Minimizing death and ensuring high retention and good adherence remain ongoing challenges for human immunodeficiency virus (HIV) treatment programs. We examined whether the addition of community-based accompaniment (characterized by daily home visits from a community health worker, directly observed treatment, nutritional support, transportation stipends, and other support as … [Read more...] about Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda
CHW Role
Community-based accompaniment and psychosocial health outcomes in HIV-infected adults in Rwanda: a prospective study
We examined whether the addition of community-based accompaniment to Rwanda's national model for antiretroviral treatment (ART) was associated with greater improvements in patients' psychosocial health outcomes during the first year of therapy. We enrolled 610 HIV-infected adults with CD4 cell counts under 350 cells/μL initiating ART in one of two programs. Both programs … [Read more...] about Community-based accompaniment and psychosocial health outcomes in HIV-infected adults in Rwanda: a prospective study
Positive Outlook: Working with HIV, Depression and Rehabilitation
Developing a new curriculum and interventions for front line workers related to depression among people living with or vulnerable to HIV and other episodic disabilities, to be integrated into an existing interprofessional learning course offered by CWGHR, focusing on rehabilitation in the context of HIV. (2011) … [Read more...] about Positive Outlook: Working with HIV, Depression and Rehabilitation
Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda
Community level self-help groups in South Africa focused on CMDs, with CHWs using the training received to establish these groups. The majority were formed to assist HIV infected and affected women. (2011) … [Read more...] about Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda
Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes: A Randomized Clinical Trial
Socioeconomic and behavioral factors can negatively influence posthospital outcomes among patients of low socioeconomic status (SES). Traditional hospital personnel often lack the time, skills, and community linkages required to address these factors. During hospital admission, CHWs worked with patients to create individualized action plans for achieving patients’ stated goals … [Read more...] about Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes: A Randomized Clinical Trial