The impact of social services interventions in developing countries: a review of the evidence of impact on clinical outcomes in people living with HIV
| Autor: | Chutima Suraratdecha, Moses H. Bateganya, Maxia Dong, John Oguntomilade |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Social Work
Cost-Benefit Analysis Population Psychological intervention Developing country HIV Infections Article Quality of life Environmental health Health care Outcome Assessment Health Care Medicine Humans Pharmacology (medical) education Developing Countries education.field_of_study Social work business.industry Infectious Diseases Income Quality of Life Health Resources Observational study Health Impact Assessment Morbidity business Health impact assessment |
| Zdroj: | Journal of acquired immune deficiency syndromes (1999). 68 |
| ISSN: | 1944-7884 |
| Popis: | BACKGROUND: Social service interventions have been implemented in many countries to help people living with HIV (PLHIV) and household members cope with economic burden as a result of reduced earning or increased spending on health care. However the evidence for specific interventions-economic strengthening and legal services-on key health outcomes has not been appraised. METHODS: We searched electronic databases from January 1995 to May 2014 and reviewed relevant literature from resource-limited settings on the impact of social service interventions on mortality morbidity retention in HIV care quality of life and ongoing HIV transmission and their cost-effectiveness. RESULTS: Of 1685 citations 8 articles reported the health impact of economic strengthening interventions among PLHIV in resource-limited settings. None reported on legal services. Six of the 8 studies were conducted in sub-Saharan Africa: 1 reported on all 5 outcomes and 2 reported on 4 and 2 outcomes respectively. The remaining 5 reported on 1 outcome each. Seven studies reported on quality of life. Although all studies reported some association between economic strengthening interventions and HIV care outcomes the quality of evidence was rated fair or poor because studies were of low research rigor (observational or qualitative) had small sample size or had other limitations. The expected impact of economic strengthening interventions was rated as high for quality of life but uncertain for all the other outcomes. CONCLUSIONS: Implementation of economic strengthening interventions is expected to have a high impact on the quality of life for PLHIV but uncertain impact on mortality morbidity retention in care and HIV transmission. More rigorous research is needed to explore the impact of more targeted intervention components on health outcomes. |
| Databáze: | OpenAIRE |
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