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Pilot Outcomes of Maisha: An HIV Stigma Reduction Intervention Developed for Antenatal Care in Tanzania.
Watt, Melissa H; Minja, Linda; Knettel, Brandon A; Mwamba, Rimel N; Osaki, Haika; Ngocho, James S; Kisigo, Godfrey A; Renju, Jenny; Vissoci, Joao R N; Sao, Saumya S; Mmbaga, Blandina T.
Afiliação
  • Watt MH; Department of Population Health Sciences, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA. melissa.watt@utah.edu.
  • Minja L; Duke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA. melissa.watt@utah.edu.
  • Knettel BA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
  • Mwamba RN; Duke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA.
  • Osaki H; School of Nursing, Duke University, 307 Trent Dr, Durham, NC, 27710, USA.
  • Ngocho JS; Duke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA.
  • Kisigo GA; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
  • Renju J; Kilimanjaro Christian Medical University College, Moshi, Tanzania.
  • Vissoci JRN; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
  • Sao SS; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
  • Mmbaga BT; Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
AIDS Behav ; 25(4): 1171-1184, 2021 Apr.
Article em En | MEDLINE | ID: mdl-33180253
HIV stigma is a persistent barrier to curbing the spread of HIV and improving quality of life for people living with HIV. We developed and pilot tested Maisha, an HIV stigma reduction intervention in antenatal care (ANC) with two objectives: 1) among individuals living with HIV, reduce internalized and anticipated HIV stigma, with subsequent improvements in HIV care engagement, and 2) among individuals who are HIV-seronegative, reduce HIV stigmatizing attitudes. We enrolled and baselined 1039 women and 492 male partners presenting to a first ANC appointment and randomized them to standard of care or the Maisha intervention. All women living with HIV (WLHIV) and a subset of HIV-negative participants completed a 3-month follow-up assessment. Participation in the three Maisha sessions was high (99.6%, 92.8%, 89.3%), and nearly all participants noted satisfaction with the intervention content (99.8%) and counselor (99.8%). Among 55 WLHIV, care engagement outcomes did not differ by condition. Among 293 HIV-negative participants, Maisha participants had significantly greater reductions in the moral judgment sub-scale of the stigma attitudes measure (p < .001), but not the social distancing subscale. The ANC setting, where women and their partners are routinely tested for HIV, is an ideal venue for addressing HIV stigma. The Maisha intervention was feasible and acceptable, and had an impact on HIV stigma attitudes. A full trial is needed to examine impacts on HIV outcomes; modifications to the intervention should be considered to reduce social alienation of PLWH.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pré-Natal / Infecções por HIV Tipo de estudo: Clinical_trials Limite: Female / Humans / Male / Pregnancy País/Região como assunto: Africa Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pré-Natal / Infecções por HIV Tipo de estudo: Clinical_trials Limite: Female / Humans / Male / Pregnancy País/Região como assunto: Africa Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos