Evidence map›Paper›PMID 29554867›Full record

SynthesisBMC public health2018

Participants' accrual and delivery of HIV prevention interventions among men who have sex with men in sub-Saharan Africa: a systematic review.

Daniel Nyato, Evodius Kuringe, Mary Drake, Caterina Casalini, Soori Nnko, Amani Shao, Albert Komba, Stefan D Baral, Mwita Wambura, John Changalucha

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daniel NyatoSauti Program, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania. dnyato2000@gmail.com.ORCID 0000-0002-2397-1390
Evodius KuringeSauti Program, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania.
Mary DrakeSauti Program, Jhpiego Tanzania - an affiliate of Johns Hopkins University, P.O Box 9170, Dar es Salaam, Tanzania.
Caterina CasaliniSauti Program, Jhpiego Tanzania - an affiliate of Johns Hopkins University, P.O Box 9170, Dar es Salaam, Tanzania.
Soori NnkoSauti Program, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania.
Amani ShaoSauti Program, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania.
Albert KombaSauti Program, Jhpiego Tanzania - an affiliate of Johns Hopkins University, P.O Box 9170, Dar es Salaam, Tanzania.
Stefan D BaralKey Populations Program, Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, E7146, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Mwita WamburaSauti Program, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania.
John ChangaluchaSauti Program, National Institute for Medical Research, P.O Box 1462, Mwanza, Tanzania.

Funding

United States Agency for International Development SOL-621-14-000015
6 · The paper itself

Abstract

backgroundAcross sub-Saharan Africa (SSA), HIV disproportionately affects men-who-have-sex-with-men (MSM) compared with other men of the same age group in the general population. Access to HIV services remains low among this group although several effective interventions have been documented. It is therefore important to identify what has worked well to increase the reach of HIV services among MSM.

methodsWe searched MEDLINE, POPLINE and the Web of Science databases to collect published articles reporting HIV interventions among MSM across sub-Saharan Africa. Covidence was used to review the articles. The review protocol was registered in International Prospective Register of Systematic Reviews (PROSPERO) - CRD42017060808.

resultsThe search identified 2627 citations, and following removal of duplicates and inclusion and exclusion criteria, only 15 papers were eligible for inclusion in the review. The articles reported various accrual strategies, namely: respondent driven sampling, known peers identified through hotspot or baseline surveys, engagement with existing community-based organizations, and through peer educators contacting MSM in virtual sites. Some programs, however, combined some of these accrual strategies. Peer-led outreach services were indicated to reach and deliver services to more MSM. A combination of peer outreach and mobile clinics increased uptake of health information and services. Health facilities, especially MSM-friendly facilities attract access and use of services by MSM and retention into care.

conclusionsThere are various strategies for accrual and delivering services to MSM across SSA. However, each of these strategies have specific strengths and weaknesses necessitating combinations of interventions and integration of the specific context to inform implementation. If the best of intervention content and implementation are used to inform these services, sufficient coverage and impact of HIV prevention and treatment programs for MSM across SSA can be optimized.

Indexed as

Homosexuality, MaleAfrica South of the SaharaHealth Services AccessibilityHIV InfectionsHumansMalePreventive Health ServicesAccrualDeliveryHIV interventionMen who have sex with mensub-Saharan Africa

Identifiers

PMID29554867
PMCPMC5859521

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.