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Goldstein and Kaia Miller Goldstein","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Background: Youth living with HIV in rural Rwanda experience poor clinical outcomes. In 2017, we implemented Adolescent Support Groups (ASGs), which provided economic incentives and peer support to youth aged 15-25. Methods: We assessed the ASG program using programmatic and electronic medical records. We described group composition and achievement on three indicators used to determine economic incentive levels: (1) quarterly pharmacy visit attendance, (2) biannual savings target achievement, and (3) annual viral suppression. Results: In total, 324 members enrolled in 34 ASGs. Group size and member ages varied more than anticipated. Groups performed well on pharmacy visit attendance (median quarterly group attendance range 91-100%) and on achieving savings targets (median biannual achievement range 80\u201383%). The viral suppression indicator could not be implemented as planned. Conclusion: To reflect contextual realities, adaptations in enrollment, indicator evaluation, and awarding of incentives occurred during implementation. Future research should assess whether these adaptations affected results.<\/jats:p>","DOI":"10.1177\/23259582211064038","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T09:45:01Z","timestamp":1641375901000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Implementation and Adaptation of a Combined Economic Empowerment and Peer Support Program Among Youth Living With HIV in Rural Rwanda"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6664-4461","authenticated-orcid":false,"given":"Jean N\u00e9pomusc\u00e8ne","family":"Nshimyumuremyi","sequence":"first","affiliation":[{"name":"Partners In Health, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerardine","family":"Mukesharurema","sequence":"additional","affiliation":[{"name":"Partners In Health, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9e","family":"Uwamariya","sequence":"additional","affiliation":[{"name":"Partners In Health, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise","family":"Mutunge","sequence":"additional","affiliation":[{"name":"Biomedical Center, Kigali, Rwanda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea S.","family":"Goodman","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean d\u2019Amour","family":"Ndahimana","sequence":"additional","affiliation":[{"name":"Partners In Health, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0129-0313","authenticated-orcid":false,"given":"Dale A.","family":"Barnhart","sequence":"additional","affiliation":[{"name":"Partners In Health, Boston, USA"},{"name":"Harvard Medical School, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"bibr1-23259582211064038","unstructured":"UNAIDS.\n                      Confronting Inequalities: Lessons for Pandemic Responses Form 40 Years of AIDS\n                      . Joint United Nations Programme on HIV\/AIDS (UNAIDS); 2021."},{"key":"bibr2-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2012.0215"},{"key":"bibr3-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0052856"},{"key":"bibr4-23259582211064038","unstructured":"UNAIDS. 2020. \u201cUNAIDS DATA 2020.\u201d https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2020_aids-data-book_en.pdf."},{"key":"bibr5-23259582211064038","unstructured":"Young People and HIV. 2021. https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/young-people-and-hiv_en.pdf."},{"key":"bibr6-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2019.1662685"},{"key":"bibr7-23259582211064038","unstructured":"National Institute of Statistics of Rwanda (NISR), Rwanda, DHS Program, eds, Rwanda, DHS Program, eds.\n                      Rwanda Demographic and Health Survey, 2014-15: Final Report\n                      . National Institute of Statistics of Rwanda, Ministry of Finance and Economic Planning: Ministry of Health; The DHS Program, ICF International; 2016."},{"key":"bibr8-23259582211064038","unstructured":"RPHIA. 2019. \u201cRWANDA POPULATION-BASED HIV IMPACT ASSESSMENT.\u201d https:\/\/phia.icap.columbia.edu\/wp-content\/uploads\/2019\/10\/RPHIA-Summary-Sheet_Oct-2019.pdf."},{"key":"bibr9-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3235"},{"key":"bibr10-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12717"},{"key":"bibr11-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12517"},{"key":"bibr12-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0189770"},{"key":"bibr13-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2173-7"},{"key":"bibr14-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.2158"},{"key":"bibr15-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61709-1"},{"key":"bibr16-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0262"},{"key":"bibr17-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1177\/1545109706291706"},{"key":"bibr18-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1177\/23259582211000525"},{"key":"bibr19-23259582211064038","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.20.4.21591"},{"key":"bibr20-23259582211064038","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.18.1.19358"},{"key":"bibr21-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0190423"},{"key":"bibr22-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1080\/17450128.2019.1709678"},{"key":"bibr23-23259582211064038","unstructured":"Ministry of Health. 2018. \u201cCircular of Key Changes in HIV Prevention and Management Guidelines.\u201d https:\/\/rbc.gov.rw\/fileadmin\/user_upload\/guide\/Circular%202018.pdf."},{"key":"bibr24-23259582211064038","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr25-23259582211064038","unstructured":"Microsoft Research. 2011.\n                      Microsoft Fuzzy Lookup Add-In for Excel\n                      . https:\/\/atidan.files.wordpress.com\/2013\/08\/fuzzy-lookup-add-in-for-excel.pdf."},{"key":"bibr26-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0b013e31826d80eb"},{"key":"bibr27-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1177\/1090198108315366"},{"key":"bibr28-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0415-2"},{"key":"bibr29-23259582211064038","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(19)30233-4"},{"key":"bibr30-23259582211064038","unstructured":"National Institute of Statistics of Rwanda.\n                      Labour Force Survey Annual Report 2020\n                      . 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