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Title: NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members
Authors: Suzanne Maman
Heidi Van Rooyen
Petra Stankard
Alfred Chingono
Tshifhiwa Muravha
Jacob Ntogwisangu
Zipho Phakathi
Namtip Srirak
Stephen F. Morin
Laurie Abler
Christopher Bamanyisa
Chris Beyrer
Adam W. Carrico
David Celentano
Suwat Chariyalertsak
Lillianne Chovenye
Thomas J. Coates
Kathryn Curran
Deborah Donnell
Susan Eshleman
Agnès Fiamma
Katherine Fritz
Janet Frohlich
Becky Genberg
Glenda Gray
Amy Gregowski
Harry Hausler
Zdenek Hlavka
Daniel Hlubinka
Nora Margaret Hogan
Le Tanya Johnson-Lewis
Philip Joseph Tendayi Jubenkanda
Salim Abdool Karim
Surinda Kawichai
Sebastian Kevany
Gertrude Khumalo-Sakutukwa
G. P. Kilonzo
Michal Kulich
Oliver Laeyendecker
Tim Lane
Florence P. Lema
Benjamin Link
Tserayi Machinda
Jessie Mbwambo
Nuala McGrath
James McIntyre
Sakhile Mhlongo
Joanne Mickalian
Precious Modiba
Simon Morfit
Khalifa M. Mrumbi
Marta I. Mulawa
Oliver Murima
Thulani Ngubani
Audrey Pettifor
Estelle Piwowar-Manning
Linda Richter
Gavin Robertson
Andrew M. Sadowski
Memory Sendah
Basant Singh
Michael Sweat
Greg Szekeres
Andrew Timbe
Surasing Visrutaratna
Godfrey Woelk
Carla E. Zelaya
Keywords: Agricultural and Biological Sciences
Biochemistry, Genetics and Molecular Biology
Issue Date: 29-Jan-2014
Abstract: Introduction: NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma. Methods: A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time. Results: Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities. Discussion: The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites. © 2014 Maman et al.
ISSN: 19326203
Appears in Collections:CMUL: Journal Articles

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