Abstract
Rakhi Karwa and colleagues discuss a program in which peer navigators support care for people with HIV at a Kenyan hospital.
Highlights
Because the Academic Model Providing Access to Healthcare (AMPATH) pharmacy and the hospital pharmacy are separated by physical space and the hospital pharmacy does not supply antiretroviral therapy (ART), one of the key services that peers provided to patients was the refilling and delivery of ART
We have developed and are testing a mobile health application that integrates with AMPATH Medical Record System (AMRS), to record patient interactions and services rendered, contact information and post-discharge follow-up details, and current medications with the capability for adverse drug reaction detection and reporting
By working with the leadership of AMPATH, we hope to formalize the training process with the goal of providing a recognized certificate and to apply this training to all peers. This is the first paper in the literature to describe an inpatient HIV peer navigator program in sub-Saharan Africa (SSA)
Summary
In both the United States and SSA, peer navigators have been utilized to improve medication adherence and linkage and retention rates for outpatients with HIV; to our knowledge, there are no studies evaluating their effectiveness in the inpatient setting [10]. To respond to these challenges, we developed and implemented an inpatient HIV peer navigator program with the aim of improving diagnosis, linkage and retention in care, and medication adherence for patients with HIV admitted to the medicine wards at MTRH.
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