The efficacy and cost-effectiveness of a family-based economic empowerment intervention (Suubi + Adherence) on suppression of HIV viral loads among adolescents living with HIV: results from a Cluster Randomized Controlled Trial in southern Uganda.
Yesim TozanAriadna CapassoSicong SunTorsten B NeilandsChristopher DamuliraFlavia NamuwongeGertrude NakigoziAbel MwebembeziBarbara MukasaOzge Sensoy BaharProscovia NabunyaClaude A MellinsMary M McKayFred M SsewamalaPublished in: Journal of the International AIDS Society (2021)
Our results support the integration of family-based EE interventions into adherence-support strategies as part of routine HIV care in low-resource settings to address the underlying economic drivers of poor ART adherence among ALWHIV. Moreover, per-participant costs to achieve viral suppression do not seem prohibitive compared to other community-based adherence interventions targeted at ALWHIV in low-resource settings. Further research on combination interventions at the nexus of economic security and HIV treatment and care is needed to inform the development of feasible and scalable HIV policies and programmes.
Keyphrases
- antiretroviral therapy
- hiv infected
- hiv positive
- hiv testing
- human immunodeficiency virus
- hiv aids
- hepatitis c virus
- physical activity
- men who have sex with men
- sars cov
- randomized controlled trial
- healthcare
- glycemic control
- public health
- type diabetes
- skeletal muscle
- study protocol
- insulin resistance
- metabolic syndrome
- drug delivery
- life cycle
- weight loss
- pain management
- replacement therapy