South Africa faces high rates of HIV and tuberculosis (TB) co-infection, with poor care engagement worsening outcomes. Community health workers (CHWs) help re-engage patients who have dropped out of care but face challenges due to patients' substance use (SU) and depression, and stigma towards these issues. CHWs often lack training in these areas. This study piloted Siyakhana, … [Read more...] about Piloting Siyakhana: A community health worker training to reduce substance use and depression stigma in South African HIV and TB care
Substance Use
A randomized control trial of a combined community health worker and re-entry intervention for people with HIV recently released from jail who use substances
This study focused on people with HIV who use substances and are recently released from jail. It tested a combined intervention involving community health workers (CHW) and a re-entry organization to improve HIV and substance use outcomes. Results showed improved substance use outcomes but no significant difference in HIV viral suppression outcomes compared to standard care. … [Read more...] about A randomized control trial of a combined community health worker and re-entry intervention for people with HIV recently released from jail who use substances
Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers
The aim of this qualitative study was to determine what drives increases in opioid overdose deaths among Black Americans based on the experiences of key stakeholders. Focus groups were conducted with peers and CHWs engaged in outreach across Black communities in St. Louis, MO. A core theme identified from focus group discussions was the perception that opioid overdose death … [Read more...] about Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers
