A Comparison of Different Community Models of ART Delivery Amongst Stable HIV+ Patients in Two Urban Settings in Zambia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- HIV Infections
- Sponsor
- HIV Prevention Trials Network
- Enrollment
- 2526
- Locations
- 1
- Primary Endpoint
- Viral Suppression
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to compare the virological and clinical outcomes of patients participating in community models of ART delivery to the standard of care in an urban setting in Zambia.
Detailed Description
The outcomes of this study will be measured in a prospective cohort of adult patients enrolled into ART care in two urban communities participating in the HPTN 071 (PopART) trial. The two community models are: 1) adherence clubs, groups of 20-25 stable patients who receive ART care in the community every 3 months, and 2) home-based ART delivery in which a community health worker delivers ART care to an individual at home every 3 months. The standard of care is delivery of ART care at the local clinic.
Investigators
Eligibility Criteria
Inclusion Criteria
- •18 years or older On first-line ART and retained in care for more than 6 months Virologically suppressed World Health Organization (WHO) stage I and II at time of screening Reside within the clinic catchment area Willing to provide written informed consent and accept Community HIV-care Provider (CHiPs) intervention
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Viral Suppression
Time Frame: One year after beginning participation in the program
Viral suppression at 12 months measured using the standard of care viral load testing equipment currently in place. Viral suppression will be defined according to National guidelines.
Secondary Outcomes
- Viral suppression at 24 months(Two years after beginning participation in the program)