1) Knowledge Learned
17 participants took part in the clinical test quiz. The targeted group was pregnant and breastfeeding women aged between 20-40 years. Participants who did not fit these criteria were excluded from the test.
All participants received group pre-ART counselling at their respective health facilities before starting treatment. Participants were not prepped before being given Test A. The five questions were based on a scenario where the participant’s friend was received a HIV positive diagnosis during her pregnancy and the respondent had to give advice to her. In Test B, the participants were asked the same questions with the addition of ‘What did you learn or remember?’ to assess if there was any change in responses after exposure to the film.
HIV Testing for Infant:
6 responses (35%) changed to answer this correctly in Test B
The main area of improvement was about taking their infant for HIV testing. In Test A, there were very few correct answers about how many times and when to take their infant for testing. In Test B, the 16 responses improved significantly to give the correct dates and times.
Emphasised no other food or liquids during exclusive breastfeeding: 6 responses (35%) changed to emphasise this point in Test B Although many respondents mentioned exclusive breastfeeding in their first test, there was a significant difference in the way they emphasised no other foods or liquids in Test B
6 responses (35%) changed to add about giving the infant Nevirapine in Test
Keep taking ART during initial side effects: 4 responses (23%) added to keep taking ART during side effects
Taking ART at the same time everyday: 4 responses (23%) changed to emphasise taking ART at the same time every day
Although the participants had all received pre-ART counselling as per MoH guidelines, there were still clear gaps in their PMTCT knowledge. Participants with primary or no education showed the greatest improvement in their Test B scores. After being exposed to the film, the most notable knowledge change concerned when to take the infant for HIV testing. The importance of this was clearly emphasised in the film, where ‘Sister Teleza’ visually shows the dates for testing. In this way, the information seems to have been absorbed more effectively.
We corrected the voice-over for the section where ‘Sister Teleza’ stated “no other food or water” – this was changed to “no other food or liquids” with examples after advice from the Advisory Group. This was an important correction as although many of the women were familiar with the concept of exclusive breastfeeding; they recognized the brand names (e.g. Yogi and Sobo) within the information about no other liquids. This was notably emphasised in their Test B.
Many respondents knew that their infant should be given medication after birth, but few could name the medicine. After being exposed to the film, the name for the medication; Nevirapine, became a significant addition to their responses.
Overall, the responses expanded in Test B with emphasis on the importance of taking ART everyday, on time, throughout side effects and lifelong. These messages had planned emphasis in the script and were repeated throughout ‘Sister Teleza’s’ advice.