Evidence map›Paper›PMID 32780187›Full record

ArticleAIDS and behavior2021

Overcoming Barriers to HIV Care: Findings from a Peer-Delivered, Community-Based, Linkage Case Management Program (CommLink), Eswatini, 2015-2018.

Duncan MacKellar, Daniel Williams, Makhosazana Dlamini, Johnita Byrd, Lenhle Dube, Phumzile Mndzebele, Sikhathele Mazibuko, Ishani Pathmanathan, Endale Tilahun, Caroline Ryan

Abstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

12 citing papers in PubMed.

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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.

Duncan MacKellarDivision of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA, 30329, USA. dym4@cdc.gov.ORCID http://orcid.org/0000-0001-8217-9881
Daniel WilliamsDivision of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA, 30329, USA.
Makhosazana DlaminiPopulation Services International, Mbabane, Eswatini.
Johnita ByrdICF Macro, Atlanta, GA, USA.
Lenhle DubeEswatini National AIDS Programme, Eswatini Ministry of Health, Mbabane, Eswatini.
Phumzile MndzebeleU.S. Centers for Disease Control and Prevention, Mbabane, Eswatini.
Sikhathele MazibukoU.S. Centers for Disease Control and Prevention, Mbabane, Eswatini.
Ishani PathmanathanDivision of Global HIV and TB, Center for Global Health, U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA, 30329, USA.
Endale TilahunPopulation Services International, Mbabane, Eswatini.
Caroline RyanU.S. Centers for Disease Control and Prevention, Mbabane, Eswatini.

Funding

Intramural CDC HHS CC999999U.S. President's Emergency Plan for AIDS Relief NU2GGH001935-01
6 · The paper itself

Abstract

To help persons living with HIV (PLHIV) in Eswatini initiate antiretroviral therapy (ART), the CommLink case-management program provided a comprehensive package of linkage services delivered by HIV-positive, peer counselors. Of 1250 PLHIV participants aged ≥ 15 years diagnosed in community settings, 75% reported one or more barriers to care (e.g., fearing stigmatization). Peer counselors helped resolve 1405 (65%) of 2166 identified barriers. During Test and Treat (October 2016-September 2018), the percentage of participants who initiated ART and returned for ≥ 1 antiretroviral refills was 92% overall (759/824); 99% (155/156) among participants without any identified barriers; 96% (544/564) among participants whose counselors helped resolve all or all but one barrier; and 58% (59/102) among participants who had ≥ 2 unresolved barriers to care. The success of CommLink is attributed, at least in part, to peer counselors who helped their clients avoid or at least temporarily resolve many well-known barriers to HIV care.

Indexed as

Case ManagementHIV InfectionsAgedAnti-Retroviral AgentsEswatiniHumansPeer GroupAnti-Retroviral AgentsBarriers to HIV careLinkage case managementLinkage to HIV carePeer-delivered services

Identifiers

PMID32780187
PMCPMC7876149

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.