Evidence map›Paper›PMID 31247036›Full record

ArticlePloS one2019

Assessing treatment outcomes among peer educators living with HIV in Kenya.

Joram Luke Sunguti, Appolinaire Tiam, Rose Masaba, Michael Waweru, Judith Kose, Justine Odionyi, Lucy Matu, Eliud Mwangi

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. A Scoping Review of the Empirical Literature on Peer Support for People Living with HIV.Journal of the International Association of Providers of AIDS Care
    Article
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

8 authors at 1 institution in 1 country.

Joram Luke SungutiElizabeth Glaser Pediatric AIDS Foundation, Nairobi, Kenya.ORCID 0000-0003-1488-9413
Appolinaire TiamElizabeth Glaser Pediatric AIDS Foundation, Washington DC, United States of America.
Rose MasabaElizabeth Glaser Pediatric AIDS Foundation, Nairobi, Kenya.
Michael WaweruElizabeth Glaser Pediatric AIDS Foundation, Nairobi, Kenya.
Judith KoseElizabeth Glaser Pediatric AIDS Foundation, Washington DC, United States of America.
Justine OdionyiElizabeth Glaser Pediatric AIDS Foundation, Nairobi, Kenya.ORCID 0000-0002-8578-1832
Lucy MatuElizabeth Glaser Pediatric AIDS Foundation, Nairobi, Kenya.
Eliud MwangiElizabeth Glaser Pediatric AIDS Foundation, Nairobi, Kenya.
Elizabeth Glaser Pediatric AIDS Foundation · US

Funding

PEPFAR
6 · The paper itself

Abstract

backgroundPeople living with HIV (PLHIV) often face barriers in accessing quality and comprehensive HIV care, including stigma and discrimination, which results in poor retention and viral non-suppression. Peer-led interventions can help address these barriers. In Kenya, peer educators (PEs) are PLHIV who support other PLHIV to adhere to clinic schedules and antiretroviral medication uptake. In spite of their status as role models and their key role in supporting clients receiving HIV care and treatment, little is known about the characteristics and treatment outcomes of PEs themselves, specifically viral suppression.

methodsThis is a retrospective descriptive analysis of program data on treatment outcomes of PEs engaged in active patient support activities between October 2010 and January 2017. All eligible PEs from 140 health facilities located in 23 counties of Kenya were included in the study. Data from 230 PEs were abstracted from the electronic medical records, patient files, and registers between June and August 2017. Study variables included key sociodemographic characteristics (sex, marital status, and age), duration on antiretroviral therapy (ART), WHO clinical staging, baseline CD4 count, current antiretroviral regimen and uptake of isoniazid preventive therapy (IPT). The outcome variable was viral suppression, defined as a viral load <1000 copies/ml.

resultsOverall, 173/230 (75%) of the PEs were female, 144/230 (63%) were married, and median age (LQ, UQ) was 38.5 (33.0, 42.0) years. The PEs had been on ART for a median (LQ, UQ) duration of 76.0 (37.0, 105.0) months. Six months IPT completion was high at 97%. Of the 222 (97%) PEs with an up-to-date viral load taken within the last one year, 211 (95%) were virally suppressed.

conclusionOur study showed that peer educators actively engaged in patient support activities have achieved high viral suppression rates.

Indexed as

Health EducatorsPeer GroupAdultAnti-HIV AgentsFemaleHIV InfectionsHumansKenyaMaleMiddle AgedPsychosocial Support SystemsRetrospective StudiesSocial StigmaTreatment OutcomeAnti-HIV Agents

Identifiers

PMID31247036
PMCPMC6597086
OpenAlexW2956006545

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.