Tools
Tools
Dovel, Kathryn L., Hariprasad, Santhi, Hubbard, Julie, Cornell, Morna, Phiri, Khumbo, Choko, Augustine, Abbott, Rachel, Hoffman, Risa, Nichols, Brooke, Gupta, Sundeep and Long, Lawrence (2023) 'Strategies to improve antiretroviral therapy (ART) initiation and early engagement among men in sub‐Saharan Africa: A scoping review of interventions in the era of universal treatment'. Tropical Medicine & International Health, Vol 28, Issue 6, pp. 454-465.
|
Text
Tropical Med Int Health - 2023 - Dovel - Strategies to improve antiretroviral therapy ART initiation and early engagement.pdf - Published Version Available under License Creative Commons Attribution. Download (304kB) | Preview |
Abstract
Objectives
Men in sub-Saharan Africa (SSA) have lower rates of antiretroviral therapy (ART) initiation and higher rates of early default than women. Little is known about effective interventions to improve men's outcomes. We conducted a scoping review of interventions aimed to increase ART initiation and/or early retention among men in SSA since universal treatment policies were implemented.
Methods
Three databases, HIV conference databases and grey literature were searched for studies published between January 2016 to May 2021 that reported on initiation and/or early retention among men. Eligibility criteria included: participants in SSA, data collected after universal treatment policies were implemented (2016–2021), quantitative data on ART initiation and/or early retention for males, general male population (not exclusively focused on key populations), intervention study (report outcomes for at least one non-standard service delivery strategy), and written in English.
Results
Of the 4351 sources retrieved, 15 (reporting on 16 interventions) met inclusion criteria. Of the 16 interventions, only two (2/16, 13%) exclusively focused on men. Five (5/16, 31%) were randomised control trials (RCT), one (1/16, 6%) was a retrospective cohort study, and 10 (10/16, 63%) did not have comparison groups. Thirteen (13/16, 81%) interventions measured ART initiation and six (6/16, 37%) measured early retention. Outcome definitions and time frames varied greatly, with seven (7/16, 44%) not specifying time frames at all. Five types of interventions were represented: optimising ART services at health facilities, community-based ART services, outreach support (such as reminders and facility escort), counselling and/or peer support, and conditional incentives. Across all intervention types, ART initiation rates ranged from 27% to 97% and early retention from 47% to 95%.
Conclusions
Despite years of data of men's suboptimal ART outcomes, there is little high-quality evidence on interventions to increase men's ART initiation or early retention in SSA. Additional randomised or quasi-experimental studies are urgently needed.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NOT_LSTM |
| Subjects: | WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503.2 Therapy |
| Faculty: Department: | Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1111/tmi.13880 |
| Depositing User: | Lynn Roberts-Maloney |
| Date Deposited: | 05 Jul 2023 10:36 |
| Last Modified: | 05 Jul 2023 10:45 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/22765 |
Statistics
Actions (login required)
 |
Edit Item |