2013
Community-Based Accompaniment and Psychosocial Health Outcomes in HIV-Infected Adults in Rwanda: A Prospective Study
Thomson D, Rich M, Kaigamba F, Socci A, Hakizamungu M, Bagiruwigize E, Binagwaho A, Franke M. Community-Based Accompaniment and Psychosocial Health Outcomes in HIV-Infected Adults in Rwanda: A Prospective Study. AIDS And Behavior 2013, 18: 368-380. PMID: 23443977, DOI: 10.1007/s10461-013-0431-2.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-HIV AgentsCD4 Lymphocyte CountCommunity Health ServicesCommunity Health WorkersDepressionDirectly Observed TherapyHIV InfectionsHumansMaleMedication AdherenceMiddle AgedPrevalenceProspective StudiesRegression AnalysisResidence CharacteristicsRural PopulationRwandaSocial SupportSocioeconomic FactorsTreatment OutcomeViral LoadConceptsCommunity-based accompanimentAntiretroviral treatmentPsychosocial health outcomesHealth outcomesCD4 cell countIngestion of medicationsPrevalence of depressionMental health qualityCommunity health workersMental health morbiditySocial supportFirst yearTreatment buddyProspective studyHealth morbidityHealth workersCell countNational protocolHIVPatientsHealth qualityImportant interventionCells/Greater improvementAdults
2012
Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda
Franke M, Kaigamba F, Socci A, Hakizamungu M, Patel A, Bagiruwigize E, Niyigena P, Walker K, Epino H, Binagwaho A, Mukherjee J, Farmer P, Rich M. Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda. Clinical Infectious Diseases 2012, 56: 1319-1326. PMID: 23249611, DOI: 10.1093/cid/cis1193.Peer-Reviewed Original ResearchConceptsAntiretroviral therapy (ART) deliveryViral load suppressionCommunity-based accompanimentClinic-based programsCD4 countViral loadHuman immunodeficiency virus (HIV) treatment programsProspective observational cohort studySecond multivariable analysisObservational cohort studyTherapy deliveryPhysical health qualityRural RwandaMultivariable regression modelsART initiationClinical characteristicsCohort studyMultivariable analysisBaseline differencesTreatment retentionTreatment programHealth qualityGood adherenceDeathFirst yearExcellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda
Rich M, Miller A, Niyigena P, Franke M, Niyonzima J, Socci A, Drobac P, Hakizamungu M, Mayfield A, Ruhayisha R, Epino H, Stulac S, Cancedda C, Karamaga A, Niyonzima S, Yarbrough C, Fleming J, Amoroso C, Mukherjee J, Murray M, Farmer P, Binagwaho A. Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2012, 59: e35-e42. PMID: 22156912, DOI: 10.1097/qai.0b013e31824476c4.Peer-Reviewed Original ResearchConceptsCommunity-based antiretroviral therapyAntiretroviral therapyCommunity health workersHealth workersCD4 T-cell count increaseT-cell count increaseRetrospective medical record reviewCohort of patientsFree antiretroviral therapyHIV treatment programsMedical record reviewExcellent clinical outcomesRural health centersRural RwandaAdult patientsCommunity-based ART programMiddle-income countriesNutritional supportClinical outcomesOutcome benchmarksRecord reviewTuberculosis screeningExcellent outcomesHIV treatmentHIV programs