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Peer Health Workers and AIDS Care in Rakai, Uganda: A Mixed Methods Operations Research Evaluation of a Cluster-Randomized Trial

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Authors: Hannah Arem, Neema Nakyanjo and Larry W. Chang

Settings with limited health care workers are challenging environments for delivery of antiretroviral therapy. One strategy to address this human resource crisis is to task shift through training selected patients as peer health workers (PHWs) to provide care to other individuals receiving antiretroviral therapy. The results of the study showed that task shifting to PHWs positively affected structural and programmatic functions of care delivery—improving clinical organization, medical care access, and patient-provider communication—with little evidence for problems with confidentiality and inadvertent disclosure. These results support the use of PHWs to complement conventional clinical staff in delivering AIDS care in low-resource settings and highlight how mixed methods operations research evaluations can provide important insights into community-based trials.

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Resource Topic: CHW Role, Community Health Workers/Volunteers, HIV and AIDS, Program Evaluation

Resource Type: Journal articles, Research

Year: 2011

Region:

Country: Uganda

Publisher May Restrict Access: No

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