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Table 3 Original adherence support worker responsibilities compared to the modified role for adherence support provided by traditional healers, Zambézia province, Mozambique

From: Adapting an adherence support workers intervention: engaging traditional healers as adherence partners for persons enrolled in HIV care and treatment in rural Mozambique

Original adherence support worker responsibilities Modified traditional healer responsibilities
1. Provide education and psychosocial support to PLHIV initiating/continuing antiretroviral therapy (ART). 1. Provide education and psychosocial support to PLHIV initiating ART.
a. Support PLHIV to adhere to clinical monitoring protocol (retention in care).
b. Support PLHIV to adhere to medication.
a. Support PLHIV to adhere to clinical protocol (retention in care).
b. Support PLHIV to adhere to medication.
c. Provide couples-counseling to support safe partner disclosure.
d. Provide education on nutrition needs to limit the impact of drug side-effects.
e. Assure PLHIV that illness is not due to witchcraft.
2. Provide referrals to specialized clinics, as needed. 2a. Provide accompaniment and referrals to health facility as needed
2b. Perform advocacy role for patient health at health facility.
2c. Report poor treatment of PLHIV to facility director.
3. Participate as members of ART clinic team. 3. Participate as members of the ART clinic team.