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Integrating research into routine service delivery in an antiretroviral treatment programme: lessons learnt from a cluster randomized trial comparing strategies of HIV care in Jinja, Uganda
Author(s) -
Jaffar Shabbar,
Amuron Barbara,
Birungi Josephine,
Namara Geoffrey,
Nabiryo Christine,
Coutinho Alex,
Grosskurth Heiner
Publication year - 2008
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2008.02068.x
Subject(s) - randomized controlled trial , service delivery framework , cluster randomised controlled trial , psychological intervention , cluster (spacecraft) , medicine , human immunodeficiency virus (hiv) , antiretroviral treatment , service (business) , antiretroviral therapy , nursing , family medicine , business , surgery , computer science , viral load , marketing , programming language
Summary Trials integrated into normal health service delivery are designed to evaluate the effectiveness of interventions under real‐life conditions. However, integrating research into service delivery creates many operational challenges and raises ethical dilemmas. Here we discuss the operational and ethical issues arising from such trials using the example of a cluster randomized trial evaluating two strategies of ART delivery in Jinja, south‐east Uganda.