Evidence map›Paper›PMID 30269232›Full record

ArticleAIDS and behavior2019

A Pilot Study of "Peer Navigators" to Promote Uptake of HIV Testing, Care and Treatment Among Street-Connected Children and Youth in Eldoret, Kenya.

Pooja Shah, Mia Kibel, David Ayuku, Regina Lobun, John Ayieko, Alfred Keter, Allan Kamanda, Dominic Makori, Collins Khaemba, Anthony Ngeresa and 4 more

Open access · hybridAbstract read
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% of its field
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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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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

14 authors at 4 institutions in 3 countries.

Pooja ShahAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Mia KibelDepartment of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, 5th Floor, Toronto, ON, M5T 3M7, Canada.
David AyukuDepartment of Behavioral Sciences, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.
Regina LobunAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
John AyiekoAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Alfred KeterAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Allan KamandaMoi Teaching and Referral Hospital, Eldoret, Kenya.
Dominic MakoriAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Collins KhaembaAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Anthony NgeresaAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Lonnie EmbletonFaculty of Medicine, Institute of Medical Science, University of Toronto, Toronto, Canada.
Katherine MacDonaldDepartment of Pediatrics, School of Medicine, Indiana University, Indianapolis, USA.
Edith ApondiMoi Teaching and Referral Hospital, Eldoret, Kenya.
Paula BraitsteinAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya. pbraitstein@gmail.com.ORCID http://orcid.org/0000-0003-0541-2955
AMPATH · KEMoi University · KEUniversity of Toronto · CAIndiana University – Purdue University Indianapolis · US

Funding

Institute of Population and Public Health 145367
6 · The paper itself

Abstract

Research suggests a burden of HIV among street-connected youth (SCY) in Kenya. We piloted the use of peer navigators (PNs), individuals of mixed HIV serostatus and with direct experience of being street-connected, to link SCY to HIV testing and care. From January 2015 to October 2017, PNs engaged 781 SCY (585 male, 196 female), median age 16 (IQR 13-20). At initial encounter, 52 (6.6%) were known HIV-positive and 647 (88.8%) agreed to HIV testing. Overall, 63/781 (8.1%) SCY engaged in this program were HIV-positive; 4.6% males and 18.4% females (p < 0.001). Of those HIV-positive, 48 (82.8%) initiated ART. As of October 2017, 35 (60.3%) of the HIV-positive SCY were alive and in care. The pilot suggests that PNs were successful in promoting HIV testing, linkage to care and ART initiation. More research is needed to evaluate how to improve ART adherence, viral suppression and retention in care in this population.

Indexed as

Homeless YouthPeer GroupAdolescentAdultAIDS SerodiagnosisAnti-Retroviral AgentsChildChild, PreschoolFemaleHIV InfectionsHumansKenyaMaleMass ScreeningPatient NavigationPilot ProjectsAnti-Retroviral AgentsAfricaHIVHomelessPeer supportYouth

Identifiers

PMID30269232
PMCPMC6458975
OpenAlexW2892460999

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.