Project ACCLAIM
Intervention Effect on Community Knowledge, Attitudes and Beliefs of Maternal and Child Health and HIV/Aids in Eswatini, Uganda and Zimbabwe
Bibliographic Data
| ID | 15336181 |
|---|---|
| Authors | N Bandopadhay (Milken Institute, corresponding author), Godfrey Woelk (0000-0002-8382-0893, Elizabeth Glaser Pediatric AIDS Foundation), Mary Pat Kieffer (0000-0001-6388-3646, Elizabeth Glaser Pediatric AIDS Foundation), Dephine Mpofu, Caspian Chouraya (0000-0002-2325-1449), Kwashie Kudiabor, Philisiwe Khumalo (0000-0003-2129-0564, Elizabeth Glaser Pediatric AIDS Foundation), Edward Bitarakwate, Eliab Natumanya Kajungu (Elizabeth Glaser Pediatric AIDS Foundation), Agnes Mahomva (0009-0002-9122-7544, Elizabeth Glaser Pediatric AIDS Foundation), Reuben Musarandega (0000-0002-0622-2195) |
| Year | 2021 |
| Volume | 25 |
| Issue | 8 |
| Pages | 2400-2409 |
| Publication date | 2021-03-04 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-021-03202-2 |
| PMID | 33661426 |
| OpenAlex | W3135523486 |
| Language | EN |
| Citations received | 1 |
| References cited | 11 |
The ACCLAIM Study aimed to assess the effect of a package of community interventions on the demand for, uptake of, and retention of HIV-positive pregnant/postpartum women in maternal and child health (MCH) and prevention of mother-to-child HIV transmission (PMTCT) services. The study occurred from 2013 to 2015 in Eswatini, Uganda, and Zimbabwe. The three interventions were: (1) a social learning and action component for community leaders, (2) community days, and (3) peer discussion groups. Household cross-sectional surveys on community members' MCH and PMTCT knowledge, attitudes, and beliefs were analyzed pre- and post-intervention, using MCH, HIV stigma, and gender-equitable men (GEM) indicators. We used t-tests to measure the significance of mean pre- vs. post-intervention score changes stratified by gender within each intervention arm and generalized linear models to compare mean score changes of the cumulative intervention arms with the community leaders-only intervention. Response rates were over 85% for both surveys for men and women, with a total of 3337 pre-intervention and 3162 post-intervention responses. The combined package of three interventions demonstrated a significantly greater increase in MCH scores for both women (diff = 1.34, p ≤ 0.001) and men (diff = 2.03, p < 0.001). The arms that included interventions for both community leader engagement and community days (arms 2 and 3)led to a greater increase in mean GEM scores compared to the community leader engagement intervention alone (arm 1), for both women (diff = 1.32, p = 0.002) and men (diff = 1.37, p = 0.004). Our findings suggest that a package of community interventions may be most effective in increasing community MCH/HIV knowledge and improving gender-equitable norms
Community health · Family medicine · Health psychology · Intervention (counseling · Psychological intervention · Public health · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |