From December 2005 to April 2007, we enrolled 60 adults starting antiretroviral therapy (ART) in Lima, Peru to receive community-based accompaniment with supervised antiretrovirals (CASA), consisting of 12 months of DOT-HAART, as well as microfinance assistance and/or psychosocial support group according to individuals' need. We matched 60 controls from a neighboring district, and assessed final clinical and psychosocial outcomes at 24 months. CASA support was associated with higher rates of virologic suppression and lower mortality. A comprehensive, tailored adherence intervention in the form of community-based DOT-HAART and matched economic and psychosocial support is both feasible and effective for certain individuals in resource-poor settings. © Springer Science+Business Media, LLC 2010.
Muñoz, M., Bayona, J., Sanchez, E., Arevalo, J., Sebastian, J. L., Arteaga, F., Guerra, D., Zeladita, J., Espiritu, B., Wong, M., Caldas, A., & Shin, S. (2011). Matching social support to individual needs: A community-based intervention to improve HIV treatment adherence in a resource-poor setting. AIDS and Behavior, 1454-1464. https://doi.org/10.1007/s10461-010-9697-9