We piloted a community-based intervention to improve outcomes among adolescents living with HIV who were transitioning to adult-oriented care in Lima, Peru. We assessed feasibility and potential effectiveness, including within-person changes in self-reported adherence, psychosocial metrics (NIH Toolbox), and transition readiness (“Am I on TRAC” questionnaire, “Got Transition” checklist). From October 2019 to January 2020, we enrolled 30 adolescents (15–21 years). The nine-month intervention consisted of logistical, adherence and social support delivered by entry-level health workers and group sessions to improve health-related knowledge and skills and social support. In transition readiness, we observed within-person improvements relative to baseline. We also observed strong evidence of improvements in adherence, social support, self-efficacy, and stress, which were generally sustained three months post-intervention. All participants remained in treatment after 12 months. The intervention was feasible and potentially effective for bridging the transition to adult HIV care. A large-scale evaluation, including biological endpoints, is warranted.
This research analyzes the influence of management control on the public value that is generated in the services dependent on the Ministry of Economy, Development and Tourism of Chile. Surveys with a sample size of 375 officials were applied, using a Likert-type polytomous scale. The results are analyzed by the structural equations method based on partial least squares. The creation of public value is explained in 32.5% by the direct relationship with the achievement of challenging results, which, at the same time, depends significantly on the development of competencies, management focused on the management control, allocation of rewards and a culture of continuous improvement. Thus, the systemic management of these variables will promote the creation of public value, where management control will allow public decision makers to know and proactively learn, according to what is happening at all times, in the processes considered critical for the organization.
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