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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Design and Implementation of a Community Health Worker HIV Treatment and Prevention Intervention in an HIV Hot Spot Fishing Community in Rakai, Uganda

TitleDesign and Implementation of a Community Health Worker HIV Treatment and Prevention Intervention in an HIV Hot Spot Fishing Community in Rakai, Uganda
Publication TypeJournal Article
Year of Publication2017
AuthorsLong, A, Mbabali, I, Hutton, HE, Thomas, AG, Bugos, E, Mulamba, J, Amico, KR, Nalugoda, F, Gray, RH, Wawer, MJ, Nakigozi, G, Chang, LW
JournalJ Int Assoc Provid AIDS Care
Pagination2325957417709089
Date PublishedJan 01
ISBN Number2325-9574
Accession Number28528560
KeywordsAntiretroviral therapy, Community Health Workers, HIV, mHealth, motivational interviewing
Abstract

Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled. A directly observed Motivational Interviewing Treatment Integrity scale-based evaluation found adequate performance (median score 20/25, range 11-23). The health scout intervention was feasible to implement in a high HIV-prevalence fishing community, and its impact on HIV care outcomes will be evaluated in an ongoing cluster randomized trial. If found to be effective, it may be an important strategy for responding to HIV in high-burden settings.