Evidence map›Paper›PMID 40563118›Full record

ArticleBMC global and public health2025

Is membership in microfinance initiatives associated with viral load suppression among HIV patients? Evidence from western Kenya.

Bishnu Bahadur Thapa, Becky Genberg, Juddy Wachira, Jon Steingrimsson, Omar Galarraga

Abstract read
In one paragraph

Article in BMC global and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Understanding HIV risk across populations.BMC global and public health · 2026
    Article
  2. Article
4 · The record

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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

5 authors.

Bishnu Bahadur ThapaDepartment of Health Services, Policy, and Practice, School of Public Health, Brown University, Providence, RI, USA. bthapa@alumni.princeton.edu.
Becky GenbergDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Juddy WachiraDepartment of Mental Health and Behavioral Sciences, School of Medicine, Moi University, Eldoret, Kenya.
Jon SteingrimssonDepartment of Health Services, Policy, and Practice, School of Public Health, Brown University, Providence, RI, USA.
Omar GalarragaDepartment of Health Services, Policy, and Practice, School of Public Health, Brown University, Providence, RI, USA.

Funding

Harambee: Integrated Community-Based HIV/NCD Care & Microfinance Groups in KenyaR01MH118075 · NIMH · BROWN UNIVERSITY · PI GALARRAGA, OMAR, GENBERG, BECKY LYNN · 2019 to 2023
$2.8M
NIH HHS R01MH118075NIMH NIH HHS R01 MH118075
6 · The paper itself

Abstract

backgroundSocial and economic factors have considerable influence on the lives of people living with HIV (PLHIV). These factors shape their health behaviors, willingness to engage with other members of their communities for support, and ability to seek appropriate and timely treatment options. Evidence has shown that microfinance initiatives, by providing access to credit and social networks, have the potential to help PLHIV overcome some of these barriers. The objective of this study was to understand the association between microfinance membership and viral load suppression among HIV patients.

methodsWe used data from the Academic Model Providing Access to Healthcare (AMPATH)-Kenya's Group Integrated Savings for Health Empowerment (GISHE), a microfinance initiative (MFI), to study the association between GISHE participation and viral load suppression. Our longitudinal dataset consisted of a matched group of 3609 HIV patients. We examined the association between GISHE membership and viral load suppression by addressing the missing data problem with respect to the viral load count via multiple imputation.

resultsOur study revealed that GISHE membership was associated with increased viral load suppression (adjusted odds ratio (AOR) = 1.15; 95% confidence interval (CI), 1.03-1.29). Further, the study found that male patients were less likely to be virally suppressed (AOR = 0.85; 95% CI, 0.74-0.97), as were the patients in the most advanced disease stage (AOR = 0.71; 95% CI, 0.52-0.95). The finding that GISHE participation was associated with a greater likelihood of viral load suppression held even after addressing the missing data problem.

conclusionsWe conclude that GISHE-type programs hold promise as scalable interventions to combat HIV/AIDS in Kenya and other countries where the disease is a generalized epidemic.

Indexed as

HIVLow-incomeMicrofinanceSocial capitalViral load

Identifiers

PMID40563118
PMCPMC12199483

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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.