Objective: Unsuccessful linkage to care and treatment increases adolescent HIV-related morbidity and mortality. This study evaluated the effect of a novel adolescent and youth Red Carpet Program (RCP) on the timing and outcomes of linkage to care. Design: A prepost implementation evaluation of the pilot RCP program. Settings: Healthcare facilities (HCFs) and schools in Homa Bay County, Kenya. Study participants: HIV-infected adolescents (15-19 years) and youth (20-21 years). Interventions: RCP provided fast-track peer-navigated services, peer counseling, and psychosocial support at HCFs and schools in six Homa Bay subcounties in 2016. RCP training and sensitization was implemented in 50 HCFs and 25 boarding schools. Main outcome measures: New adolescent and youth HIV diagnosis, linkage to and retention in care and treatment. Results: Within 6 months of program rollout, 559 adolescents and youths (481 women; 78 men) were newly diagnosed with HIV (15-19 years n = 277; 20-21 years, n = 282). The majority (n = 544; 97.3%) were linked to care, compared to 56.5% at preimplementation (P<0.001). All (100.0%; n = 559) adolescents and youths received peer counseling and psychosocial support, and the majority (n = 430; 79.0%) were initiated on treatment. Compared to preimplementation, the proportion of adolescents and youths who were retained on treatment increased from 66.0 to 90.0% at 3 months (P< 0.001), and from 54.4 to 98.6% at 6 months (P< 0.001). Conclusion: Implementation of RCP was associated with significant improvement in linkage to and early retention in care among adolescent and youth. The ongoing study will fully assess the efficacy of this linkage-to-care approach. Copyright (C) 2017 The Author(s). Published by Wolters Kluwer Health, Inc.
机构:
Drexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USADrexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USA
Aaron, Erika
Alvare, Tyler
论文数: 0引用数: 0
h-index: 0
机构:
George Washington Univ, Sch Med & Hlth Sci, Washington, DC 20052 USADrexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USA
Alvare, Tyler
Gracely, Ed J.
论文数: 0引用数: 0
h-index: 0
机构:
Drexel Univ, Sch Publ Hlth Epidemiol & Biostat, Philadelphia, PA 19102 USADrexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USA
Gracely, Ed J.
Riviello, Ralph
论文数: 0引用数: 0
h-index: 0
机构:
Drexel Univ, Coll Med, Dept Emergency Med, Philadelphia, PA 19102 USADrexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USA
Riviello, Ralph
Althoff, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Drexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USADrexel Univ, Coll Med, Div Infect Dis & HIV Med, 1427 Vine St MS 959, Philadelphia, PA 19102 USA
机构:
CDCP, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Div HIV Prevent, Atlanta, GA USA
CDCP, Div HIV Prevent, 1600 Clifton Rd,NE,Mail Stop E59, Atlanta, GA 30333 USACDCP, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Div HIV Prevent, Atlanta, GA USA
Song, Wei
Mulatu, Mesfin S.
论文数: 0引用数: 0
h-index: 0
机构:
CDCP, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Div HIV Prevent, Atlanta, GA USACDCP, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Div HIV Prevent, Atlanta, GA USA