The Role of Community Health Workers in HIV Care Engagement: A Qualitative Study of Stakeholder Perspectives in Tanzania.

Journal Article (Journal Article)


Suboptimal retention in HIV care is a major driver of the global epidemic, including in sub-Saharan Africa. In Tanzania, the national Community-Based HIV Services program integrates volunteer community health workers (CHWs) to support patient care engagement and reduce the burden placed on HIV clinic nurses; however, few studies have assessed the value of CHWs supporting HIV care. Qualitative interviews were conducted with 48 administrators, nurses, CHWs, and patients to explore strengths and limitations of the Community-Based HIV Services program. Stakeholders believed CHWs are uniquely positioned to establish trust and provide patient support. Patients who had frequent contact with CHWs described them as valued sources of education and encouragement, but fewer than half of the patients interviewed had ever met with a CHW. Clinic nurses described feeling disconnected from CHWs, and stakeholders highlighted the need for financial, logistical, and educational support to rejuvenate the program and effectively address care engagement challenges.

Full Text

Duke Authors

Cited Authors

  • Knettel, BA; Fernandez, KM; Wanda, L; Amiri, I; Cassiello-Robbins, C; Watt, MH; Mmbaga, BT; Relf, MV

Published Date

  • November 2021

Published In

Volume / Issue

  • 32 / 6

Start / End Page

  • 682 - 692

PubMed ID

  • 33908407

Pubmed Central ID

  • PMC8548405

Electronic International Standard Serial Number (EISSN)

  • 1552-6917

International Standard Serial Number (ISSN)

  • 1055-3290

Digital Object Identifier (DOI)

  • 10.1097/jnc.0000000000000267


  • eng