Implementing Peer-Based Interventions in Clinic-Based Settings: Lessons from a Multi-Site HIV Prevention with Positives Initiative

ABSTRACT

Interventions for people with HIV/AIDS became a national priority in 2003. While the importance of involving HIV-positive people in the design, delivery, and evaluation of prevention programs is widely recognized, information about how to implement peer-based services in clinic settings is sparse. The four projects described in this article implemented peer-based interventions as part of larger, multi-site Special Projects of National Significance (SPNS) initiative. Common themes reported by Project Directors/Evaluators describe the challenges and benefits of peer-based interventions across these programs, including infrastructural, clinical and research-related issues. We also discuss the benefits to Peers, researchers, and the clinics sites.

KEYWORDS:

• HIV prevention
• prevention for positives
• peer-based prevention
• implementing prevention
• prevention in clinics
• supervision
• program management