Navigation Links
Innovative intervention program improves life for rural women in India living with HIV/AIDS
Date:6/21/2013

A multidisciplinary team of researchers from UCLA and India has found that a new type of intervention program, in which lay women in the rural Indian province of Andra Pradesh were trained as social health activists to assist women who have HIV/AIDS, significantly improved patients' adherence to antiretroviral therapy and boosted their immune-cell counts and nutrition levels.

The lay women were trained by the research team to serve as accredited social health activists, or ASHA, and their work was overseen by rural nurses and physicians. These ASHA then provided counseling and support to the women with HIV/AIDS, as well as assistance aimed at removing the barriers they face in accessing health care and treatment.

"For rural women living with AIDS in India, stigma, financial constraints and transportation challenges continue to exist, making lifesaving antiretroviral therapy difficult to obtain," said lead researcher Adey Nyamathi, distinguished professor and associate dean of international research and scholarly activities at the UCLA School of Nursing.

In India, 2.47 million people are affected with HIV/AIDS, and more than half are women. The epidemic is shifting from urban to rural areas, and the rice-producing Andhra Pradesh district in southeastern India is at the epicenter; this area has the highest total number of HIV/AIDS cases of all states in the country, with nearly 20 percent of the population infected.

For the intervention study, women with HIV/AIDS in Andra Pradesh were randomly selected to participate either in the intervention, called AHSA-LIFE (AL), or in a control group.

Over a six-month period, the ASHA visited the women in the AL group to monitor the barriers they faced in accessing health care and adhering to their antiretroviral therapy and provided assistance to help mitigate these barriers. The ASHA also provided counseling to help women develop coping strategies to deal with discrimination. The intervention group also received monthly supplies of high-protein foods, such as black gram and pigeon pea.

In addition, the women in the AL group participated in six education sessions covering a variety of topics, including learning about HIV and AIDS, adhering to antiretroviral therapy, overcoming barriers and dealing with the illness. The courses also focused on improving coping, reducing the stigma of the disease, caring for family members and children, the basics of good nutrition and benefits of participating in a life-skills class.

Women in the control group also attended the education sessions, but they did not receive visits and supportive services from the ASHA. They received only standard protein supplementation, not the high-protein supplements of the intervention group.

Among the women in the AL group, the researchers found significant increases in therapy adherence and CD4+ T-cell levels, as well as significant reductions in internalized stigma, avoidance coping and depressive symptoms, compared with the control group. The women in the AL group also showed significant increases in body mass index, muscle mass and fat mass, compared with the other women.

The pilot study holds promise for rural women and other populations afflicted by HIV/AIDS, Nyamathi said.

"The findings of our study lay the groundwork for a national model related to the benefits of training and working with ASHA in rural India in an effort to improve antiretroviral therapy adherence and reduce stigma and depression, as well as improve nutritional status," she said.

Findings from the study are currently available on online in two journals: the Western Journal of Nursing Research, and AIDS Education and Prevention. The study was funded by the National Institute of Mental Health, part of the National Institutes of Health.


'/>"/>

Contact: Laura Perry
lperry@sonnet.ucla.edu
310-794-4022
University of California - Los Angeles
Source:Eurekalert

Related medicine news :

1. MET Training Plan: Review Reveals Scott Abel’s New and Innovative MET Training System
2. PrettySkin4Less Launches New Innovative Skin Serums with Active Organic Ingredients to World Wide Consumer Base
3. Global Food Protection Institute Conference to Focus on Innovative Food Protection Technologies
4. Innovative Approach to Healthcare through Telemedicine by Online USA Doctors
5. Crowd funding for medical research? U-M team wins national prize for innovative approach
6. 12 million bednets and innovative thinking make Ghana malaria partnership a success
7. Healthy Directions & Dr. Stephen Sinatra Launch Omega DHA Brain Defense™, An Innovative Brain Health Supplement
8. DiscountFurnaceFilter.com Introduces the Latest Innovative Creation from Stadler Form, Albert the Dehumidifier
9. TheBeautyPlace.com Divulges Two Innovative Hair Loss Concealers on the Market Today: Bosley Hair Thickening Fibers and Toppik Hair Building Fibers
10. New vRating™ Video and Unified Communications Scoring System Delivers Innovative Approach to Measure Performance and ROI for Collaboration Networks
11. yurbuds Expands Best-Selling Lines with Innovative New Products
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/17/2017)... (PRWEB) , ... January 17, 2017 , ... ... by the political/social/economic events, Dr. Carol Francis re-releases powerfully uplifting interview with medical ... moments that help everyone endure and pass through tough times, Dr. Bernie Siegel ...
(Date:1/17/2017)... Florida (PRWEB) , ... January 17, 2017 , ... Kevin ... Producers of AsSeenOnTV.pro will be featuring DRTV campaigns regarding the topic of Beauty and ... become a better version of themselves. What better way to commit to these changes ...
(Date:1/17/2017)... ... January 17, 2017 , ... Achieve TMS ... is opening a new office in San Clemente, California this month. Achieve TMS ... Southern California, successfully treating individuals struggling with major depression. Depression impacts over 15 ...
(Date:1/17/2017)... Metairie, Louisiana (PRWEB) , ... January 17, 2017 ... ... JenCare Senior Medical Center joined the Peoples Health network on Dec. 1, ... Medicare beneficiaries. , “JenCare Senior Medical Center is an exciting addition to our ...
(Date:1/17/2017)... ... January 17, 2017 , ... ... with Sigfox in the U.S.A. to offer Internet of Things (IoT) ... offerings on large-scale environmental sensor deployments such as monitoring solutions used to detect ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... , Jan 17, 2017 Research ... Self Healing Materials: 2017 - 2024" report to their offering. ... This new ... full market report that was issued in May of 2015. Self-healing ... potential. In our previous analysis we projected a market potential of ...
(Date:1/17/2017)... HARRISBURG, Pa. , Jan. 17, 2017 /PRNewswire-USNewswire/ ... today announced applications for medical marijuana growers/processors ... Medical Marijuana Program website . Permit applications ... 20, 2017. "This is an important ... patients who desperately need it," Secretary Murphy said. ...
(Date:1/17/2017)...  From the company that brought a full line of equine ... a new line of companion animal pet first aid kits.  EquiMedic ... first aid, has developed two sizes of small pet first aid ... Featuring a small and a large companion pet first ... is not a newcomer to working with small animals either. Corporate ...
Breaking Medicine Technology: