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Adey Nyamathi, PhD, ANP, FAAN

Adey Nyamathi, PhD, ANP, FAAN

You are cordially invited to our Gold Bag Speaker Series: Nurse-Led Asha Support Model to Improve Health of Rural Women Living with AIDS in India

Nurse-Led Asha Support Model to Improve Health of Rural Women Living with AIDS in India:

Background: Women living with HIV (WLH) in rural communities face challenges to obtaining treatment and accurate disease-related information. Nutritional deficits exacerbate disease progression.

Method: A quasi-experimental trial of a Nurse-led, Asha (Accredited Social Health Activist)-supported intervention compared 4 distinct programs [(1) Asha-based standard education (SE) alone; (2) SE + nutrition education (+NE); (3) SE + nutrition supplements (+NS); or (4) SE + nutrition education + nutrition supplements (+NENS)] on key disease and nutrition-related outcomes [CD4 count, body mass index (BMI), serum albumin, and hemoglobin]. Assessments occurred at baseline, and months 6 (immediately after intervention), 12, and 18. Multilevel modeling examined effects of program (group) over time.

Findings: Among 600 WLH enrolled (n = 150 per arm), mean age was 34.3; CD4 count 447.4; and BMI (kg/m2) was 20.1 at baseline. At 18-month follow-up, program 4 (+NENS) experienced greatest improvements in CD4 counts compared with program 1 (+SE) [adjusted difference = 223.8. For BMI, programs 3 (+NS; adjusted difference = 2.33) and 4 (+NENS; adjusted difference) exhibited greater gains compared with program 1 (+SE). Programs 3 and 4 were not significantly different from each other. Hemoglobin and serum albumin also improved over time; program 4 (+NENS) exhibited the greatest gains.

Conclusions: A low-cost Nurse-Led, Asha-supported behavioral and nutritional intervention improved outcomes for WLH. Gains were sustained at 18-month follow-up. Similar approaches may help improve HIV and other infectious disease-related outcomes in vulnerable populations.


Date: Wednesday, December 4, 2019
Time: 11:00am – 12:00pm
Location: 250 Berk Hall

Light lunch will be served.
Please RSVP by Monday, December 2, 2019 to

Click here to RSVP


Adey Nyamathi, PhD, ANP, FAAN

Founding Dean and Distinguished Professor
UCI Sue and Bill School Gross School of Nursing