Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Peer support to mitigate the impact of stigma in young HIV+ pregnant & postpartum women

Award Number: R21TW011047
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/01/2018
PERIOD OF PERFORMANCE END DATE: 04/30/2021

Group Awards By:

View Award Description

Peer support to mitigate the impact of stigma in young HIV+ pregnant & postpartum women - Project Summary Across South Africa and other high-burden settings, rapid expansion in access to antiretroviral therapy (ART) has contributed to major reductions in mother-to-child HIV transmission, but young HIV+ pregnant and postpartum women (PPW) continue to be at highest risk for disengagement from care and suboptimal ART adherence globally. Young HIV+ women experience high levels of stigma related to HIV as well as linked to unintended pregnancy, mental health problems, and alcohol and/or substance use. These intersectional stigmas contribute to poor ART outcomes. Although peer support may improve engagement in care and ART adherence, there are few peer support interventions specifically for young HIV+ PPW. Here we propose a project to develop preliminary data for future evaluations of a peer support intervention that can mitigate the effects of stigma in young HIV+ PPW. This project includes: (i) in-depth interviews with 20 young HIV+ PPW aged 16-24 years to understand how stigma manifests in their lives, and the different forms of peer support that may best mitigate this; (ii) the adaptation of materials into a peer support intervention, with a mobile health (mHealth) platform used as an adjunct for additional support; and (iii) a pilot study of the intervention to mitigate the impact of stigma among young HIV+ PPW aged 16-24 years. The pilot study will include parallel cohorts of pregnant (n=60) and postpartum (n=60) women recruited from a large primary care facility in Gugulethu in Cape Town, South Africa. Women will be randomly allocated to either the peer support intervention or existing standard of care (control) with follow-up for at least 6 months, and engagement in care and viral suppression outcomes will be abstracted from routine medical records. In-depth interviews at exit from the study will be conducted with a subset of 20 women allocated to the intervention. Analyses will explore process outcomes and the impact of the intervention on social support as well as ART outcomes. This project addresses directly the urgent need for innovative interventions to mitigate the impact of stigma in this vulnerable and neglected population, and as such addresses a priority area for NIH research.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2022 ( Subtotal = -$13,000 )
2022	2019	UNIVERSITY OF CAPE TOWN	LOVERS WALK	RONDEBOSCH				ZAF	International Research and Research Training	000	2	12/3/2021	NON-COMPETING CONTINUATION	-$13,000
														Subtotal = -$13,000

Issue Date FY: 2019 ( Subtotal = $130,428 )
2019	2019	UNIVERSITY OF CAPE TOWN	LOVERS WALK	RONDEBOSCH		007700		ZAF	International Research and Research Training	000	2	4/29/2019	NON-COMPETING CONTINUATION	$130,428
														Subtotal = $130,428

Issue Date FY: 2018 ( Subtotal = $130,705 )
2018	2018	UNIVERSITY OF CAPE TOWN	LOVERS WALK	RONDEBOSCH		007700		ZAF	International Research and Research Training	000	1	6/22/2018	NEW	$130,705
														Subtotal = $130,705

Grand Total All Awards = $248,133

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Peer support to mitigate the impact of stigma in young HIV+ pregnant & postpartum women

Award Number: R21TW011047

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/01/2018

PERIOD OF PERFORMANCE END DATE: 04/30/2021

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer