MAHILA: A protocol for evaluating a nurse-delivered mHealth intervention for women with HIV and psychosocial risk factors in India

Nancy R. Reynolds, Veena Satyanarayana, Mona Duggal, Meiya Varghese, Lauren Liberti, Pushpendra Singh, Mohini Ranganathan, Sangchoon Jeon, Prabha S. Chandra

Research output: Contribution to journalArticlepeer-review


Background: Women living with HIV are vulnerable to a variety of psychosocial barriers that limit access and adherence to treatment. There is little evidence supporting interventions for improving access and treatment adherence among vulnerable groups of women in low- and middle-income countries. The M obile Phone-Based A pproach for H ealth I mprovement, L iteracy and A dherence (MAHILA) trial is assessing the feasibility, acceptability and preliminary efficacy of a novel, theory-guided mobile health intervention delivered by nurses for enhancing self-care and treatment adherence among HIV-infected women in India. Methods/Design: Women (n = 120) with HIV infection who screen positive for depressive symptoms and/or other psychosocial vulnerabilities are randomly assigned in equal numbers to one of two treatment arms: treatment as usual plus the mobile phone intervention (experimental group) or treatment as usual (control group). In addition to treatment as usual, the experimental group receives nurse-delivered self-care counselling via mobile phone at fixed intervals over 16 weeks. Outcome measures are collected at baseline and at 4, 12, 24 and 36 weeks post-baseline. Outcomes include antiretroviral treatment adherence, HIV-1 RNA, depressive symptoms, illness perceptions, internalized stigma and quality of life. Discussion: The MAHILA trial will provide information about how a mobile health counselling intervention delivered by non specialist nurses may improve access to care and support the adherence and clinical outcomes of women with HIV infection living in low- and middle-income countries such as India. Trial registration: NCT02319330 (First received: July 30, 2014; Last verified: January 2016)

Original languageEnglish (US)
Article number352
JournalBMC health services research
Issue number1
StatePublished - Aug 4 2016
Externally publishedYes


  • Antiretroviral adherence
  • HIV
  • LMIC
  • Mental health
  • Women
  • mHealth

ASJC Scopus subject areas

  • Health Policy


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