Evidence map›Paper›PMID 31694616›Full record

ArticleBMC health services research2019

Effectiveness of health care workers and peer engagement in promoting access to health services among population at higher risk for HIV in Tanzania (KPHEALTH): study protocol for a quasi experimental trial.

Elia John Mmbaga, Germana Henry Leyna, Melkizedeck Thomas Leshabari, Britt Tersbøl, Theis Lange, Neema Makyao, Kåre Moen, Dan Wolf Meyrowitsch

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
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  3. Article
  4. Article
  5. 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.

Elia John MmbagaDepartment of Epidemiology and Biostatistics, Muhimbili university of Health and Allied Sciences, P.O.Box 65015, Dar es salaam, Tanzania. eliajelia@yahoo.co.uk.ORCID http://orcid.org/0000-0003-3768-0225
Germana Henry LeynaDepartment of Epidemiology and Biostatistics, Muhimbili university of Health and Allied Sciences, P.O.Box 65015, Dar es salaam, Tanzania.
Melkizedeck Thomas LeshabariDepartment of Behavioral Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Britt TersbølDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Theis LangeDepartment of Behavioral Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Neema MakyaoMinistry of Health, Community Development, Gender, Elderly and Children, Dodoma, Tanzania.
Kåre MoenDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Dan Wolf MeyrowitschDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.

Funding

Danida Fellowship Centre 16-P03-TAN
6 · The paper itself

Abstract

backgroundWhile there are indications of declining HIV infection rates in the general population globally, Tanzania included, men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWID), now called Key Populations (KP) for HIV epidemic have 2-20 times higher infections rates and contributes up to 30% of new HIV infection. Tanzania have developed a Comprehensive Guideline for HIV prevention among key population (CHIP) to address the epidemic among KPs. However, these populations are stigmatized and discriminated calling for innovative approaches to improve access to CHIP. This project seeks to test the effectiveness of healthcare workers and peer-to-peer engagement in promoting access to CHIP among HIV at risk populations in Tanzania.

methodsA quasi-experimental design involving Dar es Salaam City as an intervention region and Tanga as a control region will be done. Using respondent driven sampling, 1800 at risk population (900 from Intervention site and 900 from control site) will be recruited at baseline to identify pull and push factors for health services access. Stakeholder's consultation will be done to improve training contents for CHIP among health care workers and peers. Effectiveness of healthcare workers training and peer engagement will be tested using a quasi-experimental design. DISCUSSION: The results are expected to co-create service provision and improve access to services among KPs as a human right, reverse HIV infection rates among KPs and the general population, and improve social and economic wellbeing of Tanzanian.

trial registrationRetrospectively registered on 28th August, 2019 with International Standard Randomized Clinical Trial Number ( ISRCTN11126469 ).

Indexed as

Health PersonnelHealth PromotionDelivery of Health CareHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansPeer GroupRisk FactorsSex WorkersSubstance Abuse, IntravenousTanzaniaHealth services accessHIVInjecting drugsMen who have sex with menSex workTanzania

Identifiers

PMID31694616
PMCPMC6833197

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Registered trials

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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.