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. 2023 Jan;35(1):1-6.
doi: 10.1080/09540121.2022.2039356. Epub 2022 Mar 29.

Demonstration project of a lay counselor delivered trans-diagnostic mental health intervention for newly diagnosed HIV patients in Mozambique

Wilson H Hammett  1   2 , Alberto Muanido  3 , Vasco F J Cumbe  4   5 , Chombalelo Mukunta  3 , Nelia Manaca  3 , Leecreesha Hicks  2 , Shannon Dorsey  6 , Katrin E Fabian  1 , Bradley H Wagenaar  1   2   7
Affiliations

Demonstration project of a lay counselor delivered trans-diagnostic mental health intervention for newly diagnosed HIV patients in Mozambique

Wilson H Hammett et al. AIDS Care. 2023 Jan.

Abstract

ABSTRACTCommon mental disorders (CMDs) are associated with poor HIV outcomes in low- and middle-income countries. The present study implemented a psychological therapy delivered in routine HIV care and examined its effects on HIV outcomes in Mozambique. The Common Elements Treatment Approach (CETA) was integrated into routine HIV care in Sofala, Mozambique for all newly-diagnosed HIV+ patients with CMD symptoms. HIV treatment initiation and retention were compared to overall facility averages (those enrolled in CETA + those not enrolled). Of 250 patients screened, 59% (n = 148 met the criteria for CETA enrollment, and 92.6 (n = 137) enrolled in CETA. After four CETA visits, CMD symptoms decreased >50% and suicidal ideation decreased 100%. Patients enrolling in CETA had an antiretroviral therapy initiation rate of 97.1%, one-month retention of 69.2%, and three-month retention of 82.4%. Patients in the comparison group had one-month retention of 66.0% and three-month retention of 68.0%. CETA may be a promising approach to reduce symptoms of CMDs and improve HIV care cascade outcomes in areas with high HIV prevalence.

Keywords: HIV; Mozambique; implementation; mental health; task-shifting.

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Conflict of interest statement

Conflict of interest: The authors report no conflicts of interest.

Figures

Figure 1:
Figure 1:
3-month HIV retention of CETA-enrolled patients by facility, compared to overall HIV retention averages
See this image and copyright information in PMC

References

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