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Matching Social Support to Individual Needs: A Community-Based Intervention to Improve HIV Treatment Adherence in a Resource-Poor Setting |
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| Authors: | Maribel Mu?oz Jaime Bayona Eduardo Sanchez Jorge Arevalo Jose Luis Sebastian Fernando Arteaga Dalia Guerra Jhon Zeladita Betty Espiritu Milagros Wong Adolfo Caldas Sonya Shin |
| Institution: | 1. Socios En Salud Sucursal Per??, Lima, Peru 2. Hospital Nacional Hip??lito Unanue, Lima, Peru 3. Hospital Dos de Mayo, Lima, Peru 4. Peruvian HIV Program, Ministerio de Salud, Lima, Peru 5. Division of Global Health Equity, Brigham and Women??s Hospital, FXB Building, 7th Floor, 651 Huntington Avenue, Boston, MA, 02115, USA 6. Harvard Medical School, Boston, MA, USA |
| 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. |
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