nach oben

AIDS and Behavior

Erschienen in:

25.02.2019 | Substantive Review

Microfinance Interventions and HIV Treatment Outcomes: A Synthesizing Conceptual Framework and Systematic Review

verfasst von: Siddhi Nadkarni, Becky Genberg, Omar Galárraga

Erschienen in: AIDS and Behavior | Ausgabe 9/2019

Einloggen, um Zugang zu erhalten

Abstract

Background

Microfinance interventions have the potential to improve HIV treatment outcomes, but the mechanisms through which they operate are not entirely clear.

Objectives

To construct a synthesizing conceptual framework for the impact of microfinance interventions on HIV treatment outcomes using evidence from our systematic review.

Methods

We conducted a systematic review by searching electronic databases and journals from 1996 to 2018 to assess the effects of microfinance interventions on HIV treatment outcomes, including adherence, retention, viral suppression, and CD4 cell count.

Results

All studies in the review showed improved adherence, retention, and viral suppression, but varied in CD4 cell count following participation in microfinance interventions—overall supporting microfinance’s positive role in improving HIV treatment outcomes. Our synthesizing conceptual framework identifies potential mechanisms through which microfinance impacts HIV treatment outcomes through hypothesized intermediate outcomes.

Conclusion

Greater emphasis should be placed on assessing the effect mechanisms and intermediate behaviors to generate a sound theoretical basis for microfinance interventions.

Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet (London, England). 2008;372(9640):764–75. https://doi.org/10.1016/S0140-6736(08)60887-9.CrossRef

Gitahi-Kamau NT, Kiarie JN, Mutai KK, Gatumia BW, Gatongi PM, Lakati A. Socio-economic determinants of disease progression among HIV infected adults in Kenya. BMC Public Health. 2015;15:733. https://doi.org/10.1186/s12889-015-2084-8.CrossRefPubMedPubMedCentral

Witte SS, Aira T, Tsai LC, et al. Efficacy of a savings-led microfinance intervention to reduce sexual risk for HIV among women engaged in sex work: a randomized clinical trial. Am J Public Health. 2015;105(3):e95–102. https://doi.org/10.2105/AJPH.2014.302291.CrossRefPubMedPubMedCentral

MacPherson E, Desmond N, Mwapasa V, Lalloo DG, Seeley J, Theobald S. Exploring the complexity of microfinance and HIV in fishing communities on the shores of Lake Malawi. Malawi-Liverpool-Wellcome Trust Clin Res Program. 2015;30096(3):414–36.

Swann M. AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV Economic strengthening for retention in HIV care and adherence to antiretroviral therapy: a review of the evidence Economic strengthening for retention in HIV care and adherence to antiretroviral therapy: a review of the evidence. AIDS Care. 2018;30(S3):99–125. https://doi.org/10.1080/09540121.2018.1479030org/10.1080/09540121.2018.1479030.CrossRef

Defining Adherence. 2003. http://www.who.int/chp/knowledge/publications/adherence_Section1.pdf. Accessed 30 Sept 2018.

Scientific Journals Related to HIV/AIDS. American Psychological Association. 2018. https://www.apa.org/pi/aids/resources/research/journals.aspx. Accessed 17 oCT 2018.

Arrivillaga M, Salcedo JP, Pérez M. The IMEA project: an intervention based on microfinance, entrepreneurship, and adherence to treatment for women with HIV/AIDS living in poverty. AIDS Educ Prev. 2014;26(5):398–410. https://doi.org/10.1521/aeap.2014.26.5.398.CrossRefPubMed

Bezabih T, Weiser SD, Menbere MS, Negash A, Grede N. Comparison of treatment adherence outcome among PLHIV enrolled in economic strengthening program with community control. AIDS Care. 2018. https://doi.org/10.1080/09540121.2017.1371667.CrossRefPubMed

10.

Daigle GT, Jolly PE, Chamot EAM, et al. System-level factors as predictors of adherence to clinical appointment schedules in antiretroviral therapy in Cambodia. AIDS Care. 2015. https://doi.org/10.1080/09540121.2015.1024098 CrossRefPubMed

11.

Muñoz M, Bayona J, Sanchez E, et al. Matching social support to individual needs: a community- based intervention to improve HIV treatment adherence in a resource-poor setting. AIDS Behav. 2010;15:1454–64. https://doi.org/10.1007/s10461-010-9697-9.CrossRef

12.

Weiser SD, Bukusi EA, Steinfeld RL, et al. Shamba Maisha: randomized controlled trial of an agricultural and finance intervention to improve HIV health outcomes. AIDS. 2015;29(14):1889–94. https://doi.org/10.1097/QAD.0000000000000781.CrossRefPubMedPubMedCentral

13.

Petrovic K, Blank TO. The Andersen-Newman Behavioral Model of Health Service Use as a conceptual basis for understanding patient behavior within the patient-physician dyad: the influence of trust on adherence to statins in older people living with HIV and cardiovascular disease. Cogent Psychol. 2015;2:1038894. https://doi.org/10.1080/23311908.2015.1038894.CrossRef

14.

Weiser SD, Young SL, Cohen CR, et al. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr. 2011;94(6):1729S–39S. https://doi.org/10.3945/ajcn.111.012070.CrossRefPubMedPubMedCentral

15.

Kenya Country Operational Plan (COP) 2018 Strategic Direction Summary. 2018. https://www.pepfar.gov/documents/organization/285861.pdf. Accessed 16 Feb 2019.

16.

Ethiopia Country/Regional Operational Plan (COP/ROP) 2018 Strategic Direction Summary.; 2018. https://www.pepfar.gov/documents/organization/285863.pdf. Accessed 16 Feb 2019.

17.

Strategic Direction Summary Cambodia Country Operational Plan. https://www.pepfar.gov/documents/organization/272005.pdf. Accessed 4 Sept 2018.

18.

Vargas V. The New HIV/AIDS Program in Peru: The Role of Prioritizing and Budgeting for Results.; 2015. https://openknowledge.worldbank.org/bitstream/handle/10986/21497/942600WP00PUBL0IV0AIDS0Program0Peru.pdf?sequence=1&isAllowed=y. Accessed 4 Sept 2018.

19.

MLHW Country Case Studies. http://www.who.int/workforcealliance/knowledge/resources/MLHWCountryCaseStudies_annex12_Peru.pdf. Accessed 4 Sept 2018.

20.

HIV and AIDS Estimates Country Factsheets Colombia 2017. 2017.

21.

Behavioral Economics and Social Policy Designing Innovative Solutions for Programs Supported by the Administration for Children and Families. 2014. http://www.acf.hhs.gov/programs/opre. Accessed 4 Sept 2018.

22.

Prevent HIV, Test and Treat All: WHO Support for Country Impact. Geneva. 2016. http://apps.who.int/iris/bitstream/handle/10665/251713/WHOHIV?sequence=1. Accessed 1 Jan 2019.

23.

Alonzo AA, Reynolds NR. Stigma, HIV and AIDS: an exploration and elaboration of a stigma trajectory. 1995. https://ac.els-cdn.com/0277953694003846/1-s2.0-0277953694003846-main.pdf?_tid=793d4d1d-1d00-434c-8365-d831014fe366&acdnat=1538531643_9d3961e1458c3d921f9deb6b784cd6c7. Accessed 2 Oct 2018.

24.

Katz IT, Ryu AE, Onuegbu AG, et al. Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis. J Int AIDS Soc. 2013. https://doi.org/10.7448/ias.16.3.18640.CrossRefPubMedPubMedCentral

25.

Govindasamy D, Ford N, Kranzer K. Risk factors, barriers and facilitators for linkage to antiretroviral therapy care. AIDS. 2012;26(16):2059–67. https://doi.org/10.1097/QAD.0b013e3283578b9b.CrossRefPubMed

26.

Mullainathan S, Krishnan S. Psychology and economics: what it means for microfinance. 2008. www.financialaccess.orgwww.poverty-action.org. Accessed 25 July 2018.

27.

Baird SJ, Garfein RS, Mcintosh CT, Özler B. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet. 2012;379:1320–9. https://doi.org/10.1016/S0140.CrossRefPubMed

28.

Weiser SD, Hatcher AM, Hufstedler LL, et al. Changes in health and antiretroviral adherence among HIV-infected adults in Kenya: qualitative longitudinal findings from a livelihood intervention. AIDS Behav. 2017;21(2):415–27. https://doi.org/10.1007/s10461-016-1551-2.CrossRefPubMedPubMedCentral

29.

Gnauck K, Ruiz J, Kellett N, et al. Economic empowerment and AIDS-related stigma in rural Kenya: a double-edged sword? Cult Heal Sex An Int J Res Interv Care. 2013;15(7):851–65. https://doi.org/10.1080/13691058.2013.789127.CrossRef

30.

Kim JC, Watts CH, Hargreaves JR, et al. Understanding the impact of a microfinance-based intervention on women’s empowerment and the reduction of intimate partner violence in South Africa. Am J Public Health. 2007;97(10):1794–802. https://doi.org/10.2105/AJPH.2006.095521.CrossRefPubMedPubMedCentral

31.

Bertrand M, Mullainathan S, Shafir E. A Behavioral-Economics View of Poverty. Am Econ Assoc Pap Proc. 2004;94(2):419–23. https://doi.org/10.1257/0002828041302019.CrossRef

32.

Ashraf N, Karlan D, Yin W. Tying Odysseus to the mast: evidence from a commitment savings product in the Philippines. Q J Econ. 2006;121:635–72.CrossRef

33.

Dworkin SL, Blankenship K. Microfinance and HIV/AIDS prevention: assessing its promise and limitations. AIDS Behav. 2009;13:462–9. https://doi.org/10.1007/s10461-009-9532-3.CrossRefPubMedPubMedCentral

34.

Kodongo O, Kendi LG. Individual lending versus group lending: an evaluation with Kenya’s microfinance data. Rev Dev Financ. 2013;3:99–108. https://doi.org/10.1016/j.rdf.2013.05.001.CrossRef

35.

Holmes K, Winskell K, Hennink M, Chidiac S. Microfinance and HIV mitigation among people living with HIV in the era of anti-retroviral therapy: Emerging lessons from Côte d’Ivoire. Glob Public Health. 2010. https://doi.org/10.1080/17441692.2010.515235.CrossRef

36.

Hashemi SM, Schuler SR, Riley AP. Rural credit programs and women’s empowerment in Bangladesh. World Dev. 1996;24(4):635–53.CrossRef

37.

Morduch J. The Microfinance Promise. J Econ Lit. 1999;37:1569–614. https://doi.org/10.1257/jel.37.4.1569.CrossRef

38.

Pronyk PM, Kim JC, Makhubele MB, et al. Microfinance and HIV prevention—emerging lessons from rural South Africa. Small Enterp Dev. 2005;16(3):26–38.CrossRef

39.

Mohindra K, Haddad S, Narayana D. Can microcredit help improve the health of poor women? Some findings from a cross-sectional study in Kerala, India. Int J Equity Health. 2008;7:2. https://doi.org/10.1186/1475-9276-7-2.CrossRefPubMedPubMedCentral

40.

Ahmed SM, Chowdhury M. Micro-Credit and Emotional Well-Being: Experience of Poor Rural Women from Matlab, Bangladesh. World Dev. 2001;29(11):1957–66.CrossRef

41.

Fernald LC, Hamad R, Karlan D, Ozer EJ, Zinman J. Small individual loans and mental health: a randomized controlled trial among South African adults. BMC Public Health. 2008. https://doi.org/10.1186/1471-2458-8-409.CrossRefPubMedPubMedCentral

42.

Berg KM, Arnsten JH. Practical and conceptual challenges in measuring antiretroviral adherence. J Acquir Immune Defic Syndr. 2006;43(Suppl 1):S79–87. https://doi.org/10.1097/01.qai.0000248337.97814.66.CrossRefPubMedPubMedCentral

Titel: Microfinance Interventions and HIV Treatment Outcomes: A Synthesizing Conceptual Framework and Systematic Review
verfasst von: Siddhi Nadkarni
Becky Genberg
Omar Galárraga
Publikationsdatum: 25.02.2019
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 9/2019
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-019-02443-6

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Background

Objectives

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2019

Predictors of Successful HIV Care Re-engagement Among Persons Poorly Engaged in HIV Care

HIV Care Trajectories as a Novel Longitudinal Assessment of Retention in Care

A Systematic Review of eHealth Interventions Addressing HIV/STI Prevention Among Men Who Have Sex With Men

When is Enough, Enough? How the Absence of Dose-Determination Trials Impedes Implementation of HIV Behavioral Interventions

Pilot Randomized Controlled Trial of a Syndemics Intervention with HIV-Positive, Cocaine-Using Women

Effect of a Community-Level HIV Prevention Intervention on Psychosocial Determinants of HIV Risk Behaviors among Young Black Men Who Have Sex with Men (YBMSM)