Design and Implementation of a Community Health Worker HIV Treatment and Prevention Intervention in an HIV Hot Spot Fishing Community in Rakai, Uganda

Journal of the International Association of Providers of AIDS Care
Amanda LongLarry W Chang

Abstract

Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled. A directly observed Motivational Interviewing Treatment Integrity scale-based evaluation found adequate performance (median score 20/25, range 11-23). The health scout intervention was feasible to implement in a high HIV-prevalence fishing community, and its impact on HIV care outcomes will be evaluated in an ongoing cluster randomized trial. If found to be effective, it may be an important strategy for responding to HIV in high-burden settings.

References

Feb 23, 2005·Journal of Substance Abuse Treatment·Theresa B MoyersWilliam R Miller
Dec 21, 2013·Current Opinion in HIV and AIDS·Frank TanserTill Bärnighausen
May 10, 2015·BMJ : British Medical Journal·Kirsty LoudonMerrick Zwarenstein

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Citations

Jul 26, 2019·Current Opinion in HIV and AIDS·Katrina F OrtbladJudith N Wasserheit
Oct 6, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Kieran TomsRosalind Parkes-Ratanshi
Mar 27, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nwanneka E OkereGabriela B Gomez

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NCT02556957

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mHealth

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