title: Matching social support to individual needs: a community-based intervention to improve HIV treatment adherence in a resource-poor setting.
abstract: 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.
authors.affiliation: Socios En Salud Sucursal Perú, Lima, Peru.
authors.forename: Maribel
authors.initials: M
authors.lastname: Muñoz
authors.forename: Jaime
authors.initials: J
authors.lastname: Bayona
authors.forename: Eduardo
authors.initials: E
authors.lastname: Sanchez
authors.forename: Jorge
authors.initials: J
authors.lastname: Arevalo
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Sebastian
authors.forename: Fernando
authors.initials: F
authors.lastname: Arteaga
authors.forename: Dalia
authors.initials: D
authors.lastname: Guerra
authors.forename: Jhon
authors.initials: J
authors.lastname: Zeladita
authors.forename: Betty
authors.initials: B
authors.lastname: Espiritu
authors.forename: Milagros
authors.initials: M
authors.lastname: Wong
authors.forename: Adolfo
authors.initials: A
authors.lastname: Caldas
authors.forename: Sonya
authors.initials: S
authors.lastname: Shin
mesh_terms: 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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