Matching social support to individual needs: a community-based intervention to improve HIV treatment adherence in a resource-poor setting.
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.
Muñoz
Maribel
M
Socios En Salud Sucursal Perú, Lima, Peru.
Bayona
Jaime
J
Sanchez
Eduardo
E
Arevalo
Jorge
J
Sebastian
Jose Luis
JL
Arteaga
Fernando
F
Guerra
Dalia
D
Zeladita
Jhon
J
Espiritu
Betty
B
Wong
Milagros
M
Caldas
Adolfo
A
Shin
Sonya
S
D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D016022:Case-Control Studies; D003153:Community Health Services / Q000458:organization & administration; D055812:Community-Based Participatory Research; D023801:Directly Observed Therapy; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010379:Peer Group; D010568:Peru; D011204:Poverty Areas; D012944:Social Support; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult
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