Effect of a ward-based outreach team and adherence game on retention and viral load suppression

Southern African Journal of HIV Medicine

Field Value
Title Effect of a ward-based outreach team and adherence game on retention and viral load suppression
Creator Ngcobo, Sanele Olorunju, Steve Nkwenika, Tshifhiwa Rossouw, Theresa
Subject Health HIV; community health workers; HIV; games; retention in care; viral load suppression; AIDS
Description Background: Only 66% of South African people living with HIV (PLWH) are virologically suppressed. Therefore, it is important to develop strategies to improve outcomes.Objectives: Assess the effect of interventions on 12-month retention in care and virological suppression in participants newly initiated on antiretroviral therapy.Method: Fifty-seven clinics were randomised into four arms: Ward-based primary health care outreach teams (WBPHCOTs); Game; WBPHCOT–Game in combination; and Control (standard of care). Sixteen clinics were excluded and four re-allocated because lay counsellors and operational team leaders failed to attend the required training. Seventeen clinics were excluded due to non-enrolment.Results: A total of 558 participants from Tshwane district were enrolled. After excluding ineligible participants, 467 participants were included in the analysis: WBPHCOTs (n = 72); Games (n = 126); WBPHCOT–Games (n = 85); and Control (n = 184). Retention in care at 12 months was evaluable in 340 participants (86.2%) were retained in care and 13.8% were lost to follow-up. The intervention groups had higher retention in care than the Control group, but this only reached statistical significance in the Games group (96.8% vs 77.8%; relative risk [RR] 1.25; 95% confidence interval [CI]: 1.13–1.38; P = 0.01). The 12 month virologic suppression rate was 75.3% and was similar across the four arms.Conclusion: This study demonstrated that an adherence game intervention could help keep PLWH in care.What this study adds: Evidence that interventions, especially Games, could improve retention in care.
Publisher AOSIS
Date 2022-12-07
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — quasi-experimental study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v23i1.1446
Source Southern African Journal of HIV Medicine; Vol 23, No 1 (2022); 9 pages 2078-6751 1608-9693
Language eng
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https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2971 https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2972 https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2973 https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2974
Coverage South Africa 2019-2021 People living with HIV
Rights Copyright (c) 2022 Sanele Ngcobo, Steve Olorunju, Tshifhiwa Nkwenika, Theresa Rossouw https://creativecommons.org/licenses/by/4.0