Evidence map›Paper›PMID 31888569›Full record

ArticleBMC public health2019

The FANMI ("my FAMILY" in Creole) study to evaluate community-based cohort care for adolescent and young women living with HIV in Haiti: protocol for a randomized controlled trial.

Grace Seo, Joseph Marie Bajo Joseph, Nancy Confident, Esther Jean, Bianca Louis, Tatiana Bell, Rose Cardelle Riche, Marie Elmase Belizaire, Vanessa Rouzier, Alexandra Apollon and 8 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03286504 (FANMI), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT03286504 nacompletednot on this map

FANMI: Community Cohort Care for HIV-Infected Adolescent Girls in Haiti

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2018 to 2023Enrolled120ConditionsHIVArmsFANMI - Cohort Care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

18 authors.

Grace SeoCenter for Global Health, Weill Cornell Medical College, New York, NY, USA. grs2013@med.cornell.edu.ORCID http://orcid.org/0000-0002-6503-7192
Joseph Marie Bajo JosephHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Nancy ConfidentHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Esther JeanHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Bianca LouisHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Tatiana BellHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Rose Cardelle RicheHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Marie Elmase BelizaireHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Vanessa RouzierCenter for Global Health, Weill Cornell Medical College, New York, NY, USA.
Alexandra ApollonHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Lindsey ReifCenter for Global Health, Weill Cornell Medical College, New York, NY, USA.
Vanessa RiveraCenter for Global Health, Weill Cornell Medical College, New York, NY, USA.
Elaine AbramsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Heejung BangDivision of Biostatistics, Department of Public Health Sciences, University of California, Davis, CA, USA.
Bruce SchackmanHealthcare Policy and Research, Weill Cornell Medical College, New York, NY, USA.
Daniel FitzgeraldCenter for Global Health, Weill Cornell Medical College, New York, NY, USA.
Jean W PapeCenter for Global Health, Weill Cornell Medical College, New York, NY, USA.
Margaret L McNairyCenter for Global Health, Weill Cornell Medical College, New York, NY, USA.

Funding

FANMI: Community Cohort Care for HIV-Infected Adolescent Girls in HaitiR01HD091935 · NICHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI FITZGERALD, DANIEL W · 2017 to 2020
$2.2M
NICHD NIH HHS R01 HD091935NIH HHS R01 HD091935
6 · The paper itself

Abstract

backgroundAdolescent girls and young women living with HIV in resource-limited settings have the poorest health outcomes of any age group, due in part to poor retention in care. Differentiated models of HIV care that target the specific challenges of young people living with HIV are urgently needed.

methodsThe FANMI study is an unblinded randomized controlled trial designed to evaluate the efficacy of an adolescent-specific model of HIV care in Port-au-Prince, Haiti. The FANMI intervention places newly young women living with HIV who are not currently on ART or on ART ≤ 3 months, in cohorts of 5-10 peers to receive monthly group HIV care in a community location. In contrast, participants in the standard care arm receive routine HIV care and individual counseling each month in GHESKIO's Adolescent Clinic. A total of 160 participants ages 16-23 years old are being randomized on a 1:1 basis. The primary outcome is retention in HIV care defined as being alive and in care at 12 months after enrollment. Secondary outcomes include viral suppression at 12 months, sexual risk behaviors, acceptability of the FANMI intervention, and health care utilization and costs. DISCUSSION: The FANMI study evaluates a novel community-based cohort model of HIV care aimed at improving retention in care and reducing risk behaviors for HIV transmission among adolescent girls and young women living with HIV. Specifically, the FANMI model of care addresses social isolation by placing participants in cohorts of 5-10 peers to provide intensified peer support and makes HIV health management a group norm; reduces stigma and improves convenience by providing care in a community setting; and integrates clinical care and social support by the same providers to streamline care and promote long-term patient-provider relationships. If shown to be effective, the FANMI intervention may serve as a model of HIV care for improving retention among hard-to-reach adolescents and young adults in Haiti and could be adapted for other high-risk groups globally.

trial registrationIdentifier: NCT03286504, Registered September 18, 2017.

Indexed as

AdolescentAnti-HIV AgentsCohort StudiesCommunity Health ServicesFemaleHaitiHealth Services ResearchHIV InfectionsHumansModels, OrganizationalRandomized Controlled Trials as TopicResearch DesignRetention in CareYoung AdultAnti-HIV Agents

Identifiers

PMID31888569
PMCPMC6937670

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Registered trials

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.