Evidence map›Paper›PMID 37934754›Full record

ArticlePLOS global public health2023

'When I receive ARVs through my group, my heart settles': Participants' perceptions and experiences of Friends for Life Circles for Option B+ in Kampala and Mityana Districts, Uganda.

Joseph Rujumba, Rachel L King, Joyce Namale-Matovu, Priscilla Wavamunno, Alexander Amone, Grace Gabagaya, Gordon Rukundo, Mary Glenn Fowler, Jaco Homsy, Janet Seeley and 1 more

Abstract read
In one paragraph

Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Joseph RujumbaDepartment of Pediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0002-9485-8790
Rachel L KingInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, United States of America.
Joyce Namale-MatovuMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.
Priscilla WavamunnoMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.
Alexander AmoneMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.ORCID https://orcid.org/0000-0001-5920-281X
Grace GabagayaMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.ORCID https://orcid.org/0000-0001-5327-8610
Gordon RukundoMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.ORCID https://orcid.org/0000-0002-2622-5254
Mary Glenn FowlerMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Kampala, Uganda.
Jaco HomsyInstitute for Global Health Sciences, University of California San Francisco, San Francisco, CA, United States of America.
Janet SeeleyLondon School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID https://orcid.org/0000-0002-0583-5272
Philippa MusokeDepartment of Pediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0002-1875-202X

Funding

Using Enhanced Peer Group Strategies to Support Option B+ in UgandaR01HD080476 · NICHD · MU-JHU CARE · PI FOWLER, MARY GLENN, MUSOKE, PHILIPPA · 2014 to 2018
$3.3M
NICHD NIH HHS R01 HD080476
6 · The paper itself

Abstract

The Friends for Life Circles (FLC) was a parallel randomized controlled trial testing the efficacy of a group peer support intervention to support long-term adherence to Option B+ in Kampala and Mityana districts in Uganda. We explored FLC participants' experiences and perceptions of the intervention on adherence to Option B+ for PMTCT and potential implications for strengthening the PMTCT program. We collected data from six focus group discussions with lactating women enrolled in the FLC intervention, and from 14 key informant interviews with health workers, district and national level stakeholders, as well as male partners of FLC participants. Data were analysed using a content thematic approach in a continuous and iterative process. Women described the FLC intervention as acceptable and beneficial in enhancing their understanding of HIV and the need for ART. The FLC helped women, especially those newly diagnosed with HIV infection to come to terms with their diagnosis and overcome the fear of death linked to testing HIV positive, and provided opportunities to enhance ART initiation, resumption and adherence. The FLC provided safe spaces for women, to learn about ART, and to receive support from peers including adherence reminders through home visits and 'coded' reminder messages. Receiving ART from support groups protected members from stigma and long lines at health facilities. Fear of stigma, health system challenges, the high cost of caring for animals and lack of money to save in groups were key challenges noted. The FLC support groups were crucial in providing needed support for women to initiate, resume and adhere to lifelong ART for Option B+. It is important that women who test HIV positive and start ART for life receive psychosocial support from peers and health workers to improve chances of preventing HIV transmission from mothers to children.

Identifiers

PMID37934754
PMCPMC10629658

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.