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

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dc.contributor.authorBooysen, Frederik
dc.contributor.authorde Walque, Damien
dc.contributor.authorOver, Mead
dc.contributor.authorHashimoto, Satoko
dc.contributor.authorde Reuck, Chantell
dc.date.accessioned2016-08-09T19:49:10Z
dc.date.available2016-08-09T19:49:10Z
dc.date.issued2016-07
dc.description.abstractAccess 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2016/07/26589283/randomized-control-trial-peer-adherence-nutritional-support-program-public-sector-antiretroviral-patients
dc.identifier.doi10.1596/1813-9450-7760
dc.identifier.urihttps://hdl.handle.net/10986/24841
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 7760
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectHIV
dc.subjectAIDS
dc.subjecthealth
dc.subjectnutrition
dc.subjectrandomized control trials
dc.subjectantiretroviral treatment
dc.titleA Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patientsen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleA Randomized Control Trial of a Peer Adherence and Nutritional Support Program for Public Sector Antiretroviral Patients
okr.date.disclosure2016-07-21
okr.doctypePublications & Research
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/2016/07/26589283/randomized-control-trial-peer-adherence-nutritional-support-program-public-sector-antiretroviral-patients
okr.guid170691469129421503
okr.identifier.doi10.1596/1813-9450-7760
okr.identifier.externaldocumentum090224b08447c525_1_0
okr.identifier.internaldocumentum26589283
okr.identifier.reportWPS7760
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2016/07/21/090224b08447c525/1_0/Rendered/PDF/A0randomized0c0iretroviral0patients.pdfen
okr.region.administrativeAfrica
okr.region.countrySouth Africa
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Nutrition
okr.unitHuman Development and Public Services Team, Development Research Group
relation.isAuthorOfPublicationb5740416-f4ef-5235-974a-47bd257d61a4
relation.isAuthorOfPublication.latestForDiscoveryb5740416-f4ef-5235-974a-47bd257d61a4
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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