TY - JOUR
T1 - Microfinance Interventions and HIV Treatment Outcomes
T2 - A Synthesizing Conceptual Framework and Systematic Review
AU - Nadkarni, Siddhi
AU - Genberg, Becky
AU - Galárraga, Omar
N1 - Funding Information:
This paper was partially funded by the U.S. National Institutes of Health (NIH) Grants (R21-AI-118393; R34-MH-114664; K01MH099966; P2C-HD-041020). This work was facilitated by the Providence/Boston Center for AIDS Research, CFAR (P30-AI-042853).
Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Background: Microfinance interventions have the potential to improve HIV treatment outcomes, but the mechanisms through which they operate are not entirely clear. Objectives: To construct a synthesizing conceptual framework for the impact of microfinance interventions on HIV treatment outcomes using evidence from our systematic review. Methods: We conducted a systematic review by searching electronic databases and journals from 1996 to 2018 to assess the effects of microfinance interventions on HIV treatment outcomes, including adherence, retention, viral suppression, and CD4 cell count. Results: All studies in the review showed improved adherence, retention, and viral suppression, but varied in CD4 cell count following participation in microfinance interventions—overall supporting microfinance’s positive role in improving HIV treatment outcomes. Our synthesizing conceptual framework identifies potential mechanisms through which microfinance impacts HIV treatment outcomes through hypothesized intermediate outcomes. Conclusion: Greater emphasis should be placed on assessing the effect mechanisms and intermediate behaviors to generate a sound theoretical basis for microfinance interventions.
AB - Background: Microfinance interventions have the potential to improve HIV treatment outcomes, but the mechanisms through which they operate are not entirely clear. Objectives: To construct a synthesizing conceptual framework for the impact of microfinance interventions on HIV treatment outcomes using evidence from our systematic review. Methods: We conducted a systematic review by searching electronic databases and journals from 1996 to 2018 to assess the effects of microfinance interventions on HIV treatment outcomes, including adherence, retention, viral suppression, and CD4 cell count. Results: All studies in the review showed improved adherence, retention, and viral suppression, but varied in CD4 cell count following participation in microfinance interventions—overall supporting microfinance’s positive role in improving HIV treatment outcomes. Our synthesizing conceptual framework identifies potential mechanisms through which microfinance impacts HIV treatment outcomes through hypothesized intermediate outcomes. Conclusion: Greater emphasis should be placed on assessing the effect mechanisms and intermediate behaviors to generate a sound theoretical basis for microfinance interventions.
KW - Adherence
KW - Conceptual framework
KW - HIV treatment outcomes
KW - Intermediate outcomes
KW - Microfinance
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U2 - 10.1007/s10461-019-02443-6
DO - 10.1007/s10461-019-02443-6
M3 - Review article
C2 - 30805757
AN - SCOPUS:85062152633
SN - 1090-7165
VL - 23
SP - 2238
EP - 2252
JO - AIDS and behavior
JF - AIDS and behavior
IS - 9
ER -