Matching social support to individual needs: a community-based intervention to improve HIV treatment adherence in a resource-poor setting
Muñoz, M.; Bayona, J.; Sanchez, E.; Arevalo, J.; Sebastian, J.L.; Arteaga, F.; Guerra, D.; Zeladita, J.; Espiritu, B.; Wong, M.; Caldas, A.; Shin, S.
Aids and Behavior 15(7): 1454-1464
2011
ISSN/ISBN: 1573-3254 PMID: 20383572 DOI: 10.1007/s10461-010-9697-9Document Number: 227117
From December 2005 to April 2007, we enrolled 60 adults starting antiretroviral therapy (ART) in Lima, Peru to receive community-based accompaniment with supervised antiretrovirals (CASA), consisting of 12 months of DOT-HAART, as well as microfinance assistance and/or psychosocial support group according to individuals' need. We matched 60 controls from a neighboring district, and assessed final clinical and psychosocial outcomes at 24 months. CASA support was associated with higher rates of virologic suppression and lower mortality. A comprehensive, tailored adherence intervention in the form of community-based DOT-HAART and matched economic and psychosocial support is both feasible and effective for certain individuals in resource-poor settings.
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