dc.contributor.author |
Kafu, Catherine |
|
dc.contributor.author |
Wachira, Juddy |
|
dc.contributor.author |
Omodi, Victor |
|
dc.contributor.author |
Said, Jamil |
|
dc.contributor.author |
Pastakia, Sonak D. |
|
dc.contributor.author |
Tran, Dan N. |
|
dc.contributor.author |
Onyango, Jael Adongo |
|
dc.contributor.author |
Aburi, Dan |
|
dc.contributor.author |
Wilson‑Barthes, Marta |
|
dc.contributor.author |
Galárraga, Omar |
|
dc.contributor.author |
Lynn Genberg, Becky |
|
dc.date.accessioned |
2023-01-25T12:25:11Z |
|
dc.date.available |
2023-01-25T12:25:11Z |
|
dc.date.issued |
2022-12-28 |
|
dc.identifier.uri |
https://doi.org/10.1186/s40814-022-01218-6 |
|
dc.identifier.uri |
http://ir.mu.ac.ke:8080/jspui/handle/123456789/7223 |
|
dc.description.abstract |
Background: The Harambee study is a cluster randomized trial in Western Kenya that tests the effect, mechanisms,
and cost‑effectiveness of integrating community‑based HIV and non‑communicable disease care within microfinance
groups on chronic disease treatment outcomes. This paper documents the stages of our feasibility study conducted
in preparation for the Harambee trial, which include (1) characterizing the target population and gauging recruitment
capacity, (2) determining community acceptability of the integrated intervention and study procedures, and (3) iden‑
tifying key implementation considerations prior to study start.
Methods: Feasibility research took place between November 2019 and February 2020 in Western Kenya. Mixed
methods data collection included surveys administered to 115 leaders of 105 community‑based microfinance groups,
7 in‑person meetings and two workshops with stakeholders from multiple sectors of the health system, and ascertain‑
ment of field notes and geographic coordinates for group meeting locations and HIV healthcare facilities. Quantitative
survey data were analyzed using STATA IC/13. Longitude and latitude coordinates were mapped to county boundaries
using Esri ArcMap. Qualitative data obtained from stakeholder meetings and field notes were analyzed thematically.
Results: Of the 105 surveyed microfinance groups, 77 met eligibility criteria. Eligible groups had been in existence
from 6 months to 18 years and had an average of 22 members. The majority (64%) of groups had at least one member
who owned a smartphone. The definition of “active” membership and model of saving and lending differed across
groups. Stakeholders perceived the community‑based intervention and trial procedures to be acceptable given the
minimal risks to participants and the potential to improve HIV treatment outcomes while facilitating care integration.
Potential challenges identified by stakeholders included possible conflicts between the trial and existing community‑
based interventions, fear of group disintegration prior to trial end, clinicians’ inability to draw blood for viral load test‑
ing in the community, and deviations from standard care protocols |
en_US |
dc.description.sponsorship |
5R01MH118075‑02. |
en_US |
dc.language.iso |
en |
en_US |
dc.publisher |
BMC |
en_US |
dc.subject |
Differentiated care |
en_US |
dc.subject |
Human immunodeficiency viruses (HIV), |
en_US |
dc.subject |
Non‑communicable diseases |
en_US |
dc.subject |
Community‑ based care |
en_US |
dc.subject |
Microfinance |
en_US |
dc.subject |
Feasibility study |
en_US |
dc.subject |
Randomized controlled trial |
en_US |
dc.subject |
Implementation science |
en_US |
dc.title |
Integrating community-based HIV and non-communicable disease care with microfinance groups: a feasibility study in Western Kenya |
en_US |
dc.type |
Article |
en_US |