The PEBRA team just published in-depth longitudinal preference data from the PEBRA trial. Publication here: https://www.hindawi.com/journals/art/2023/8124192/ Young people living with HIV in Lesotho showed a sustained interest in SMS notifications for adherence and refill visits as well as in additional support by a peer educator. However, medication pick-up outside the health facility was not as popular […]Read More
Adolescents living with HIV are more likely to drop out of care, both before and after starting antiretroviral therapy, and have overall poorer health outcomes than all other age groups.
In close collaboration with various local stakeholders in Lesotho, we designed a health service delivery model specifically for adolescents living with HIV, called the PEBRA model.
The PEBRA model is delivered and coordinated by a peer-educator and a tablet application (PEBRApp). In the PEBRA model, a peer-educator first assesses the HIV service preferences of their peers, and then differentiates the services according to these preferences in a feasible manner.Read more
The PEBRA model including PEBRApp will be evaluated in a cluster-randomized trial, running for over one year to assess if the model leads to better health outcomes among adolescents living with HIV in Lesotho. The PEBRA trial is a cluster randomized, open-label, superiority trial in rural Lesotho. The clusters (health facilities) are randomized into two groups (intervention and control) in a 1:1 allocation stratified by district.Read More