Health Condition 1: B20-B20- Human immunodeficiency virus [HIV] disease Health Condition 2: R878- Other abnormal findings in specimens from female genital organs
Conditions
Interventions
Intervention1: ASHA Health: ASHA-Health HPV intervention will focus on improving nutrition
social factors (social support)
behavioral factors (coping skills, problem-solving skills, barriers to treatment adherence (transportation,
lack of job skills, ART side effects), and mental health factors (depression, stigma)
over 8
Sponsors
National Institutes of Health, National Cancer Institute
Eligibility
Inclusion criteria
Inclusion criteria: 1 WLH, 25 to 50 years of age per HIV-based guidelines 2 receiving ART for over two months to ensure medication stabilization, validated by an ART card given to all ART patients 3 screened as HPV positive with self sample vaginal collection 4 assessed to have oncogenic HPV and 5 assessed to be VIA negative for cervical lesions, performed by our trained Auxiliary Nurse Midwife (ANM)
Exclusion criteria
Exclusion criteria: 1 pregnant or lactating women due to hormonal and dietary guideline differences 2 women below 25 years and 3 women determined to be VIA positive as they will be immediately referred to our Gynecology specialist.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HR-HPV persistence or 2 positive tests for the same HR-HPV type, separated by 12 to 18 months.Timepoint: 12, 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 HIV outcomes HIV viral load and CD4 count 2 Nutritional indices serum albumin, Vitamin A and Vitamin D for immune support and Iron 3 Mental health depression, HIV internalized stigma, and HPV and HIV stigma fears and 4 Engagement in care HPV and HIV appointment keeping and ART adherenceTimepoint: 6, 12, and 18 months. | — |
Countries
India
Contacts
Public ContactVeena A Satyanarayana
National Institute of Mental Health and Neuro Sciences
Outcome results
None listed