A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients

A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients

Access to antiretroviral treatment has expanded rapidly in South Africa, making it the country in the world with the largest treatment program. As antiretroviral treatment coverage continues to rise in resource-constrained settings, effective commu...

Full description

Bibliographic Details
Main Authors: Booysen, Frederik, de Walque, Damien, Over, Mead, Hashimoto, Satoko, de Reuck, Chantell
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2016
Subjects:
HIV
AIDS
health
nutrition
randomized control trials
antiretroviral treatment
Online Access:http://documents.worldbank.org/curated/en/2016/07/26589283/randomized-control-trial-peer-adherence-nutritional-support-program-public-sector-antiretroviral-patients
http://hdl.handle.net/10986/24841
id okr-10986-24841
recordtype oai_dc
spelling okr-10986-248412021-04-23T14:04:27Z A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients Booysen, Frederik de Walque, Damien Over, Mead Hashimoto, Satoko de Reuck, Chantell HIV AIDS health nutrition randomized control trials antiretroviral treatment Access to antiretroviral treatment has expanded rapidly in South Africa, making it the country in the world with the largest treatment program. As antiretroviral treatment coverage continues to rise in resource-constrained settings, effective community-based adherence support interventions are of central importance in ensuring the long-term sustainability of treatment. This paper reports the findings from a randomized control trial of a peer adherence and nutritional support program implemented in a public health care setting in South Africa's antiretroviral treatment program. The analysis assesses the impact of these peer adherence and nutritional support interventions on self-reported adherence, timeliness of clinic and hospital visits, and immunologic response to antiretroviral treatment. Peer adherence and nutritional support improved the timeliness of adults´ clinic and hospital visits for routine follow-up while on antiretroviral treatment. Peer adherence support impacted positively on immunologic response to antiretroviral treatment. Scale-up of effective and sustainable community-based, peer-driven adherence and nutritional support interventions should form part of the United Nations AIDS Treatment 2.0 strategy's community mobilization and health system strengthening pillar. 2016-08-09T19:49:10Z 2016-08-09T19:49:10Z 2016-07 Working Paper http://documents.worldbank.org/curated/en/2016/07/26589283/randomized-control-trial-peer-adherence-nutritional-support-program-public-sector-antiretroviral-patients http://hdl.handle.net/10986/24841 English en_US Policy Research Working Paper;No. 7760 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa South Africa
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic HIV
AIDS
health
nutrition
randomized control trials
antiretroviral treatment
spellingShingle HIV
AIDS
health
nutrition
randomized control trials
antiretroviral treatment
Booysen, Frederik
de Walque, Damien
Over, Mead
Hashimoto, Satoko
de Reuck, Chantell
A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
geographic_facet Africa
South Africa
relation Policy Research Working Paper;No. 7760
description Access to antiretroviral treatment has expanded rapidly in South Africa, making it the country in the world with the largest treatment program. As antiretroviral treatment coverage continues to rise in resource-constrained settings, effective community-based adherence support interventions are of central importance in ensuring the long-term sustainability of treatment. This paper reports the findings from a randomized control trial of a peer adherence and nutritional support program implemented in a public health care setting in South Africa's antiretroviral treatment program. The analysis assesses the impact of these peer adherence and nutritional support interventions on self-reported adherence, timeliness of clinic and hospital visits, and immunologic response to antiretroviral treatment. Peer adherence and nutritional support improved the timeliness of adults´ clinic and hospital visits for routine follow-up while on antiretroviral treatment. Peer adherence support impacted positively on immunologic response to antiretroviral treatment. Scale-up of effective and sustainable community-based, peer-driven adherence and nutritional support interventions should form part of the United Nations AIDS Treatment 2.0 strategy's community mobilization and health system strengthening pillar.
format Working Paper
author Booysen, Frederik
de Walque, Damien
Over, Mead
Hashimoto, Satoko
de Reuck, Chantell
author_facet Booysen, Frederik
de Walque, Damien
Over, Mead
Hashimoto, Satoko
de Reuck, Chantell
author_sort Booysen, Frederik
title A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
title_short A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
title_full A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
title_fullStr A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
title_full_unstemmed A Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
title_sort randomized control trial of a peer adherence and nutritional support program for public sector antiretroviral patients
publisher World Bank, Washington, DC
publishDate 2016
url http://documents.worldbank.org/curated/en/2016/07/26589283/randomized-control-trial-peer-adherence-nutritional-support-program-public-sector-antiretroviral-patients
http://hdl.handle.net/10986/24841
_version_ 1764457795520823296

Similar Items