Design and implementation of a community health worker HIV treatment and prevention intervention in an HIV hot spot fishing community in Rakai, Uganda

Post Date: 
2017-05-22
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Countries: 
Publication: 
Journal of the International Association of Providers of AIDS Care
Summary: 

Abstract
Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled. A directly observed Motivational Interviewing Treatment Integrity scale-based evaluation found adequate performance (median score 20/25, range 11-23). The health scout intervention was feasible to implement in a high HIV-prevalence fishing community, and its impact on HIV care outcomes will be evaluated in an ongoing cluster randomized trial. If found to be effective, it may be an important strategy for responding to HIV in high-burden settings.

Citation: 
Long A, Mbabali I, Hutton HE, Thomas AG, Bugos E, Mulamba J, Amico KR, Nalugoda F, Gray RH, Wawer MJ, Nakigozi G, Chang LW. Design and implementation of a community health worker HIV treatment and prevention intervention in an HIV hot spot fishing community in Rakai, Uganda. J Int Assoc Provid AIDS Care. 2017 Sep/Oct;16(5):499-505. doi: 10.1177/2325957417709089. Epub 2017 May 22. PMID: 28528560; PMCID: PMC5783722.
Collaborators: 
  • Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Rakai Health Sciences Program, Rakai, Uganda.
  • Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.
  • Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Department of Health Behavior Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
  • Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.