The impact of community health worker-led home delivery of antiretroviral therapy on virological suppression: a non-inferiority cluster-randomized health systems trial in Dar es Salaam, Tanzania
Home delivery of antiretroviral therapy (ART) by community health workers (CHWs) may improve ART retention by reducing the time burden and out-of-pocket expenditures to regularly attend an ART clinic. In addition, ART home delivery may shorten waiting times and improve quality of care for those in f...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
22 February 2017
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| In: |
BMC health services research
Year: 2017, Volume: 17, Pages: 160 |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-017-2032-7 |
| Online Access: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1186/s12913-017-2032-7 Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12913-017-2032-7 
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| Author Notes: | Pascal Geldsetzer, Joel M. Francis, Nzovu Ulenga, David Sando, Irene A. Lema, Eric Mboggo, Maria Vaikath, Happiness Koda, Sharon Lwezaula, Janice Hu, Ramadhani A. Noor, Ibironke Olofin, Elysia Larson, Wafaie Fawzi and Till Bärnighausen |
| Summary: | Home delivery of antiretroviral therapy (ART) by community health workers (CHWs) may improve ART retention by reducing the time burden and out-of-pocket expenditures to regularly attend an ART clinic. In addition, ART home delivery may shorten waiting times and improve quality of care for those in facility-based care by decongesting ART clinics. This trial aims to determine whether ART home delivery for patients who are clinically stable on ART combined with facility-based care for those who are not stable on ART is non-inferior to the standard of care (facility-based care for all ART patients) in achieving and maintaining virological suppression. |
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| Item Description: | Gesehen am 02.05.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-017-2032-7 |