Mixed-Methods Evaluation of a Novel, Structured, Community-Based Support and Education Intervention for Individuals with HIV/AIDS in KwaZulu-Natal, South Africa.

Journal: AIDS and behavior

Volume: 20

Issue: 9

Year of Publication: 2017

Affiliated Institutions:  Department of Global Health, University of Washington, Ninth and Jefferson Building, th Floor, Jefferson Street, Box , Seattle, WA, , USA. kempc@uw.edu. PATH, Westlake Ave #, Seattle, WA, , USA. SaveAct, Jabu Ndlovu St, Pietermaritzburg, , South Africa. Department of Global Health, University of Washington, Ninth and Jefferson Building, th Floor, Jefferson Street, Box , Seattle, WA, , USA.

Abstract summary 

People living with HIV in Sub-Saharan Africa face significant challenges accessing care. Community-based peer support groups can increase linkage to treatment, though the effectiveness of structured, scalable groups has not been demonstrated. This study aimed to measure the impact of the structured Integrated Access to Care and Treatment intervention on clients' knowledge, attitudes, and practice regarding HIV/AIDS, including their experiences of stigma, in KwaZulu-Natal, South Africa. Data collection involved pre-/post-tests and client interviews. Pre-/post-test data from 66 clients were collected. 17 participants were interviewed. Paired t-tests did not detect significant changes in the main outcomes. Qualitative results suggested a psychosocial benefit as participants connected with their peers, expressed themselves openly, and re-engaged with their communities. Unfortunately, this study did not quantitatively measure psychosocial changes, and the results have limited generalizability to men. I ACT may be an effective complement to clinic-based support services, though further study should quantify the psychosocial benefit.

Authors & Co-authors:  Kemp Christopher C Gerth-Guyette Emily E Dube Lungile L Andrasik Michele M Rao Deepa D

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1007/s10461-016-1386-x
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Evaluation;HIV/AIDS;Mental health;South Africa;Support group
Study Design
Cross Sectional Study
Study Approach
Quantitative,Qualitative
Country of Study
South Africa
Publication Country
United States