Support for Perinatal Adherence and Depression

The main aim of this study is to conduct a pilot field test of a group-based counseling
intervention with HIV-infected women in the perinatal period as delivered by a lay counselor.
The primary goal of the intervention is to reduce symptoms of perinatal depression and
increase adherence to antiretroviral therapy among HIV-infected women during pregnancy and
the postpartum period.

Inclusion Criteria:

- Currently pregnant

- HIV-infected and diagnosed with HIV during the index pregnancy

- Meet criteria for a major depressive episode

- Currently on antiretroviral therapy

- Receiving antenatal care at PMMH Gateway clinic

- Primary language English or isiZulu

- Access to a phone and willing to give researchers permission to reach them via phone

- Resident of Umlazi

Exclusion Criteria:

- Unable or unwilling to provide informed consent

- Active untreated, major mental illness (untreated psychosis, bipolar disorder,
dementia, or active suicidality) that would interfere with study participation

- Less than 18 years of age