Matching Social Support to Individual Needs: A Community- Based Intervention to Improve HIV Treatment Adherence in a Resource-Poor Setting
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Maribel Mun˜oz Jaime Bayona Eduardo Sanchez Jorge Arevalo Jose Luis Sebastian Fernando Arteaga Dalia Guerra Jhon Zeladita Betty Espi
- چاپ و سال / کشور: 2010
Description
From December 2005 to April 2007, we enrolled 60 adults starting antiretroviral therapy (ART) in Lima, Peru to receive community-based accompaniment with supervised antiretrovirals (CASA), consisting of 12 months of DOT-HAART, as well as microfinance assistance and/or psychosocial support group according to individuals’ need. We matched 60 controls from a neighboring district, and assessed final clinical and psychosocial outcomes at 24 months. CASA support was associated with higher rates of virologic suppression and lower mortality. A comprehensive, tailored adherence intervention in the form of community-based DOT-HAART and matched economic and psychosocial support is both feasible and effective for certain individuals in resource-poor settings.
DOI 10.1007/s10461-010-9697-9
