AIDS and Behavior

, Volume 14, Issue 3, pp 721–730

Community-based DOT-HAART Accompaniment in an Urban Resource-Poor Setting

  • Maribel Muñoz
  • Karen Finnegan
  • Jhon Zeladita
  • Adolfo Caldas
  • Eduardo Sanchez
  • Miriam Callacna
  • Christian Rojas
  • Jorge Arevalo
  • Jose Luis Sebastian
  • Cesar Bonilla
  • Jaime Bayona
  • Sonya Shin
Original Paper

DOI: 10.1007/s10461-009-9559-5

Cite this article as:
Muñoz, M., Finnegan, K., Zeladita, J. et al. AIDS Behav (2010) 14: 721. doi:10.1007/s10461-009-9559-5

Abstract

From December 2005 to April 2007, we enrolled 60 adults starting antiretroviral therapy (ART) in a health district of Lima, Peru to receive community-based accompaniment with supervised antiretroviral (CASA). Paid community health workers performed twice-daily home visits to directly observe ART and offered additional medical, social and economic support to CASA participants. We matched 60 controls from a neighboring district by age, CD4 and primary referral criteria (TB status, female, neither). Using validated instruments at baseline and 12 months (time of DOT-HAART completion) we measured depression, social support, quality of life, HIV-related stigma and self-efficacy. We compared 12 month clinical and psychosocial outcomes among CASA versus control groups. CASA participants experienced better clinical and psychosocial outcomes at 12 months, including proportion with virologic suppression, increase in social support and reduction in HIV-associated stigma.

Keywords

AdherenceHIVResource-poor settingPovertyDOT-HAART

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Maribel Muñoz
    • 1
  • Karen Finnegan
    • 2
  • Jhon Zeladita
    • 1
  • Adolfo Caldas
    • 3
  • Eduardo Sanchez
    • 4
  • Miriam Callacna
    • 4
  • Christian Rojas
    • 4
  • Jorge Arevalo
    • 5
  • Jose Luis Sebastian
    • 6
  • Cesar Bonilla
    • 7
  • Jaime Bayona
    • 1
  • Sonya Shin
    • 1
    • 3
    • 8
  1. 1.Socios En Salud Sucursal PerúLimaPeru
  2. 2.Rollins School of Public HealthEmory UniversityAtlantaUSA
  3. 3.Division of Global Health EquityBrigham and Women’s HospitalBostonUSA
  4. 4.Hospital Nacional Hipólito UnanueLimaPeru
  5. 5.Hospital Dos de MayoLimaPeru
  6. 6.Peruvian HIV ProgramMinisterio de SaludLimaPeru
  7. 7.Peruvian TB ProgramMinisterio de SaludLimaPeru
  8. 8.Harvard Medical SchoolBostonUSA