Evaluation of the Tsima community mobilization intervention to improve engagement in HIV testing and care in South Africa: study protocol for a cluster randomized trial

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• 作者：Sheri A. Lippman ; Audrey Pettifor ; Dumisani Rebombo ; Aimée Julien…
• 关键词：Cluster randomized trial ; Community mobilization ; South Africa ; HIV testing ; Engagement in care ; Retention in care ; Treatment as prevention
• 刊名：Implementation Science
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：12
• 期：1
• 全文大小：1006KB
• 刊物主题：Health Promotion and Disease Prevention; Health Administration; Health Informatics; Public Health;
• 出版者：BioMed Central
• ISSN：1748-5908
• 卷排序：12

文摘

BackgroundHIV transmission can be decreased substantially by reducing the burden of undiagnosed HIV infection and expanding early and consistent use of antiretroviral therapy (ART). Treatment as prevention (TasP) has been proposed as key to ending the HIV epidemic. To activate TasP in high prevalence countries, like South Africa, communities must be motivated to know their status, engage in care, and remain in care. Community mobilization (CM) has the potential to significantly increase uptake testing, linkage to and retention in care by addressing the primary social barriers to engagement with HIV care—including poor understanding of HIV care; fear and stigma associated with infection, clinic attendance and disclosure; lack of social support; and gender norms that deter men from accessing care.