This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings.
The report discusses Partners in Health (PIH) HIV work in one of Haiti's poorest areas. PIH launched a small pilot project integrating AIDS care with prevention efforts. PIH found that such projects are replicable and may enhance primary health care. CHWs played a crucial role in developing a stronger approach to HIV/AIDS as well as scaling up primary health care.