Samuel Solomon|Aylur K. Srikrishnan|Canjeevaram K. Vasudevan|Sam Anand|Mukesh Kumar|Pachamuthu Balakrishnan|Shefali Mehta|Suniti Solomon|Gregory M. Lucas
Voucher Incentives Improve Linkage to and Retention in Care Among HIV-Infected Drug Users in Chennai, India
Johns Hopkins Medicine|Johns Hopkins University|YR Gaitonde Centre for AIDS Research and Education|YR Gaitonde Centre for AIDS Research and Education|YR Gaitonde Centre for AIDS Research and Education|YR Gaitonde Centre for AIDS Research and Education|YR Gaitonde Centre for AIDS Research and Education|YR Gaitonde Centre for AIDS Research and Education|Johns Hopkins University|YR Gaitonde Centre for AIDS Research and Education|Johns Hopkins Medicine|Johns Hopkins University
drug users dus population accounts fastestgrowing human immunodeficiency virus hiv epidemics globally lag behind populations regard hivrelated outcomes evaluated role voucher incentives linkage retention care among dus indiain randomized clinical trial 120 dus aged 18 years hivinfected antiretroviral therapy art naive art eligible reported drug use prior month randomized incentive inc control ctl conditions 12 months participants randomized inc arm received incentives redeemable foodhousehold goods ranging value usd4 usd8 achieving prespecified targets eg art initiation visits art center subjects ctl group could win vouchers prizebowl drawings hiv care behaviors incentivized primary endpoint time art initiationsixty participants randomized inc ctl arms december 2009 september 2010 participants inc arm likely visit government art center 49 vs 33 p 002 27 participants inc 16 participants ctl arm initiated art p 04 hazard ratio art 233 95 confidence interval 115473 participants inc arm also significantly visits art center median number visits 8 vs 35 p 005 however difference viral suppression observedmodest voucher incentives improved linkage retention hiv care significantly impact viral suppression among dus india disenfranchised difficulttotreat populationnct01031745