Siddhi Nadkarni1, Becky Genberg2,3, Omar Galárraga4. 1. Economics Department, Brown University, Providence, RI, USA. 2. Epidemiology Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 3. Department of Health Services, Policy, and Practice, Brown University School of Public Health, 121 South Main Street, Box G-S121-2, Providence, RI, 02912, USA. 4. Department of Health Services, Policy, and Practice, Brown University School of Public Health, 121 South Main Street, Box G-S121-2, Providence, RI, 02912, USA. omar_galarraga@brown.edu.
Abstract
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.
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.
Entities:
Keywords:
Adherence; Conceptual framework; HIV treatment outcomes; Intermediate outcomes; Microfinance
Authors: Becky L Genberg; Juddy Wachira; Jon A Steingrimsson; Sonak Pastakia; Dan N Tina Tran; Jamil AbdulKadir Said; Paula Braitstein; Joseph W Hogan; Rajesh Vedanthan; Suzanne Goodrich; Catherine Kafu; Marta Wilson-Barthes; Omar Galárraga Journal: BMJ Open Date: 2021-05-18 Impact factor: 3.006
Authors: Becky L Genberg; Marta G Wilson-Barthes; Victor Omodi; Joseph W Hogan; Jon Steingrimsson; Juddy Wachira; Sonak Pastakia; Dan N Tran; Zana W Kiragu; Laura J Ruhl; Molly Rosenberg; Sylvester Kimaiyo; Omar Galárraga Journal: AIDS Date: 2021-10-01 Impact factor: 4.632
Authors: Munyaradzi Madhombiro; Martin Kidd; Bazondlile Dube; Michelle Dube; Wilson Mutsvuke; Thabani Muronzie; Danai Tavonga Zhou; Sarah Derveeuw; Dixon Chibanda; Alfred Chingono; Simbarashe Rusakaniko; Alan Hutson; Gene D Morse; Melanie A Abas; Soraya Seedat Journal: J Int AIDS Soc Date: 2020-12 Impact factor: 6.707