The Impact of Peer Educators or Community Health Workers on the Progress of the UNAIDS 90-90-90 Targets in Africa: A Systematic Review and Meta-Analysis Protocol

Hafte Kahsay Kebede, Hailay Abrha Gesesew, Lillian Mwanri and Paul Ward
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Hafte Kahsay Kebede: Clinical Pharmacy, Defense University, Addis Ababa 1041, Ethiopia
Hailay Abrha Gesesew: Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
Lillian Mwanri: Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
Paul Ward: Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia

IJERPH, 2021, vol. 18, issue 8, 1-8

Abstract: Background: Africa is far behind from achieving the Joint United Nations Program on HIV and AIDS (UNAIDS) 90-90-90 targets. Evidence shows that the participation of HIV patients as peer educators and other community health workers is substantially improving the entire HIV care continuum and subsequently the UNAIDS targets. This review aims to provide the best available evidence on the impact of peer educators and/or community health workers for the three targets in Africa. Methods: We will include cohort and experimental studies published in English between 2003 and 2020. Studies which reported interventions for HIV diagnosis, initiation of ART, or virological suppression will be included for review. Three steps searching will be conducted: (i) initial search across Google Scholar, (ii) full search strategy across five databases: MEDLINE, PubMed, CINAHL, SCOPUS and Web of Science, and (iii) screening titles and abstracts. Data will be extracted using standardized instruments from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) and analyzed through narrative synthesis, and meta-analyses and regression. Heterogeneity among quantitative studies will be assessed using Cochran Q test and Higgins I 2 . Ethics: A formal ethical approval will not be required as primary data will not be collected.

Keywords: peer educators; community health workers; UNAIDS 90-90-90 targets; first 90; HIV diagnosis; second 90; ART linkage; third 90; virological failure; virological suppression (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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