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Clinical Trials/NCT03559959
NCT03559959
Completed
Not Applicable

A Field Experiment to Assess the Demand for HIV Self-Tests in Zimbabwe

University of Pennsylvania1 site in 1 country4,000 target enrollmentFebruary 15, 2018
ConditionsHIV/AIDS

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
HIV/AIDS
Sponsor
University of Pennsylvania
Enrollment
4000
Locations
1
Primary Endpoint
Voucher redemption
Status
Completed
Last Updated
7 years ago

Overview

Brief Summary

This study is a field experiment in peri-urban and rural communities near Harare, Zimbabwe, that seeks to estimate the likelihood that individuals will purchase HIV self-tests under various pricing and distribution strategies. About 4,000 adults will be randomly selected, administered a short questionnaire, and given vouchers that will offer them HIV self-tests at randomly allocated prices and distribution sites. The study will also test whether the provision of HIV self-tests can be targeted more cost-effectively to reach high-risk persons and non- recent testers. Last, the study will explore whether demand for repeated HIV self-testing is contingent on the price offered initially.

Detailed Description

This study is a field experiment that seeks to obtain "revealed preference" estimates of the likelihood that individuals will purchase oral fluid-based HIV self-tests at alternative prices. Such an approach is useful for estimating the price sensitivity (or elasticity) of demand for HIV self-tests. The study will also estimate the extent to which demand for self-tests differs by certain distribution channels such as retail outlets, public sector health facilities, and other community-based venues. Importantly, the experiment will also test whether the provision of HIV self-tests can be targeted more cost-effectively to reach high-risk persons and non-recent testers by examining the demand for self-tests in these populations in responses to various prices and distribution strategies. The results of the study will provide vital information required by policy makers and implementers on the optical pricing and distribution strategies for introducing HIV self-tests and scaling up HIVST in resource-limited settings. In a subsequent study with additional funding, the study will also seek to determine the long-term implications of offering self-tests at very low prices initially; specifically, it will assess whether free distribution initially suppresses individuals' willingness to pay for self-tests in the future. Roughly 12 months after the initial voucher offer, participants who provided a mobile phone number they can access within their household will be contacted via phone-based text messages and offered the same HIV self-tests again at one common non-zero price. The purchases at 12 months will once again be monitored and linked to participants via a unique identifier that is included in the text messages.

Registry
clinicaltrials.gov
Start Date
February 15, 2018
End Date
May 25, 2018
Last Updated
7 years ago
Study Type
Interventional
Study Design
Factorial
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Harsha Thirumurthy

Professor

University of Pennsylvania

Eligibility Criteria

Inclusion Criteria

  • Age 16 years or older
  • Willing and able to provide written informed consent for participation
  • Intends to stay in the study area for at least 12 months

Exclusion Criteria

  • Not provided

Outcomes

Primary Outcomes

Voucher redemption

Time Frame: One month after enrollment

Proportion of individuals that obtained or purchased an HIV self-test

Secondary Outcomes

  • Voucher redemption in key populations(One month)

Study Sites (1)

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