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首页> 外文期刊>AIDS care. >It helps me live, sends my children to school, and feeds me: a qualitative study of how food and cash incentives may improve adherence to treatment and care among adults living with HIV in Tanzania
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It helps me live, sends my children to school, and feeds me: a qualitative study of how food and cash incentives may improve adherence to treatment and care among adults living with HIV in Tanzania

机译：它可以帮助我，让我的孩子送到学校，并喂我：对食物和现金激励措施如何改善坦桑尼亚艾滋病毒艾滋病毒的成年人遵守治疗和护理的定性研究

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摘要

Financial and in-kind incentives have been shown to improve outcomes along the HIV care cascade, however the potential mechanismsthrough which they work remain unclear. To identify the pathways through which incentives improve retention in care and adherence to antiretroviral therapy (ART), we conducted a qualitative study with participants in a trial evaluating conditional food and cash incentives for HIV-positive food insecure adults in Shinyanga, Tanzania. We found that the incentives acted through three pathways to potentially increase retention in care and adherence to ART: (1) addressing competing needs and offsetting opportunity costs associated with clinic attendance, (2) alleviating stress associated with attending clinic and meeting basic needs, and (3) by potentially increasing motivation. Participants did not report any harmful events associated with the incentives, but reported myriad beneficial effects on household welfare. Understanding how incentives are used and how they impact outcomes can improve the design of future interventions.
机译：已经证明了财务和实物奖励措施来改善艾滋病毒护理级联的结果，但他们工作的潜在机制仍然不清楚。为了鉴定激励措施改善保留和依赖于抗逆转录病毒治疗的途径（艺术），我们在坦桑尼亚的Shinyanga的艾滋病毒阳性食品不安全成人的审判中对参与者进行了定性研究。我们发现，这一激励措施通过三种途径来潜在地提高保留和遵守艺术的持股：（1）解决与临床考勤相关的竞争需求和抵消有关的机会成本，（2）减轻与参加诊所和满足基本需求相关的压力，以及（3）通过潜在增加的动机。参与者没有报告与激励措施相关的任何有害事件，但报告了无数对家庭福利的有益影响。了解如何使用激励以及它们如何影响结果可以改善未来干预的设计。

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