Evidence map›Paper›PMID 32795711›Full record

ArticleEvaluation and program planning2020

The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania.

Melissa H Watt, Brandon A Knettel, Elizabeth T Knippler, Godfrey Kisigo, James S Ngocho, Jenny Renju, Jane Rogathi, Saumya S Sao, Linda Minja, Haika Osaki and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Evaluation and program planning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03600142 (A Stigma Reduction Intervention at Time of Entry Into Antenatal Care to Improve PMTCT Services in Tanzania), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 37% 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.

NCT03600142 nacompletednot on this map

A Stigma Reduction Intervention at Time of Entry Into Antenatal Care to Improve PMTCT Services in Tanzania (Maisha)

TypeinterventionalSponsorUniversity of UtahRan2019 to 2020Enrolled1,539ConditionsHIV InfectionsArmsMashia
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Understanding male involvement in antenatal care in the Kilimanjaro region of Tanzania: Barriers, facilitators, and opportunities for engagement.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2024
    Article
  5. Article
  6. Article
  7. Article
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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

12 authors at 4 institutions in 3 countries.

Melissa H WattDuke Global Health Institute, Duke University, Durham, NC, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA. Electronic address: melissa.watt@utah.edu.
Brandon A KnettelDuke Global Health Institute, Duke University, Durham, NC, USA. Electronic address: brandon.knettel@duke.edu.
Elizabeth T KnipplerDuke Global Health Institute, Duke University, Durham, NC, USA; Gilling School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. Electronic address: elizabeth.knippler@unc.edu.
Godfrey KisigoDuke Global Health Institute, Duke University, Durham, NC, USA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania. Electronic address: godfrey.kisigo@duke.edu.
James S NgochoKilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Christian Medical University College, Moshi, Tanzania. Electronic address: james.ngocho@kcmuco.ac.tz.
Jenny RenjuKilimanjaro Christian Medical University College, Moshi, Tanzania; London School of Hygiene and Tropical Medicine, London, UK. Electronic address: jenny.renju@lshtm.ac.uk.
Jane RogathiKilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical University College, Moshi, Tanzania. Electronic address: janerogathi.kcri@gmail.com.
Saumya S SaoDuke Global Health Institute, Duke University, Durham, NC, USA. Electronic address: saumya.sao@duke.edu.
Linda MinjaKilimanjaro Clinical Research Institute, Moshi, Tanzania. Electronic address: lindaminja@gmail.com.
Haika OsakiKilimanjaro Clinical Research Institute, Moshi, Tanzania. Electronic address: woko.haika@gmail.com.
Rimel N MwambaDuke Global Health Institute, Duke University, Durham, NC, USA. Electronic address: rimel.mwamba@duke.edu.
Blandina T MmbagaDuke Global Health Institute, Duke University, Durham, NC, USA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Christian Medical University College, Moshi, Tanzania. Electronic address: b.mmbaga@kcri.ac.tz.
Duke University · USKilimanjaro Christian Medical Centre · TZDuke Institute for Health Innovation · USLondon School of Hygiene & Tropical Medicine · GB

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
Sociobehavioral Sciences Research to Improve Care for HIV Infection in TanzaniaD43TW009595 · FIC · KILIMANJARO CHRISTIAN MEDICAL CENTRE · PI Blandina Theophil Mmbaga · 2013 to 2026
$4.2M
A stigma reduction intervention at time of entry into antenatal care to improve PMTCT services in TanzaniaR21TW011053 · FIC · UNIVERSITY OF UTAH · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2018 to 2019
$424k
Postpartum HIV care engagement in the context of Option B+ in TanzaniaR21AI124344 · NIAID · DUKE UNIVERSITY · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2016 to 2017
$314k
FIC NIH HHS D43 TW009337FIC NIH HHS D43 TW009595FIC NIH HHS R21 TW011053NIAID NIH HHS P30 AI064518NIAID NIH HHS R21 AI124344
6 · The paper itself

Abstract

HIV stigma has a profound impact on clinical outcomes and undermines the quality of life of people living with HIV (PLWH). Among HIV-negative individuals, misinformation and prejudicial attitudes about HIV can fuel stigma and contribute to discrimination against PLWH. Antenatal care (ANC), with its focus on universal HIV testing, provides a unique entry point to address HIV stigma. This study describes the development of a counseling intervention to address HIV stigma among women and their partners attending a first ANC appointment in Tanzania. Formative work to inform the intervention consisted of qualitative interviews with 32 pregnant and postpartum women (both women living with HIV and HIV-negative women) and 20 healthcare workers. Data were analyzed iteratively, using a thematic analysis approach, to identify intervention targets. The resulting intervention, Maisha (Swahili for "Life"), includes three sessions informed by the HIV Stigma Framework and Cognitive-Behavioral Therapy: a video and brief counseling session prior to HIV testing and, for those who test seropositive for HIV, two additional sessions building on the video content. A pilot test of the intervention is in process. Addressing HIV stigma at the first ANC visit can help individuals living with HIV to overcome stigma-related barriers to the initiation and maintenance of HIV care, and can reduce stigmatizing attitudes among those who test negative for HIV.

Indexed as

HIV InfectionsPrenatal CareCounselingFemaleHumansInfectious Disease Transmission, VerticalPregnancyProgram EvaluationQuality of LifeTanzaniaAntiretroviral therapy (ART)HIV testing and counseling (HTC)Option B+Prevention of mother-to-child transmission of HIV (PMTCT)Stigma reduction

Identifiers

PMID32795711
PMCPMC7686260
OpenAlexW3047345610

What OpenQuestion holds

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Read underepoch 390

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.