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Receipt of a combined economic and peer support intervention and clinical outcomes among HIV-positive youth in rural Rwanda: A retrospective cohort

Author

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  • Dale A Barnhart
  • Josée Uwamariya
  • Jean Népomuscène Nshimyumuremyi
  • Gerardine Mukesharurema
  • Todd Anderson
  • Jean d’Amour Ndahimana
  • Vincent K Cubaka
  • Bethany Hedt-Gauthier

Abstract

Introduction: To combat poor clinical outcomes among HIV-positive youth, Partners In Health/Inshuti Mu Buzima (PIH/IMB) implemented Adolescent Support Groups (ASGs), which combined peer support and group-based economic incentives to promote treatment adherence, economic empowerment, and viral suppression. This study assesses the association between ASG membership and clinical outcomes among HIV-positive youth living in rural Rwanda. Methods: We constructed a retrospective cohort using PIH/IMB’s electronic medical record (EMR) system. ASG members were matched to control youth within strata defined by health facility, year of birth, and whether the patient had enrolled in HIV services as a pediatric patient, as a PMTCT mother, or through another route. Our 12-month outcomes of interest were a) death-free retention in care, b) death-free retention with active follow-up, c) ≥80% adherence to appointment keeping, and d) viral load suppression (

Suggested Citation

  • Dale A Barnhart & Josée Uwamariya & Jean Népomuscène Nshimyumuremyi & Gerardine Mukesharurema & Todd Anderson & Jean d’Amour Ndahimana & Vincent K Cubaka & Bethany Hedt-Gauthier, 2022. "Receipt of a combined economic and peer support intervention and clinical outcomes among HIV-positive youth in rural Rwanda: A retrospective cohort," PLOS Global Public Health, Public Library of Science, vol. 2(6), pages 1-15, June.
    • Handle: RePEc:plo:pgph00:0000492
    DOI: 10.1371/journal.pgph.0000492
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