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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The effect of community-based support services on clinical efficacy and health-related quality of life in HIV/AIDS patients in resource-limited settings in Sub-Saharan Africa
AIDS Patient Care and STDs, Volume 24, No. 9, Year 2010
Notification
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Description
Antiretroviral therapy (ART) for HIV/AIDS in developing countries has been rapidly scaled up through directed public and private resources. Data on the efficacy of ART in developing countries are limited, as are operational research studies to determine the effect of selected nonmedical supportive care services on health outcomes in patients receiving ART. We report here on an investigation of the delivery of medical care combined with community-based supportive services for patients with HIV/AIDS in four resource-limited settings in sub-Saharan Africa, carried out between 2005 and 2007. The clinical and health-related quality of life (HRQOL) efficacy of ART combined with community support services was studied in a cohort of 377 HIV-infected patients followed for 18 months, in community-based clinics through patient interviews, clinical evaluations, and questionnaires. Patients exposed to community-based supportive services experienced a more rapid and greater overall increase in CD4 cell counts than unexposed patients. They also had higher levels of adherence, attributed primarily to exposure to home-based care services. In addition, patients receiving home-based care and/or food support services showed greater improvements in selected health-related QOL indicators. This report discusses the feasibility of effective ART in a large number of patients in resource-limited settings and the added value of concomitant community-based supportive care services. © Mary Ann Liebert, Inc.
Authors & Co-Authors
Kaboré, Inoussa
United States, Durham
Fhi 360
Bloem, Jeanette
United States, Durham
Fhi 360
Etheredge, Gina Doskey
United States, Durham
Fhi 360
Obiero, Walter Obungu
United States, Durham
Fhi 360
Wanless, Sebastian R.
United States, Houston
Baylor College of Medicine
Doykos, Patricia
United States, New York
Bmsf
Ntsekhe, Pearl
Lesotho, Maseru
Senkatana Centre
Mtshali, Nomantshali
South Africa
Mpilohnle Project
Afrikaner, Eric
Unknown Affiliation
Sayed, Rauf
South Africa, Cape Town
School of Public Health and Family Medicine
Bostwelelo, John
Unknown Affiliation
Hani, Andiswa
Unknown Affiliation
Moshabesha, Tiisetso
Unknown Affiliation
Kalaka, Agnes
Unknown Affiliation
Mameja, Jerry
Unknown Affiliation
Zwane, Nompumelelo
Unknown Affiliation
Shongwe, Nomvuyo
Unknown Affiliation
Mtshali, Phangisile
South Africa
Bmsf
Mohr, Beryl
South Africa
Bmsf
Smuts, Archie
South Africa
Bmsf
Tiam, Appolinaire
Lesotho, Maseru
Senkatana Centre
Statistics
Citations: 78
Authors: 21
Affiliations: 7
Identifiers
Doi:
10.1089/apc.2009.0307
ISSN:
10872914
Research Areas
Disability
Food Security
Health System And Policy
Infectious Diseases
Study Design
Cohort Study