Case Coordinators provide dedicated OVC services, including early identification and comprehensive HIV care, treatment, and support. Case Coordinators work to keep OVCs safe by strengthening the provision of and linkage to child protection services that prevent or address sexual and gender-based violence, and increase school enrolment, attention and completion through linkage to early childhood development support and school support interventions. m2m also works to strengthen the stability of the household, by building family support, household economic security, and providing linkages to social protection. 

Malaria

m2m is seeking to address the unacceptably high number of malaria deaths among children by educating families about how to protect and prevent their children from contracting Malaria, and referring children with symptoms for further treatment and care. 

Our Impact

0.7%

– the rate of mother-to-child transmission of HIV among m2m enrolled clients in 2021. This is well below the benchmark of 5% that the UN defines as “virtual elimination.”

192,248

– the number children (ages 0-9) m2m reached in 2021.

99%* 

of our early childhood development clients (ages 0-9 months) achieved their developmental milestones at 12 months of age in 2021.

*Data from Ghana, Kenya, Malawi, South Africa, and Uganda—where we provide ECD services integrated into our RMNCH services.

m2m also works with special populations. This includes male partners of existing clients, as well as groups where there are high numbers of new HIV infections and additional health risks. This includes internally displaced people, and Key Populations such as men who have sex with men. 

Services include:

HIV Prevention, Care, and Treatment

m2m provides education, testing services, counselling, and support for Triple Elimination of HIV, Syphilis, and Hepatitis B for those who are at risk of contracting HIV and to those whose support and understanding is key to ensuring their family starts and stays on a path to better health. 

Tuberculosis

Mentor Mothers educate clients about the symptoms and risks of TB, especially for those living with HIV. They refer clients with symptoms for testing, and support those who test positive to follow and adhere to treatment.

Non-Communicable Diseases (NCDs)

Mentor Mothers educate and screen women and their families for NCDs such as Hypertension, Diabetes, and Cervical Cancer—referring them to health centres for clinical treatment, as needed. They also provide home-based support and measurement of key indicators such as blood pressure and blood sugar readings. 

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