A case-study of OVC Case Management through the Zambia Family (ZAMFAM) project

Phiri, Lyson; Mulenga, Drosin; Choka, Nancy; Brander, Caila; Chelwa, Nachela; Kayeyi, Nkomba

doi:10.31899/hiv12.1010

Cited by 2 publications

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“…A hot meal and transport fees are provided. As of December 2019, 54 Kids Clubs had been established at 24 hospital locations throughout the country [29]. We conducted a retrospective case study of the program to better understand program rollout, participants' engagement with the clubs, and the program's contributions to members' ART adherence, viral suppression, and other well-being outcomes.…”

Section: Introductionmentioning

confidence: 99%

Importance of support groups to the health and well-being of vulnerable children and young people living with HIV: a case study of the Kids Clubs program in Haiti

Settergren

Robert

Louis

et al. 2021

BMC Health Serv Res

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Background Although access to antiretroviral therapy (ART) among children and young people living with HIV has increased in recent years, adherence to medication and viral suppression remain challenges. Evidence of benefits of support groups is growing and reflects a range of models and approaches. Since 2014, hospital-linked psychosocial support groups for children and young people living with HIV, known as Kids Clubs, have been established throughout Haiti. The program provides safe spaces for them to meet with peers, supports medication adherence, delivers health and life skills education, and facilitates linkages with clinic visits and social services. This study describes program enrollment and participant engagement, ART adherence and viral suppression among participants, and other outcomes attributed to the program by participants, caregivers, and program implementers. Methods Our mixed methods study included quantitative analysis of program monitoring data on rollout and attendance, and medication adherence and viral load results extracted from medical records. We collected qualitative data from club members, caregivers, and implementers about their experiences with the clubs and the impact of participation. Results From January 2014–December 2018, 1330 individuals aged 8–29 were enrolled in the program; over three-quarters participated for at least 12 months. In 2018, 1038 members attended at least one club meeting; more than half missed three or fewer monthly meetings. Three-quarters of ever-enrolled members reported consistent medication use at their most recent clinic visit; 64.2% (600/935) of those with a recent viral load test were virally suppressed. Level of club attendance was positively associated with ART adherence (p < 0.01) and viral suppression (p < 0.05). Club members, caregivers, and implementers noted the value of the clubs to participants’ retention in care and medication adherence, health knowledge, and capacity to deal with peer pressure, stigma, shyness, and depression. Conclusions The Kids Club program has been successful in scaling HIV support services to highly vulnerable children and young people through peer-based groups, and program participation has led to a range of benefits. Efforts to innovate, evaluate, and scale support strategies for vulnerable young populations must be accelerated in order to ensure that they survive, thrive, and reach their full potential.

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Section: Introductionmentioning

confidence: 99%

Importance of support groups to the health and well-being of vulnerable children and young people living with HIV: a case study of the Kids Clubs program in Haiti

Settergren

Robert

Louis

et al. 2021

BMC Health Serv Res

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“…Case Management should help children and families affected by HIV to build resilience and meet their health, safety, economic, and educational needs. Although previous studies by Phiri et al (2020) and4Children (2019) found a significant association between case management and resilience of vulnerable groups in Zambia and Nigeria respectfully, the two studies did not show how resilience is built and was not specific to adolescents living with HIV as a particular group. In Kenya, the lack of resilience among adolescents living with HIV is evidenced by the increase in new HIV infections, poor viral suppression, risky behaviours, school interruption, and mental health issues (NASCOP, 2020;KENPHIA, 2018).…”

Section: Statement Of the Problemmentioning

confidence: 60%

Case Management and Resilience of Adolescents Living With Hiv in Kibra Sub-County, Nairobi City County, Kenya

Mwamba

Norvy

Muhingi

2022

JAS

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Purpose: This study sought to examine the influence of case management on the resilience of adolescents living with HIV in Kibra Sub-County, Nairobi, Kenya. Mainly, the study aimed to assess the effect of the healthy domain, safe domain, schooled domain, and stable domain interventions on the resilience of adolescents living with HIV in Kibra Sub-County. Methodology: The study was anchored on Resilience Theory, Empowerment Theory, and Case Management Model and adopted a cross-sectional descriptive design. The study used a sample size of 165 adolescents living with HIV aged between 10-19 years and 16 key informants. A stratified sampling technique was used to select adolescents living with HIV, while key informants were selected through a purposive sampling technique. The study used questionnaires and interview guides to collect data. Findings: It is observed that case management interventions explained 80.0% of the resilience of adolescents living with HIV. More importantly, the study found that healthy domain, safe domain, schooled domain, and stable domain interventions had a positive and significant effect on the resilience of adolescents living with HIV in Kibra Sub-County. The case management interventions contributed significantly to the resilience of adolescents living with HIV in informal settlements. The most significant predictor of resilience was stable domain interventions, followed by schooled domain interventions, safe domain interventions, and healthy domain interventions. Unique contribution to theory, practice and policy: The study recommends that organizations or facilities dealing with adolescents living with HIV need to strengthen health education training, viral load monitoring, assisted disclosure, and follow-ups and bolster basic counselling, enhanced adherence counseling, and life-skill training. They should also support needy adolescents with sanitary pads and school fees/levies, monitor school attendance, provide relief food support to families experiencing emergencies, and provide career guidance and business and vocational/technical training. The findings contribute significantly to project management since all development projects aim to build the resilience of beneficiaries and enable them to become self-reliant. In order to support the findings that successful case management contributes to higher resilience and improved wellbeing, the researcher invites more research to identify other variables under case management intervention.

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A case-study of OVC Case Management through the Zambia Family (ZAMFAM) project

Cited by 2 publications

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Importance of support groups to the health and well-being of vulnerable children and young people living with HIV: a case study of the Kids Clubs program in Haiti

Importance of support groups to the health and well-being of vulnerable children and young people living with HIV: a case study of the Kids Clubs program in Haiti

Case Management and Resilience of Adolescents Living With Hiv in Kibra Sub-County, Nairobi City County, Kenya

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