Harambee: Integrated Community-based HIV/NCD Care & Microfinance Groups in Kenya
HIV/AIDS, Noncommunicable Diseases, Hypertension
About this trial
This is an interventional health services research trial for HIV/AIDS focused on measuring HIV, Noncommunicable Diseases, microfinance, differentiated care, mobile care, telemedicine, task-shifting
Eligibility Criteria
Inclusion Criteria:
- 18 years of age or older at study baseline
- HIV-positive
- Have received any care through AMPATH since 2010
- Initiated ART at least 6 months prior to study baseline
- Have participated in at least one microfinance group meeting in the prior 12 months at study baseline (for Study Arms A & B)
- Willing and able to provide informed consent.
Exclusion Criteria:
- Currently participating in the BIGPIC study
- Unable to provide informed consent for participation
Sites / Locations
- Moi University/ Moi Teaching and Referral Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
No Intervention
Microfinance with Integrated Community-based Care
Microfinance with Standard of Care
Standard of Care without Microfinance
20 microfinance groups with n=450 participants will be randomized to receive the ICB intervention.
20 microfinance groups with n=450 participants will be randomized to continue to receive standard of care from an AMPATH-supported rural health facility.
n=300 participants who receive care at an AMPATH health facility and who are not involved in microfinance will serve as matched contemporaneous controls. These participants will be actively followed over the 18-months of the trial.