Evidence map›Paper›PMID 37204561›Full record

ArticleAIDS and behavior2023

Achieving HIV Epidemic Control and Improving Maternal Healthcare Services with Community-Based HIV Service Delivery in Zambia: Mixed-Methods Assessment of the SMACHT Project.

Cassidy W Claassen, Ina Kafunda, Linah Mwango, Steven Shiyanda, Kirsten Stoebenau, Mona Gekanju-Toeque, Brianna Lindsay, Olufunso Adebayo, Msangwa Sinjani, Callistus Kaayunga and 12 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Cassidy W ClaassenCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA. cclaassen@ihv.umaryland.edu.ORCID http://orcid.org/0000-0001-5059-7894
Ina KafundaMaryland Global Initiatives Corporation Zambia, Lusaka, Zambia.
Linah MwangoCiheb Zambia, Lusaka, Zambia.
Steven ShiyandaMaryland Global Initiatives Corporation Zambia, Lusaka, Zambia.
Kirsten StoebenauUniversity of Maryland College Park, College Park, MD, USA.
Mona Gekanju-ToequeCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.
Brianna LindsayCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.
Olufunso AdebayoMaryland Global Initiatives Corporation Zambia, Lusaka, Zambia.
Msangwa SinjaniMaryland Global Initiatives Corporation Zambia, Lusaka, Zambia.
Callistus KaayungaMaryland Global Initiatives Corporation Zambia, Lusaka, Zambia.
Pappy Kakonda Wa BanzaMaryland Global Initiatives Corporation Zambia, Lusaka, Zambia.
Keith MweeboU.S. Centers for Disease Control and Prevention, Lusaka, Zambia.
Nzali KancheyaU.S. Centers for Disease Control and Prevention, Lusaka, Zambia.
Kebby MusokotwaneU.S. Centers for Disease Control and Prevention, Lusaka, Zambia.
Annie MwilaU.S. Centers for Disease Control and Prevention, Lusaka, Zambia.
Newman MonzeSouthern Provincial Health Office, Ministry of Health, Choma, Zambia.
Brooke E NicholsBoston University School of Public Health, Boston, MA, USA.
Natalia BlancoCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.
Marie-Claude C LavoieCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.
Douglas C WatsonThe Hospital for Sick Children, Toronto, Canada.
Lottie HachaambwaCiheb Zambia, Lusaka, Zambia.
Robb ShenebergerCenter for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.

Funding

CDC HHS U2GGH001091CGH CDC HHS U2G GH001091Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Novel community-based approaches are needed to achieve and sustain HIV epidemic control in Zambia. Under the Stop Mother and Child HIV Transmission (SMACHT) project, the Community HIV Epidemic Control (CHEC) differentiated service delivery model used community health workers to support HIV testing, ART linkage, viral suppression, and prevention of mother-to-child transmission (MTCT). A multi-methods assessment included programmatic data analysis from April 2015 to September 2020, and qualitative interviews from February to March 2020. CHEC provided HIV testing services to 1,379,387 clients; 46,138 were newly identified as HIV-positive (3.3% yield), with 41,366 (90%) linked to ART. By 2020, 91% (60,694/66,841) of clients on ART were virally suppressed. Qualitatively, healthcare workers and clients benefitted from CHEC, with provision of confidential services, health facility decongestion, and increased HIV care uptake and retention. Community-based models can increase uptake of HIV testing and linkage to care, and help achieve epidemic control and elimination of MTCT.

Indexed as

Community Health ServicesCommunity Health WorkersHIV InfectionsInfectious Disease Transmission, VerticalMaternal Health ServicesAdultAnti-HIV AgentsDelivery of Health CareEpidemicsFemaleHIV TestingHumansPregnancyPregnancy Complications, InfectiousQualitative ResearchYoung AdultAnti-HIV AgentsDifferentiated service deliveryHIVPBFWPMTCTSub-Saharan AfricaTest & start

Identifiers

PMID37204561
PMCPMC11252556

What OpenQuestion holds

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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.