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June 1, Length: 2-6 Months

Location: Kazakhstan or Tajikistan

ICAP in Central Asia is carrying out a nurse-led home-based care intervention to improve adherence and retention of people living with HIV (PLHIV) in HIV care and treatment services.

The existing challenges to retention and adherence to HIV care and treatment in Kazakhstan, Kyrgyzstan and Tajikistan include stigma, discrimination, the opportunity costs related to health care (travel time, cost of travel, wait times, loss of income), the lack of support from relatives, and other individual factors such as opioid-dependence and alcohol abuse. Home-based care is an intervention that has the potential to reduce many of these costs and barriers to continued HIV care and treatment. Nurses often have the most direct contact with patients, and have proven to be the most effective home-based caregivers. Since 2015, as part of ICAP’s broader work to improve quality of HIV care and treatment services, ICAP trained and supported 55 home-visiting nurses in 30 PEPFAR-supported sites. As a result of the program and other efforts, there have been increases in the overall number of people living with HIV (PLHIV) on antiretroviral therapy (ART), ART retention rates, and the number of PLHIV that were regularly tested for viral load (VL).

ICAP is now expanding on these efforts with a new nurse-led intervention called SUPPORT4HEALTH. Patients enrolled in the intervention will receive an adherence intervention with social and educational components that includes two main activities: home visits and phone calls. As part of the intervention, nurses will conduct up to 8 visits on a schedule of declining frequency and 9 phone calls over a period of 6 months. To rigorously assess the effectiveness of a structured nurse-led intervention to improve adherence and retention of PLHIV in HIV care and treatment, ICAP will conduct regular monitoring and a final evaluation of the intervention.

Scope of Work:
The student will work closely with the Central Asia and New York-based teams to support project implementation, including but not limited to the following:

  • Help provide trainings to project team about study standard operating procedures (SOPs), including participant recruitment and enrollment, participant interviews, completion of other follow-up data collection activities, and delivery of the interventions; mentor study team members around study implementation
  • Conduct monitoring and quality assurance on data collected for both interventions, including:
    • Reviewing paper forms for completeness and logic and issuing queries to project staff
    • Comparing data on paper forms with data entered into database, working with program specialists to resolve issues
    • Visiting study sites to ensure proper storage of data collection forms and intervention materials
    • Confirming eligibility of enrolled participants, including review of eligibility screening forms and informed consent forms
  • Reviewing intervention documents to ensure proper completion per study protocol
  • Contribute to the completion of routine ICAP and donor study reports
  • Contribute to the development of manuscripts
  • Take photos to document project implementation
  • Other duties as assigned by Regional Director or National Coordinators



  • Coursework in Epidemiology
  • Prior ethics and research compliance training
  • Experience working with PLHIV and/or PWID
  • Excellent oral/written communication and interpersonal skills


  • Russian language skills (strongly preferred)
  • Farsi (if placed in Tajikistan)
  • Photography skills