Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda

Rich, Michael; Miller, Ann C.; Niyigena, Peter; Franke, Molly F.; Niyonzima, Jean Bosco; Socci, A.; Drobac, Peter; Hakizamungu, Massudi; Mayfield, Alishya; Ruhayisha, Robert; Epino, Henry; Stulac, Sara; Cancedda, Corrado; Karamaga, Adolph; Niyonzima, Saleh; Yarbrough, Chase; Fleming, Julia; Amoroso, Cheryl; Mukherjee, Joia S.; Murray, Megan; Farmer, Paul; Binagwaho, Agnès

doi:10.1097/qai.0b013e31824476c4

Cited by 156 publications

(133 citation statements)

References 25 publications

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“…These improve the quality of life, dignity, sense of belonging, and reducing stigma. TB directives and therapies, diarrhea, malaria, side effect education, opportunistic infections, social supports, increased revenue by doing some gardening, and making friendship improve the health of PLWHA (Rich et al, 2012dan Simon et al, 2009.…”

Section: The Effect Of Family Supportmentioning

confidence: 99%

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Adita

Demartoto

Pamungkasari

2017

J HEALTH PROMOT BEHAV

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Background: HIV or Human Immunodeficiency Virus is a virus that infects white blood cells so the person's immunity declining thus causing it to become AIDS. HIV/AIDS countermeasure is far more effectively done by people living with HIV/AIDS (PLWHA) accompanied by good attitude and peer support, family, and health workers, Regional AIDS Countermeasure Commission, perceived behavioral control, and positive intention. The study aimed to analyze factors affecting the attitude in HIV/AIDS countermeasure on PLWHA in Solo Plus Peer Support Group (PSG) Surakarta with theory of planned behavior application. Subjects and Methods: The study design was analytic observational with cross sectional study approach. The location of the study was Solo Plus Peer Support Group Surakarta. Time of study was from January-February 2017. There was a total of 100 PLWHA as the sample, and the study employed purposive sampling technique. The dependent variable was the attitude towards HIV/AIDS countermeasure. The independent variables were the attitude, peer, family, health workers, Regional AIDS Countermeasure Commission support, perceived behavioral control and their intention. The variables were measured with questionnaires. Data analysis technique used was path analysis. Results: HIV/AIDS countermeasure attitude affected by intention(b=0.27; SE=0.10; p=0.012), peer support (b=0.26; SE=0.14, p= 0.066), AIDS Countermeasure Commission support (b=0.10; SE=0.10; p= 0.321), health workers support (b= 0.25, SE= 0.14, p= 0.073) and perceived behavioral control (b=0.23; SE=0.13; p=0.065). Intention affected by attitude (b=0.28; SE=0.15; p=0.059), peer support (b=0.29; SE= 0.13; p= 0.026), family support (b=0.16; SE=0.09, p= 0.090) and perceived behavioral control (b=0.21; SE= 0.11; p= 0.090). Conclusion: HIV/ AIDS countermeasure behavior was very much affected by the intention, peer support, AIDS Countermeasure Commission support, health worker support, and perceived behavioral control. Their intention was affected by attitude, peer support, family support, and perceived behavioral control.

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Section: The Effect Of Family Supportmentioning

confidence: 99%

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Adita

Demartoto

Pamungkasari

2017

J HEALTH PROMOT BEHAV

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“…This proportion declined over time, consistent with trends observed in HIV programmes in Mozambique, South Africa, Rwanda, and East Africa. 7,13,[15][16][17] These findings provide evidence for the effectiveness of our programme in reaching and enrolling HIV-infected individuals at earlier stages of disease. In addition, as the programme matured, the number of enrolled clients increased annually until 2012, possibly reflecting improved access to our services, and increased To compare the distribution of study characteristics for participants by year, we employ Kruskal-Wallis tests.…”

Section: Discussionmentioning

confidence: 92%

Enrolment trends in a comprehensive HIV programme in rural north-central Nigeria: improved care indices, but declining quality of clinical data over time

Aliyu

Blevins

Arinze

et al. 2015

Pathogens and Global Health

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“…For example, in rural Rwanda, intensive community-based support for HIV treatment, which included such features as free antiretroviral therapy, daily visits from community health workers, a monthly food package, a transportation allowance, and the availability of patient support groups, resulted in 92 percent of patients remaining on treatment during a two-year period, with few deaths and excellent clinical outcomes. 18 Optimizing HIV Therapy Alongside efforts to expand HIV testing and improve the continuum of HIV care, researchers are working to identify ways to improve antiretroviral drugs and the provision of antiretroviral therapy. For example, trials are under way to study longer-acting formulations of drugs that might be given monthly or even less frequently, to minimize the number of doses a patient must take.…”

Section: Hiv Testing and The Continuum Of Carementioning

confidence: 99%

The World Must Build On Three Decades Of Scientific Advances To Enable A New Generation To Live Free Of HIV/AIDS

Fauci

Folkers

2012

Health Affairs

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The extraordinary scientific advances made in the past three decades to understand, treat, and prevent HIV infection have contributed to the hope that a world free of AIDS is achievable. The growing armamentarium of scientifically proven interventions-including the use of antiretroviral medications to treat and prevent HIV infection, voluntary medical male circumcision, education and counseling about HIV risk and behavior change, condom use, drug and alcohol treatment, and needle exchange programs for injection drug users-offers an unprecedented opportunity to make major gains in the fight against HIV/AIDS. Combining and implementing these interventions as effectively as possible has the potential to dramatically change the trajectory of the HIV/AIDS pandemic. Substantive challenges remain, especially obtaining sufficient funding for HIV-related interventions and developing the operational capacity to deliver them cost-effectively to all in need. If these challenges can be met, the world will have a clear path toward an "AIDS-free generation" in which new HIV infections, as well as illness and death due to AIDS, are increasingly rare.

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Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda

Cited by 156 publications

References 25 publications

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta

Enrolment trends in a comprehensive HIV programme in rural north-central Nigeria: improved care indices, but declining quality of clinical data over time

The World Must Build On Three Decades Of Scientific Advances To Enable A New Generation To Live Free Of HIV/AIDS

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