Realist evaluation of a community-based antiretroviral therapy (CBART) programme for key populations in Benue State in Nigeria (Q29557)
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- Realist evaluation of a community-based antiretroviral therapy (CBART) programme for key populations in Benue State in Nigeria.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | Realist evaluation of a community-based antiretroviral therapy (CBART) programme for key populations in Benue State in Nigeria |
No description defined |
|
Statements
World Health Organization recommended community-based ART (CBART) approaches to improve access to antiretroviral treatment (ART) and treatment outcomes among key populations living with (KPLHIV). (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Key populations (KP) are female sex workers, men who have sex with men, persons who inject drugs, and transgender people. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
How CBART for KP (KP-CBART) worked and why, for whom and in what circumstances it worked within KP communities or at community sites, are yet to be described. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
The aim of this study is to describe the different KP-CBART approaches or models in Nigeria, identifying the context conditions and mechanisms that are likely to produce the desired outcomes. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Building on our previous study eliciting an initial programme theory for KP-CBART, we used a multiple case design and cross-case analysis to evaluate 3 KP-CBART approaches, namely: One Stop Shop clinic; community drop-in centre; and outreach venue. (English)
METHOD (English)
© 2024. The Author(s). (English)
2024
Between 2021 and 2023, we conducted a retrospective cohort study, 99 indepth interviews and 5 focused group discussions with various actors. (English)
METHOD (English)
© 2024. The Author(s). (English)
2024
Using realist evaluation, we synthesised context-mechanism-outcome configurations (CMOCs) and developed programme theory for each of the cases and an overall theory. (English)
METHOD (English)
© 2024. The Author(s). (English)
2024
The analysis showed the central importance of decentralizing ART service delivery to a safe place within the community for KPLHIV. (English)
RESULT (English)
© 2024. The Author(s). (English)
2024
The provision of ART in a KP friendly environment triggered a feeling of safety and trust in the healthcare workers among KPLHIV, resulting in KP-CBART acceptance and improved ART uptake, medication adherence and retention on ART. (English)
RESULT (English)
© 2024. The Author(s). (English)
2024
KP community engagement in ART delivery, peer support through support group meetings, and linkages with KP-led organizations improved self-efficacy, fostered solidarity and a sense of belonging among KP. (English)
RESULT (English)
© 2024. The Author(s). (English)
2024
These resources encouraged and motivated clients to engage with the KP-CBART model. (English)
RESULT (English)
© 2024. The Author(s). (English)
2024
However, fear of disclosure of HIV and KP status, and lack of trust between KP groups, demotivated and discouraged KPLHIV from initiating ART and continuing their treatment in KP-CBART. (English)
RESULT (English)
© 2024. The Author(s). (English)
2024
To optimise access to ART and treatment outcomes for KPLHIV, policy makers and health practitioners should ensure the provision of a safe place for ART service delivery that can be trusted by the clients and the KP communities. (English)
CONCLUSION (English)
© 2024. The Author(s). (English)
2024
Olujuwon (English)
Ibiloye (English)
O
Tom (English)
Decroo (English)
T
Caroline (English)
Masquillier (English)
C
Prosper (English)
Okonkwo (English)
P
Lutgarde (English)
Lynen (English)
L
Plang (English)
Jwanle (English)
P
Josefien (English)
van Olmen (English)
J
Sara (English)
van Belle (English)
S
3 September 2024
31 August 2024