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Title It helps me live, sends my children to school, and feeds me: a qualitative study of how food and cash incentives may improve adherence to treatment and care among adults living with HIV in Tanzania.
Full text https://escholarship.org/uc/item/2wg279jr
Date 2017
Author(s) Czaicki, Nancy L; Mnyippembe, Agatha; Blodgett, Madeline; Njau, Prosper; McCoy, Sandra I
Abstract Financial and in-kind incentives have been shown to improve outcomes along the HIV care cascade, however the potential mechanismsthrough which they work remain unclear. To identify the pathways through which incentives improve retention in care and adherence to antiretroviral therapy (ART), we conducted a qualitative study with participants in a trial evaluating conditional food and cash incentives for HIV-positive food insecure adults in Shinyanga, Tanzania. We found that the incentives acted through three pathways to potentially increase retention in care and adherence to ART: (1) addressing competing needs and offsetting opportunity costs associated with clinic attendance, (2) alleviating stress associated with attending clinic and meeting basic needs, and (3) by potentially increasing motivation. Participants did not report any harmful events associated with the incentives, but reported myriad beneficial effects on household welfare. Understanding how incentives are used and how they impact outcomes can improve the design of future interventions.
Subject(s) Humans; HIV Infections; Motivation; Family Characteristics; Qualitative Research; Schools; Food Supply; Adult; Child; Tanzania; Female; Male; Interviews as Topic; Medication Adherence; ART adherence; HIV infection; cash transfers; food assistance; incentives; qualitative; retention; Behavioral and Social Science; Clinical Research; Clinical Trials and Supportive Activities; Pediatric AIDS; HIV/AIDS; Mental Health; Infectious Diseases; Pediatric; Infection; Zero Hunger; Good Health and Well Being; Public Health and Health Services; Psychology; Public Health
Coverage 876 - 884
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS care, vol 29, iss 7
Rights public
Identifier qt2wg279jr
Repository Berkeley - University of California
Added to C-A: 2023-05-30;10:09:57