Elisabeth Pfleger, Hans Drexler, Regina Lutz
Health Literacy and Environmental Risks Focusing Air Pollution: Results from a Cross-Sectional Study in Germany
International journal of environmental research and public health
antiretroviral treatment art effective clinical intervention reducing morbidity mortality among persons living hiv however uganda disparities men women viral load suppression related hiv care engagement outcomes suggests problems implementation art gender norms known driver hiv disparities subsaharan africa patientprovider relationships key factor hiv care engagement therefore role gender norms important consider interventions achieve equitable provision treatment quality art counseling overall research objective study pilot test implementation strategy ie methods improve implementation evidencebased intervention increase providers capacity provide genderresponsive treatment counseling men women hiv treatment uganda delivered hiv providers group training adapts evidencebased strategies reduce gender biases increase skills deliver genderspecific transformative hiv counseling patients implementation strategy piloted quasiexperimental controlled trial clinics randomly assigned either intervention control conditions trial assess feasibility acceptability explore barriers facilitators implementation future adoption gathering preliminary evidence implementation strategys effectiveness comparing changes patient n 240 provider n 80140 outcomes across intervention control clinics 12month followup quantitative data descriptively analyzed qualitative data analyzed thematic analysis data mixed presentation interpretation results appropriate pilot intervention trial gather preliminary evidence acceptability feasibility potential effect novel implementation strategy improve men womens hiv care engagement potential reduce gender disparities hiv outcomes clinicaltrialsgov nct05178979 retrospectively registered january 5 2022