Acceptability and feasibility of a financial incentive intervention to improve retention in HIV care among pregnant women in Johannesburg, South Africa.
Acceptability and feasibility of a financial incentive intervention to improve retention in HIV care among pregnant women in Johannesburg, South Africa.
复制标题
DOI：
10.1080/09540121.2017.1394436
复制
发表时间：
2018-04
期刊：
影响因子：
1.7
通讯作者：
Fox MP
中科院分区：
文献类型：
--
作者：
Clouse K;Mongwenyana C;Musina M;Bokaba D;Long L;Maskew M;Ahonkhai A;Fox MP
怀孕期间开始抗逆转录病毒治疗的妇女在分娩后退出艾滋病毒护理的风险很高。我们评估了经济激励的可接受性和可行性，即完成一次产后访视≤10周的一次性R50（约4美元）超市代金券，以改善产后保留。我们在南非约翰内斯堡的一家初级卫生诊所招募了100名HIV阳性的孕妇。参与者在入组时接受了采访，我们审查了文件，以评估产后≥14周的保留情况。受访者的中位（IQR）年龄为28岁（24-31岁），31%有工作。大多数人（86%）表示，奖励将激励他们返回，76%的人支持提供奖励的诊所。在23%认为干预不可接受的人中，最常见的原因是个人对健康的责任。证明了可行性，79.7%（51/64）的合格参与者收到了代金券。当被要求对首选的假设激励干预措施进行排名时，社会服务援助排在第一位（29%），其次是婴儿配方奶粉（22%）和现金（21%）;社会服务援助是那些认为代金券激励干预措施可以接受和不可接受的人的首选。为了鼓励艾滋病毒抗体阳性妇女继续接受护理，受访者最常建议的是健康教育（34%）、咨询（29%）、经济奖励（25%）、家访（13%）和更好的服务（6%）。我们的研究结果表明，财政激励是可以接受的，但妇女经常表示更喜欢综合服务和改善教育和咨询，以提高保留。有必要采取干预措施，探索教育和咨询干预措施改善产后艾滋病毒护理的可行性和有效性。
Women initiating antiretroviral therapy during pregnancy are at high risk of dropping out of HIV care after delivery. We assessed the acceptability and feasibility of a financial incentive—a one-time R50 (~USD4) supermarket voucher for completing one postpartum visit ≤10 weeks of delivery—to improve postpartum retention. We enrolled 100 pregnant, HIV-positive women at a primary health clinic in Johannesburg, South Africa. Participants were interviewed at enrollment and we reviewed files to assess retention ≥14 weeks postpartum. Median (IQR) respondent age was 28 years (24–31) and 31% were employed. Most (86%) said the incentive would motivate them to return and 76% supported clinics offering incentives. Among the 23% who found the intervention unacceptable, the most frequent reason was perceived personal responsibility for health. Feasibility was demonstrated, as 79.7% (51/64) of eligible participants received a voucher. When asked to rank preferred hypothetical incentive interventions, assistance with social services ranked first (29%), followed by infant formula (22%) and cash (21%); assistance with social services was the top-ranked choice by both those who found the voucher incentive intervention acceptable and unacceptable. To encourage HIV-positive women to remain in care, respondents most frequently suggested health education (34%), counseling (29%), financial incentives (25%), home visits (13%), and better service (6%). Our results suggest financial incentives are acceptable, but women frequently expressed preference for integrated services and improved education and counseling to improve retention. Interventions exploring the feasibility and efficacy of education and counseling interventions to improve postpartum HIV care are warranted.
登录
查看更多内容
DOI：
10.1111/tmi.12072
发表时间：
2013-04
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Clouse K;Pettifor A;Shearer K;Maskew M;Bassett J;Larson B;Van Rie A;Sanne I;Fox MP
通讯作者：
Fox MP
影响因子：
3.3
作者：
Ferguson, Laura;Grant, Alison D.;Ross, David A.
通讯作者：
Ross, David A.
DOI：
10.1097/qai.0b013e318253258a
发表时间：
2012-07-01
影响因子：
3.6
作者：
Ferguson, Laura;Lewis, James;Ross, David A.
通讯作者：
Ross, David A.
影响因子：
3.7
作者：
Ngarina, Matilda;Tarimo, Edith A. M.;Ekstrom, Anna Mia
通讯作者：
Ekstrom, Anna Mia
影响因子：
4.4
作者：
MacPhail, Catherine;Adato, Michelle;Kahn, Kathleen;Selin, Amanda;Twine, Rhian;Khoza, Samson;Rosenberg, Molly;Nguyen, Nadia;Becker, Elizabeth;Pettifor, Audrey
通讯作者：
Pettifor, Audrey