Design and Implementation of a Community Health Worker HIV Treatment and Prevention Intervention in an HIV Hot Spot Fishing Community in Rakai, Uganda.

Abstract

Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled. A directly observed Motivational Interviewing Treatment Integrity scale-based evaluation found adequate performance (median score 20/25, range 11-23). The health scout intervention was feasible to implement in a high HIV-prevalence fishing community, and its impact on HIV care outcomes will be evaluated in an ongoing cluster randomized trial. If found to be effective, it may be an important strategy for responding to HIV in high-burden settings.

DOI: 10.1177/2325957417709089

Cite this paper

@article{Long2017DesignAI, title={Design and Implementation of a Community Health Worker HIV Treatment and Prevention Intervention in an HIV Hot Spot Fishing Community in Rakai, Uganda.}, author={Amanda Long and Ismail Mbabali and Heidi E. Hutton and Alvin G Thomas and Eva K Bugos and Jeremiah Mulamba and Kathy Rivet Amico and Fred Kakaire Nalugoda and Ronald Henry Gray and Maria J Wawer and Gertrude F Nakigozi and Larry William Chang}, journal={Journal of the International Association of Providers of AIDS Care}, year={2017}, volume={16 5}, pages={499-505} }