An evaluation of the impact of a community-based adherence support programme on ART outcomes in selected government HIV treatment sites in South Africa

Igumbor, Jude; Scheepers, Esca; Ebrahim, R. A.; Jason, A; Grimwood, Ashraf

doi:10.1080/09540121.2010.498909

Cited by 62 publications

(61 citation statements)

References 19 publications

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“…The assistance of the health worker in disclosing their status will help improving their confidence and lessening the myths around HIV and ART (Igumbor et al, 2011;Chang et al, 2010;Kipp et al, 2012 andZachariah et al, 2007). Mwai et al, (2013) finds that material and service supports in the form of food, medicine, condom distribution, ART and cotrimoxale deliveries, laboratories samples management, accompaniment to the clinic, registering, measuring and checking vital signs, RT effect monitoring, HIV development monitoring, personal care in cleaning wounds and getting dressed, training and jobs support amd screening is very much needed by PLWHA.…”

Section: The Effect Of Family Supportmentioning

confidence: 99%

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Adita

Demartoto

Pamungkasari

2017

J HEALTH PROMOT BEHAV

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Background: HIV or Human Immunodeficiency Virus is a virus that infects white blood cells so the person's immunity declining thus causing it to become AIDS. HIV/AIDS countermeasure is far more effectively done by people living with HIV/AIDS (PLWHA) accompanied by good attitude and peer support, family, and health workers, Regional AIDS Countermeasure Commission, perceived behavioral control, and positive intention. The study aimed to analyze factors affecting the attitude in HIV/AIDS countermeasure on PLWHA in Solo Plus Peer Support Group (PSG) Surakarta with theory of planned behavior application. Subjects and Methods: The study design was analytic observational with cross sectional study approach. The location of the study was Solo Plus Peer Support Group Surakarta. Time of study was from January-February 2017. There was a total of 100 PLWHA as the sample, and the study employed purposive sampling technique. The dependent variable was the attitude towards HIV/AIDS countermeasure. The independent variables were the attitude, peer, family, health workers, Regional AIDS Countermeasure Commission support, perceived behavioral control and their intention. The variables were measured with questionnaires. Data analysis technique used was path analysis. Results: HIV/AIDS countermeasure attitude affected by intention(b=0.27; SE=0.10; p=0.012), peer support (b=0.26; SE=0.14, p= 0.066), AIDS Countermeasure Commission support (b=0.10; SE=0.10; p= 0.321), health workers support (b= 0.25, SE= 0.14, p= 0.073) and perceived behavioral control (b=0.23; SE=0.13; p=0.065). Intention affected by attitude (b=0.28; SE=0.15; p=0.059), peer support (b=0.29; SE= 0.13; p= 0.026), family support (b=0.16; SE=0.09, p= 0.090) and perceived behavioral control (b=0.21; SE= 0.11; p= 0.090). Conclusion: HIV/ AIDS countermeasure behavior was very much affected by the intention, peer support, AIDS Countermeasure Commission support, health worker support, and perceived behavioral control. Their intention was affected by attitude, peer support, family support, and perceived behavioral control.

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Section: The Effect Of Family Supportmentioning

confidence: 99%

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Adita

Demartoto

Pamungkasari

2017

J HEALTH PROMOT BEHAV

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“…The same intervention decreased virologic failure rates at and after 96 weeks into ART (Chang et al 2010). Positive benefits on retention in HIV care were also reported in quasi-experimental studies of CHW use in Zambia (Torpey et al 2008), South Africa (Igumbor et al 2011) and Malawi (Zachariah et al 2007). …”

Section: Theory Of Changementioning

confidence: 65%

“…In the South African study, ART patients with CHW adherence support had higher treatment pick-up rates (95% versus 67%, p = 0.02) and were more likely to have a suppressed viral load after six months of treatment (70% versus 30%, p < 0.01) (Igumbor et al 2011). In addition, a home-based HIV care strategy in Uganda using lay health workers was found to be as effective as a clinic-based strategy on viral suppression after six months of ART (Jaffar et al 2009).…”

Section: Theory Of Changementioning

confidence: 99%

Evaluating the impact of community health worker integration into prevention of mother-to-child transmission of HIV services in Tanzania

Nance¹,

McCoy²,

Ngilangwa³

et al. 2017

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The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programs. We are the global leader in funding, producing and synthesizing high-quality evidence of what works, for whom, why and at what cost. We believe that high-quality and policy-relevant evidence will help make development more effective and improve people's lives. 3ie impact evaluations3ie-supported impact evaluations assess the difference a development intervention has made to social and economic outcomes. 3ie is committed to funding rigorous evaluations that include a theory-based design, use the most appropriate mix of methods to capture outcomes and are useful in complex development contexts. About this report3ie accepted the final version of this report, Evaluating the impact of community health worker integration into prevention of mother-to-child transmission of HIV services in Tanzania, as partial fulfilment of the requirements of grant TW7.18 issued under Thematic Window 7. The content has been copy-edited and formatted for publication by 3ie. Some of the content does not conform to the series report norms or standards, but has been accepted as is. All of the content is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its board of commissioners. Any errors and omissions are the sole responsibility of the authors. Any comments or queries should be directed to the corresponding author, Sandra I McCoy, smccoy@berkeley.edu. AcknowledgementsThe authors would first and foremost like to extend our gratitude toward 3ie for funding this evaluation. We would like to thank the Ministry of Health and Social Welfare of Tanzania, and in particular the Shinyanga Regional Medical Officer Dr Ntuli Kapologwe; without their support, this project would not have been possible.We would also like to thank administrative and research staff at Amref Health Africa and University of California, Berkeley, whose collaboration on the project has been essential. We thank Karen Webb and Barbara Engelsmann at the Organisation for Public Health Interventions and Development in Zimbabwe. Lastly, but most importantly, we are thankful to the health facility staff and other local stakeholders who supported this project, and to the research assistants and the impact evaluation field coordinator who collected the data showcased here.ii Summary Community health workers are key frontline health paraprofessionals who have the potential to enhance the World Health Organization's Option B+ strategy to eliminate mother-to-child transmission of HIV. By extending the reach of health services into communities facing a shortage of skilled health workers, community health workers may enhance retention in prevention of mother-to-child transmission (PMTCT) services, including HIV care and adherence to antiretroviral therapy.To test this hypothesis, we evaluated the Mama na Mtoto Pamoja (Mother and Child Together) intervention that integrated community healt...

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“…This often comprises nonclinical, community-based services such as, but not limited to, spiritual, legal and economic support. While psychological care and support can come from staff at the health facility treating the patient, several studies have demonstrated that support is more effective when coming from a focused, on-going program in the community where the patient resides [6]- [9].…”

Section: Introductionmentioning

confidence: 99%

Do Community-Based Programs Help to Improve HIV Treatment and Health Outcomes? A Review of the Literature

Amanyeiwe¹,

Leclerc‐Madlala²,

Gardi³

2014

WJA

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Increased availability of antiretroviral treatment for HIV makes the goal of universal access attainable. However, in most resource constrained settings where existing health systems are largely dysfunctional, major barriers to achieving this goal remain. While treatments with antiretroviral drugs (ART) are the focal point of HIV management, it is increasingly recognized that ART alone will not be sufficient to adequately deal with the lifelong consequences of the disease. In addition, the current global economic downturn will continue to impact on funding for HIV care and support, making the search for sustainable solutions more urgent. This article reviews the current evidence base on the impact of community-based programs on HIV/AIDS treatment and general health outcomes, as well as their contribution to ensuring sustained care for HIV-positive people. Our findings suggest that these programs overall have a positive impact on various dimensions of HIV treatment and care, and make a significant contribution to health and HIV outcomes. The authors argue that better use of community platforms for HIV treatment and care programs could be critical for attaining desired goals and should be prioritized at all levels of program design, implementation, and monitoring and evaluation.

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An evaluation of the impact of a community-based adherence support programme on ART outcomes in selected government HIV treatment sites in South Africa

Cited by 62 publications

References 19 publications

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Evaluating the impact of community health worker integration into prevention of mother-to-child transmission of HIV services in Tanzania

Do Community-Based Programs Help to Improve HIV Treatment and Health Outcomes? A Review of the Literature

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