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Sponsor: University of Colorado, Denver
Conditions: Human Immunodeficiency Virus
Interventions: In-Person Program Management Plus (PM+), Mobile Program Management Plus (mHealth PM+)
Countries: Kenya
This study includes secondary quantitative analysis, qualitative methods, and hybrid type 2 implementation-effectiveness pilot trial. The overall goal of this protocol is to determine whether risk stratification of PWLWH in conjunction with a tailored psychosocial support intervention can optimize health outcomes for the vulnerable women and infants. This study will be conducted in high-volume, low-resource health facilities in Kisumu County, Kenya, which is a priority area for research among WLWH and one of the highest HIV burden counties.
Sex: ALL
Age: 15 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion criteria: * Pregnant woman living with HIV attending an ANC clinic in Kisumu County, on/initiating ART * At least 15 years of age * At least 20 weeks estimated gestational age * At moderate or critical risk of the combined outcome of treatment disengagement or viral failure according to the risk calculator * Access to a cell phone (for those who share phones, have disclosed their HIV status to whomever individuals share the phone with. Exclusion Criteria: * Imminent plans of suicide and severe impairment due to severe mental, neurological or substance use disorders * Less than 15 years of age * Less than 20 weeks estimated gestational age or not currently pregnant * Not HIV-infected at time of first ANC visit
- Nairobi, Kenya