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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Effectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization Among Pre-antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: A Randomized Trial

TitleEffectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization Among Pre-antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: A Randomized Trial
Publication TypeJournal Article
Year of Publication2015
AuthorsChang, LW, Nakigozi, G, Billioux, VG, Gray, RH, Serwadda, D, Quinn, TC, Wawer, MJ, Bollinger, RC, Reynolds, SJ
JournalAIDS Behav
Volume19
Pagination1742-51
Date PublishedOct
ISBN Number1090-7165
Accession Number26271815
Keywordsimplementation science, Linkage, Peer support, randomized controlled trial, Sexual and Reproductive Health, Uganda
Abstract

442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62 % reported previously visiting an HIV clinic, 45 % reported taking cotrimoxazole prophylaxis, and 31 % were "care-naive" (no previous clinic visit and not on cotrimoxazole). After 1 year, intervention participants were more likely to report being in care (92 vs 84 %; PRR 1.09, p = 0.039), on cotrimoxazole (89 vs 81 %; PRR 1.10, p = 0.047), and safe water vessel adherence (23 vs 14 %; PRR 1.64, p = 0.024). The effect was observed only among care-naive participants (n = 139) with 83 % intervention versus 56 % controls reporting being in HIV care (PRR 1.47, p = 0.006), 78 versus 58 % on cotrimoxazole (PRR 1.35, p = 0.04), and 20 versus 4 % safe water vessel adherence (PRR 5.78, p = 0.017). Peer support may be an effective intervention to facilitate pre-ART care compliance in this important population.

PMCID

Pmc4567424