查看文章

Objective:

We evaluated the effectiveness of short-term cash and food assistance to improve adherence to antiretroviral therapy (ART) and retention in care among people living with HIV in Tanzania.

Methods:

At three clinics, 805 participants were randomized to three groups in a 3: 3: 1 ratio, stratified by site: nutrition assessment and counseling (NAC) and cash transfers (∼ $11/month, n= 347), NAC and food baskets (n= 345), and NAC-only (comparison group, n= 113, clinicaltrials. gov NCT01957917). Eligible people living with HIV were at least 18 years, initiated ART 90 days or less prior, and food insecure. Cash or food was provided for 6 or less consecutive months, conditional on visit attendance. The primary outcome was medication possession ratio (MPR≥ 95%) at 6 months. Secondary outcomes were appointment attendance and loss to follow-up (LTFU) at 6 and 12 months.

Results:

The primary intent-to-treat …