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. 2019 Sep;23(9):2238-2252.
doi: 10.1007/s10461-019-02443-6.

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

Siddhi Nadkarni  1 , Becky Genberg  2   3 , Omar Galárraga  4
Affiliations

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

Siddhi Nadkarni et al. AIDS Behav. 2019 Sep.

Abstract
in English, Spanish

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.

Antecedentes:: Las intervenciones de microfinanzas tienen el potencial de mejorar los resultados del tratamiento del VIH, pero los mecanismos a través de los cuales operan no están del todo claros.

Objetivos:: Construir un marco conceptual de síntesis del impacto de las intervenciones de microfinanzas en los resultados del tratamiento del VIH utilizando evidencia de una revisión sistemática.

Métodos:: Se llevó a cabo una revisión sistemática mediante búsquedas en bases de datos electrónicas y revistas desde 1996 hasta 2018 para evaluar los efectos de las intervenciones de microfinanzas en los resultados del tratamiento del VIH, incluida la adherencia, la retención, la supresión viral y el recuento de células CD4.

Resultados:: Todos los estudios en la revisión mostraron una mejor adherencia, retención y supresión viral, pero variaron en el recuento de células CD4 luego de la participación en las intervenciones de microfinanzas, lo que respalda el papel positivo de las microfinanzas en la mejora de los resultados del tratamiento del VIH. El marco conceptual de síntesis propuesto identifica los mecanismos potenciales a través de los cuales las microfinanzas impactan los resultados del tratamiento del VIH a través de resultados intermedios hipotéticos.

Conclusión:: Se debe poner mayor énfasis en evaluar los mecanismos de efecto y los comportamientos intermedios para generar una base teórica sólida para las intervenciones de microfinanzas.

Keywords: Adherence; Conceptual framework; HIV treatment outcomes; Intermediate outcomes; Microfinance.

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Conflict of interest statement

Conflict of Interest: The authors declare that they have no conflict of interest.

Figures

Figure 1.
Figure 1.
Flow Diagram of Article Inclusion Process
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References

    1. Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet (London, England). 2008;372(9640):764–775. doi:10.1016/S0140-6736(08)60887-9 - DOI - PubMed
    1. 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. doi:10.1186/s12889-015-2084-8 - DOI - PMC - PubMed
    1. 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. doi:10.2105/AJPH.2014.302291 - DOI - PMC - PubMed
    1. 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). http://lshtmtest.da.ulcc.ac.uk/992527/1/MacPherson-finalversion.pdf. Accessed April 18, 2018.
    1. 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. doi:10.1080/09540121.2018.1479030org/10.1080/09540121.2018.1479030 - DOI - PubMed

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