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Estamos Juntos (We Are Together): Improving HIV Care Delivery by Capacitating Health Care Providers

CompletedNA

Sponsor: Vanderbilt University Medical Center

Conditions: Hiv

Interventions: behavioral therapy and education

Countries: Mozambique

Health care workers' negative behavior towards patients (likely a reflection of low job satisfaction, frustration with delivering HIV care and treatment in extremely resource-limited settings, and burnout) is one of the primary reasons people living with HIV abandon treatment in Mozambique. The purpose of this proposal is to test the impact and implementation of a provider resilience intervention and an anti-stigma intervention, individually and in combination, using a randomized controlled trial design at four health facilities. This potentially high-impact intervention offers the opportunity to test a low-cost, provider-focused approach to improving HIV treatment that, if proven effective at increasing adherence and retention in care, could be tested in a fully powered R01 trial in Mozambique.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: Yes

Study type: INTERVENTIONAL

Eligibility criteria

Provider Criteria

Inclusion Criteria:

* Adult individuals, 18 years of age or older;
* working as physicians, nurses, medical technicians, health counselors, community health care workers, or other clinical and non-clinical staff (e.g., receptionists, data entry clerk) who provide health services to adults living with HIV at one of the four study sites;
* willing to be followed as a study participant during the 6-month study period, and does not intend to transfer to another health facility (HF) during the study period (per investigator's assessment at time of recruitment), as self-reported.
* Be able to read and write in Portuguese, as self-reported.

Exclusion Criteria:

* Those who are not permanent members of the health facility staff (i.e., floating providers that work at multiple sites in a given week);
* Any clinical or mental condition, including the influence of drugs or alcohol at the time of study recruitment, that as per the investigator's opinion/assessment, would preclude the provision of informed consent or make study participation unsafe or unethical;
* Individuals working in the health facility but from the following cadres: drivers, security personnel, and workers with no patient-facing roles.

Patient Criteria

Inclusion:

* Adult individuals, 18 years of age or older
* Active in care (i.e., not in default)
* Receiving HIV care and treatment at one of the four study sites.

Locations (1)

Quelimane, Zambezia Province, Mozambique