Authors
Ingrid M le Roux, Mark Tomlinson, Jessica M Harwood, Mary J O’CONNOR, Carol M Worthman, Nokwanele Mbewu, Jacqueline Stewart, Mary Hartley, Dallas Swendeman, W Scott Comulada, Robert E Weiss, Mary Jane Rotheram-Borus
Publication date
2013/6/1
Journal
AIDS (London, England)
Volume
27
Issue
9
Pages
1461
Publisher
NIH Public Access
Description
Objective:
To evaluate the effect of home visits by community health workers (CHWs) on maternal and infant well being from pregnancy through the first 6 months of life for women living with HIV (WLH) and all neighborhood mothers.
Design and methods:
In a cluster randomized controlled trial in Cape Town townships, neighborhoods were randomized within matched pairs to either standard care, comprehensive healthcare at clinics (n= 12 neighborhoods; n= 169 WLH; n= 594 total mothers); or Philani Intervention Program, home visits by CHWs in addition to standard care (PIP; n= 12 neighborhoods; n= 185 WLH; n= 644 total mothers). Participants were assessed during pregnancy (2% refusal) and reassessed at 1 week (92%) and 6 months (88%) postbirth. We analyzed PIP's effect on 28 measures of maternal and infant well being among WLH and among all mothers using random effects regression models. For …
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