Actively Recruiting
Kupambana Program to Reduce HIV and Poverty Stigma and Improve Mental Health and HIV Care in Young Adults with HIV in Zambia
Led by University of North Carolina, Chapel Hill · Updated on 2026-08-12
100
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating a program called Kupambana to see if it can improve mental health and HIV care outcomes in young people with HIV in Zambia. This pilot randomized controlled trial focuses on combining stigma-reduction support with financial and job-skills training, aiming to address the overlapping challenges of HIV-related and poverty-related stigma. The study compares Kupambana with a one-time financial literacy session to assess feasibility, acceptability, and whether Kupambana leads to better mental health, reduced stigma, and improved HIV care outcomes. Participants are randomly assigned to either the Kupambana program or the control group receiving only the financial literacy session. Those in Kupambana attend eight weekly peer-led stigma-reduction support group sessions, receive a voucher for up to 12 weeks of technical and vocational education and training TVET in a trade of their choice, and attend a one-time financial literacy training. The control group only attends the one-time financial literacy session. The intervention components are delivered by peer health educators and partner training institute staff, with measures to prevent treatment contamination between groups. Participants complete a baseline survey, followed by surveys at the end of the program and again 3 and 6 months later to measure outcomes. Data collection includes self-report surveys, clinical HIV indicators from medical records, attendance logs, program cost data, and qualitative interviews with participants and staff. The primary outcomes include HIV care continuum measures, treatment adherence, and mental health indicators such as depression, anxiety, and psychological distress. The study aims to provide feasibility data and preliminary effect estimates over approximately 13 months from baseline.
CONDITIONS
Brief Title
Reducing Stigma and Building Employability Skills for Young People With HIV in Zambia
Research Team
R
Rainier D Masa, PhD, MSW
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