Impact of a Rural Village Women (Asha) Intervention on Adherence to Antiretroviral Therapy in Southern India
| Autor: | Benissa E. Salem, Alecia Y. Hanson, Mary Marfisee, Kalyan K. Ganguly, Sanjeev Sinha, Kartik Yadav, Barbara Leake, Adeline Nyamathi |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Rural Population Program evaluation medicine.medical_specialty Adolescent Population Psychological intervention India HIV Infections Pilot Projects Health Promotion Asha Article Medication Adherence Young Adult Acquired immunodeficiency syndrome (AIDS) Humans Medicine Prospective Studies Social determinants of health education General Nursing education.field_of_study business.industry Middle Aged medicine.disease Clinical trial Anti-Retroviral Agents Family medicine Cohort Physical therapy Female business Follow-Up Studies |
| Zdroj: | Nursing Research. 61:353-362 |
| ISSN: | 0029-6562 |
| DOI: | 10.1097/nnr.0b013e31825fe3ef |
| Popis: | BACKGROUND Despite the increased prevalence of HIV in the rural female population of India, adherence to antiretroviral therapy continues to be low because of several barriers that discourage rural women. OBJECTIVES This study aims to assess the effectiveness of an intervention (Asha-Life) delivered by Accredited Social Health Activists (Asha) to improve antiretroviral therapy adherence of rural women living with AIDS in India compared with that of a usual care group. METHODS Sixty-eight rural women living with AIDS, aged 18-45 years, participated in a prospective, randomized pilot clinical trial and were assessed for several factors affecting adherence, such as sociodemographic characteristics, health history, CD4 cell count, enacted stigma, depressive symptomology, help getting antiretroviral therapy, and perceived therapy benefits. RESULTS Findings at 6 months revealed that, although both groups improved their adherence to antiretroviral therapy, there was greater improvement in the Asha-Life group (p < .001), who reported a greater reduction in barriers to antiretroviral therapy than those in the usual care group. DISCUSSION Antiretroviral therapy adherence showed significant increase in the Asha-Life cohort in which basic education on HIV/AIDS, counseling on antiretroviral therapy, support from Ashas, financial assistance, and better nutrition, was provided. The Asha-Life intervention may have great potential in improving antiretroviral therapy adherence and decreasing barriers among rural women living with AIDS in India. |
| Databáze: | OpenAIRE |
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