Sustainability of a gender-focused HIV and alcohol risk-reduction intervention in usual care settings in South Africa: a mixed methods analysis.

Intervention sustainability is a critical yet understudied aspect of implementation science research. To address this gap, we examined the sustainability of the Women's Health CoOp (WHC), a gender-focused, evidence-based, HIV and alcohol risk-reduction intervention, after an implementation trial. We...

Descripción completa

Detalles Bibliográficos
Publicado en:AIDS Care Vol. 33; pp. 11 - 18
Autores principales: Gichane, Margaret W., Wechsberg, Wendee M., Ndirangu, Jacqueline, Howard, Brittni, Bonner, Courtney Peasant, Browne, Felicia A., Zule, William A.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2021Supplement
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=155345636&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 155345636
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09540121
        AAE
      jtl: AIDS Care
      issn: 09540121
      maglogo: N
    pubinfo:
      dt: 2021Supplement
      vid: 33
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        155345636
        152494469
        155345636
        155345636
        10.1080/09540121.2021.1966694
        155345636
      ppf: 11
      ppct: 7
      formats:
      tig:
        atl: Sustainability of a gender-focused HIV and alcohol risk-reduction intervention in usual care settings in South Africa: a mixed methods analysis.
      aug:
        au:
          Gichane, Margaret W.
          Wechsberg, Wendee M.
          Ndirangu, Jacqueline
          Howard, Brittni
          Bonner, Courtney Peasant
          Browne, Felicia A.
          Zule, William A.
        affil: RTI International, Research Triangle Park, NC, USA
      sug:
        subj:
          HIV Infections Prevention and Control
          Alcohol-Related Disorders Prevention and Control
          Gender Specific Care
          Implementation Science
          Program Implementation Evaluation
          Medical Practice, Evidence-Based
          Women's Health
          Human
          South Africa
          Multimethod Studies
          Female
          Questionnaires
          Focus Groups
          Semi-Structured Interview
          Descriptive Statistics
          Female
      ab: Intervention sustainability is a critical yet understudied aspect of implementation science research. To address this gap, we examined the sustainability of the Women's Health CoOp (WHC), a gender-focused, evidence-based, HIV and alcohol risk-reduction intervention, after an implementation trial. We used a mixed methods design consisting of questionnaires (n = 12), 3 focus groups (n = 11), and a semistructured interview conducted with interventionists implementing the WHC in clinics and substance use treatment programs in Cape Town, South Africa. Five out of 8 facilities implemented the WHC beyond the 6-month implementation period, and 4 were still implementing the WHC as of October 2019. Sustainability ranged from approximately 8 months to more than 3 years. At the most recent assessment, interventionists delivered the intervention to 0–20 participants in the past month. Qualitative findings indicate that long-term sustainability would require support from upper management, staff dedicated to the WHC, and booster trainings. The WHC was sustained postimplementation. Integrating the program into usual care would be feasible; however, human resources, financial, and institutional support would be needed for sustainability. To move implementation science forward, it is essential to determine sustainability beyond the presence and involvement of researchers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N