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Using mHealth to deliver a home-based testing and counselling program to improve linkage to care and ART adherence in rural South Africa

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dc.date.accessioned 2018-10-02 en
dc.date.accessioned 2020-03-23T13:15:17Z
dc.date.available 2020-03-23T13:15:17Z
dc.date.issued 2018-10-02 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/12729
dc.description.abstract Community-based HIV testing and counseling (HTC) programs have become an important part of the healthcare system in South Africa and other low- and middle-income countries with a high HIV prevalence and strained primary healthcare system. Current HTC programs excel at identifying people living with HIV (PLH) but leave gaps in linkage to care and antiretroviral therapy (ART) as most HTC programs do not have the capacity to ensure that linkage has occurred. This article presents the protocol for an mHealth study, that is, pilot testing a mobile platform in KwaZulu-Natal (KZN), South Africa, to improve linkage to care and ART adherence after home-based HTC. Testing data are shared with designated clinics. PLH are identified using fingerprint scans, mobile numbers, or South African IDs. If PLH do not present at a designated clinic after testing HIV positive, study field staff are sent SMS alerts to prompt follow-up visits. Similarly, if PLH do not refill ART prescriptions after their initial 1-month dose runs out, SMS alerts that are sent to field staff. This paper presents the mHealth study protocol and baseline sample characteristics (N = 101 PLH). Analyses will summarize rates of linkage to care and ART prescription refills. Cost effectiveness analyses will examine the costs and benefits of linkage and ART adherence using our mHealth system. Linkage to care rates will be compared between our study and a historical control, that is, provided by a prior HTC program that was conducted in KZN without our mHealth system (n = 615). en
dc.format.medium Print en
dc.subject HIV/AIDS en
dc.subject ANTIRETROVIRAL THERAPY en
dc.subject HOME-BASED HIV COUNSELING AND TESTING (VCT) en
dc.subject HOME CARE en
dc.title Using mHealth to deliver a home-based testing and counselling program to improve linkage to care and ART adherence in rural South Africa en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber SOALAA en
dc.Volume 20 en
dc.BudgetYear 2018/19 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle Prevention Science: The Official Journal of the Society for Prevention Research en
dc.ArchiveNumber 10557 en
dc.PageNumber 126-136 en
dc.outputnumber 9547 en
dc.bibliographictitle Comulada, W.S., Wynn, A., Van Rooyen, H., Barnabas, R.V., Eashwari, R. & Van Heerden, A. (2018) Using mHealth to deliver a home-based testing and counselling program to improve linkage to care and ART adherence in rural South Africa. <i>Prevention Science: The Official Journal of the Society for Prevention Research</i>. 20:126-136. en
dc.publicationyear 2018 en
dc.contributor.author1 Comulada, W.S. en
dc.contributor.author2 Wynn, A. en
dc.contributor.author3 Van Rooyen, H. en
dc.contributor.author4 Barnabas, R.V. en
dc.contributor.author5 Eashwari, R. en
dc.contributor.author6 Van Heerden, A. en


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