The impact of social services interventions in developing countries: a review of the evidence of impact on clinical outcomes in people living with HIV

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Moses H BateganyaChutima Suraratdecha

Abstract

Social service interventions have been implemented in many countries to help people living with HIV (PLHIV) and household members cope with economic burden as a result of reduced earning or increased spending on health care. However, the evidence for specific interventions-economic strengthening and legal services-on key health outcomes has not been appraised. We searched electronic databases from January 1995 to May 2014 and reviewed relevant literature from resource-limited settings on the impact of social service interventions on mortality, morbidity, retention in HIV care, quality of life, and ongoing HIV transmission and their cost-effectiveness. Of 1685 citations, 8 articles reported the health impact of economic strengthening interventions among PLHIV in resource-limited settings. None reported on legal services. Six of the 8 studies were conducted in sub-Saharan Africa: 1 reported on all 5 outcomes and 2 reported on 4 and 2 outcomes, respectively. The remaining 5 reported on 1 outcome each. Seven studies reported on quality of life. Although all studies reported some association between economic strengthening interventions and HIV care outcomes, the quality of evidence was rated fair or poor because studies were of low ...Continue Reading

References

Dec 13, 2006·Journal of Clinical Epidemiology·Jeanne DalyEmma Hughes
Aug 19, 2008·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Dipankar Datta, James Njuguna
Jun 7, 2011·Lancet·Bernhard SchwartländerUNKNOWN Investment Framework Study Group
Oct 25, 2011·Tropical Medicine & International Health : TM & IH·C Miller, M G Tsoka
Mar 15, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jonathan E KaplanMoses H Bateganya

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Citations

Nov 17, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jonathan E KaplanCarol Langley

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