J Assoc Nurses AIDS Care 2021 Apr 27. Epub 2021 Apr 27.
Brandon A. Knettel, PhD, is an Assistant Professor, Duke University School of Nursing and Duke Global Health Institute, Durham, North Carolina, USA. Kimberly M. Fernandez, BA, BS, is a Master of Physiology Graduate, North Carolina State University, Raleigh, North Carolina, USA. Lisa Wanda, BS, is a Research Assistant, Kilimanjaro Clinical Research Institute, Moshi, Tanzania. Ismail Amiri, BA, is a Research Assistant, Kilimanjaro Clinical Research Institute, Moshi, Tanzania. Clair Cassiello-Robbins, PhD, is a Clinical Associate, Center for Misophonia and Emotion Regulation, Department of Psychiatry, Duke University Medical Center, Durham, North Carolina, USA. Melissa H. Watt, PhD, is an Associate Professor, Department of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA. Blandina T. Mmbaga, MD, MMed, PhD, is a Pediatrician at Kilimanjaro Christian Medical Centre, Director of Research and Consultancy at Kilimanjaro Christian Medical University College, Director of the Kilimanjaro Clinical Research Institute, and Adjunct Associate Professor at Duke Global Health Institute, Durham, North Carolina, USA. Michael V. Relf, PhD, RN, AACRN, ANEF, FAAN, is the Editor-in-Chief of JANAC and the Associate Dean for Global and Community Health Affairs, Duke University School of Nursing and Associate Professor, Duke Global Health Institute, Durham, North Carolina, USA.
Abstract: Suboptimal retention in HIV care is a major driver of the global epidemic, including in sub-Saharan Africa. In Tanzania, the national Community-Based HIV Services program integrates volunteer community health workers (CHWs) to support patient care engagement and reduce the burden placed on HIV clinic nurses; however, few studies have assessed the value of CHWs supporting HIV care. Qualitative interviews were conducted with 48 administrators, nurses, CHWs, and patients to explore strengths and limitations of the Community-Based HIV Services program. Read More