Person-Centered Approaches to Viremia: Connection, Rapport, and Engagement Study

What this Trial Is About

Researchers are evaluating person-centred approaches to improve engagement and connection for people living with HIV who face challenges in maintaining viral suppression. The study focuses on populations in Zambia who are most affected by viremia, including pregnant and breastfeeding women, children, adolescents, and adults who are more than 30 days late for their hospital appointments. The research aims to identify barriers to sustained viral suppression and develop tailored strategies to address these obstacles in vulnerable groups. The study will take place over 36 months in 24 healthcare facilities across Lusaka and Central provinces in Zambia. Interventions will be co-created with stakeholders using Human Centred Design methods to develop a person-centred package that improves patient connection, rapport, and engagement in care. This package will be tested specifically among high-priority populations contributing to ongoing viremia. Participants will be monitored for updated estimates of viremia and care status over a two-year period. The study involves tracing patients who are lost to follow-up or have elevated viral loads, assessing their care status and viral suppression outcomes. Written informed consent will be obtained, and participants will be followed to evaluate the impact of the person-centred interventions on viral load suppression and sustained engagement in care.

PERSON-CENTERED APPROACHES TO VIREMIA: CONNECTION, RAPPORT, AND ENGAGEMENT STUDY