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Overcoming Barriers to HIV Care: Findings from a Peer-Delivered, Community-Based, Linkage Case Management Program (CommLink), Eswatini, 2015-2018.
AIDS and Behavior ( IF 2.7 ) Pub Date : 2020-08-11 , DOI: 10.1007/s10461-020-02991-2
Duncan MacKellar 1 , Daniel Williams 1 , Makhosazana Dlamini 2 , Johnita Byrd 3 , Lenhle Dube 4 , Phumzile Mndzebele 5 , Sikhathele Mazibuko 5 , Ishani Pathmanathan 1 , Endale Tilahun 2 , Caroline Ryan 5
Affiliation  

To help persons living with HIV (PLHIV) in Eswatini initiate antiretroviral therapy (ART), the CommLink case-management program provided a comprehensive package of linkage services delivered by HIV-positive, peer counselors. Of 1250 PLHIV participants aged ≥ 15 years diagnosed in community settings, 75% reported one or more barriers to care (e.g., fearing stigmatization). Peer counselors helped resolve 1405 (65%) of 2166 identified barriers. During Test and Treat (October 2016–September 2018), the percentage of participants who initiated ART and returned for ≥ 1 antiretroviral refills was 92% overall (759/824); 99% (155/156) among participants without any identified barriers; 96% (544/564) among participants whose counselors helped resolve all or all but one barrier; and 58% (59/102) among participants who had ≥ 2 unresolved barriers to care. The success of CommLink is attributed, at least in part, to peer counselors who helped their clients avoid or at least temporarily resolve many well-known barriers to HIV care.



中文翻译:

克服艾滋病毒护理障碍:来自同行交付、基于社区的关联案例管理计划 (CommLink) 的调查结果,斯威士兰,2015-2018 年。

为了帮助斯威士兰的艾滋病毒感染者 (PLHIV) 开始抗逆转录病毒治疗 (ART),CommLink 病例管理计划提供了由艾滋病毒呈阳性的同伴辅导员提供的一整套联动服务。在社区环境中诊断出的 1250 名年龄≥ 15 岁的艾滋病毒感染者中,75% 的人报告了一种或多种护理障碍(例如,担心耻辱)。同伴辅导员帮助解决了 2166 个已发现障碍中的 1405 个(65%)。在测试和治疗期间(2016 年 10 月至 2018 年 9 月),开始 ART 并返回≥ 1 次抗逆转录病毒药物补充的参与者总体百分比为 92% (759/824);99% (155/156) 的参与者没有任何已知的障碍;96% (544/564) 的参与者的辅导员帮助解决了所有或除一个障碍之外的所有障碍;58% (59/102) 的参与者有 ≥ 2 个未解决的护理障碍。CommLink 的成功至少部分归功于同伴咨询师,他们帮助客户避免或至少暂时解决许多众所周知的艾滋病毒护理障碍。

更新日期:2020-08-11
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