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dc.contributor.author | Ngcobo, Sanele![]() |
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dc.contributor.author | Olorunju, Steve![]() |
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dc.contributor.author | Nkwenika, Tshifhiwa![]() |
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dc.contributor.author | Rossouw, Theresa M.![]() |
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dc.date.accessioned | 2023-02-27T09:40:58Z | |
dc.date.available | 2023-02-27T09:40:58Z | |
dc.date.issued | 2022-12-07 | |
dc.description.abstract | 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. | en_US |
dc.description.department | Family Medicine | en_US |
dc.description.department | Immunology | en_US |
dc.description.librarian | am2023 | en_US |
dc.description.sponsorship | The South African Medical Research Council through the Bongani Mayosi National Health Scholars Programme. | en_US |
dc.description.uri | http://www.sajhivmed.org.za | en_US |
dc.identifier.citation | Ngcobo, S., Olorunju, S., Nkwenika, T. & Rossouw, T. Effect of a ward-based outreach team and adherence game on retention and viral load suppression. Southern African Journal of HIV Medicine 2022; 23(1), a1446. https://DOI.org/10.4102/sajhivmed.v23i1.1446. | en_US |
dc.identifier.issn | 1608-9693 (print) | |
dc.identifier.issn | 2078-6751 (online) | |
dc.identifier.other | 10.4102/sajhivmed.v23i1.1446 | |
dc.identifier.uri | https://repository.up.ac.za/handle/2263/89845 | |
dc.language.iso | en | en_US |
dc.publisher | AOSIS | en_US |
dc.rights | © 2022. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. | en_US |
dc.subject | Games | en_US |
dc.subject | Retention in care | en_US |
dc.subject | Viral load suppression | en_US |
dc.subject | Human immunodeficiency virus (HIV) | en_US |
dc.subject | Community health worker (CHW) | en_US |
dc.subject | Acquired immune deficiency syndrome (AIDS) | en_US |
dc.subject | People living with HIV (PLHIV) | en_US |
dc.subject.other | Health sciences articles SDG-03 | |
dc.subject.other | SDG-03: Good health and well-being | |
dc.title | Effect of a ward-based outreach team and adherence game on retention and viral load suppression | en_US |
dc.type | Article | en_US |