Outcomes of Implementing in the Real World the Women's Health CoOp Intervention in Cape Town, South Africa.
Women in South Africa living with HIV who use alcohol may not adhere to ART, affecting the country's 90-90-90 targets. The Women's Health CoOp (WHC), a woman-focused HIV intervention, has shown efficacy in numerous trials with key populations of women in South Africa who use alcohol and drugs. In a...
| Publicado en: | AIDS & Behavior Vol. 25; no. 3; pp. 276 - 290 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2021 Supplement 3
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153734315&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153734315 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Dec2021 Supplement 3 vid: 25 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 153734315 149956650 153734315 153734315 10.1007/s10461-021-03251-7 153734315 ppf: 276 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Outcomes of Implementing in the Real World the Women's Health CoOp Intervention in Cape Town, South Africa. aug: au: Wechsberg, Wendee M. Browne, Felicia A. Ndirangu, Jacqueline Bonner, Courtney Peasant Kline, Tracy L. Gichane, Margaret Zule, William A. affil: Substance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, 27709-2194, Research Triangle Park, NC, USA sug: subj: Women's Health South Africa Health Promotion Collaboration Government Programs South Africa HIV Infections Drug Therapy Anti-Retroviral Agents Therapeutic Use Medication Compliance Alcohol Drinking Human South Africa Outcomes (Health Care) Program Implementation Program Evaluation Patient Satisfaction Descriptive Statistics Odds Ratio Confidence Intervals Population Health Goals and Objectives Implementation Science ab: Women in South Africa living with HIV who use alcohol may not adhere to ART, affecting the country's 90-90-90 targets. The Women's Health CoOp (WHC), a woman-focused HIV intervention, has shown efficacy in numerous trials with key populations of women in South Africa who use alcohol and drugs. In a hybrid implementation effectiveness study, the WHC was implemented in usual care clinics by healthcare providers in a modified stepped-wedge design. We present the outcomes of alcohol use and ART adherence with 480 women, with a 95% 6-month follow-up rate across 4 implementation cycles. Compared with the first cycle, women in the fourth cycle were significantly less likely (OR = 0.10 [95% CI 0.04, 0.24]) to report alcohol use disorder risk and were 4 times more likely (OR = 4.16 [95% CI 1.05, 16.51]) to report ART adherence at 6-month follow-up. Overall, acceptability and satisfaction were extremely high. The WHC intervention was successful in reaching key populations of women to reduce alcohol use and increase ART adherence, which is essential for South Africa to reach the 90-90-90 goals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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