Analyzes factors leading to lapses in adherence with antiretroviral therapy, as well as the role of community health workers in helping patients resume treatment.
Abstract available on Taylor and Francis website. (You may need to purchase the full text article.)
This qualitative study examines the impact of stigma on the uptake of support services for children diagnosed with HIV in Zimbabwe. Community health workers adapted their approaches to home visits to accommodate patients’ resistance and fear of stigma.
An article from the American Journal of Public Health. Among individuals living with HIV who are released from prisons and jails each year, up to 95% experience a gap in services. This study examines the impact of patient navigation on access to care for this population. Based on study findings, the authors recommend standardizing this approach.
An article from the Journal of the International AIDS Society illustrating the potential and challenges of peer navigation for HIV treatment services for key populations. Calls for better understanding of the impact of such work on peer navigators themselves, as well as the cost effectiveness of peer navigation and an expansion of community-based services for key populations.
Describes the implementation of an HIV treatment and prevention program based in an HIV hot spot fishing community in Uganda. Community residents employed motivational interviewing techniques as well as mobile phone based counseling strategies to encourage treatment adherence.
A review of literature addressing the use of community health worker interventions in addressing psychosocial outcomes among people living with HIV. Analyzes the roles played by CHWs in interventions, outcomes of interest (depression, stigma, self-efficacy, and social support), and offers recommendations for future research.
A literature review examining CHW interventions intended to improve psychosocial outcomes among indivduals living with HIV. The review analyzes the type and scope of interventions used, as well as protocol fidelity.
An article from CHW Central presenting a framework for defining and assessing harmonization of CHW interventions for HIV. In defining harmonization, the authors emphasize coordination among stakeholders, integrating CHW interventions into the larger health system, and promoting CHW program sustainability.
A randomized controlled trial evaluating the impact of a community health worker intervention in Ethiopia. Participants were newly diagnosed patients with HIV, who were assigned a community health worker to help ensure continuity of care and prevent treatment disctontinuation. Describes challenges faced in implementation, and adaptations necessary in a low-resource setting.
An article drawing on the experiences of community health workers in South Africa’s HIV/AIDS treatment programme. Offers insights regarding stresses and succeses of the program, CHW engagement, and challenges in integrating CHWs into the health care system.