Workplace-based HIV Self-testing (HIVST) and Linkage to Care or Prevention Services Among Men in Private Security Services in Uganda: A Cluster Randomized Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 548
- 试验地点
- 2
- 主要终点
- HIV self-testing
研究概览
简要总结
This study seeks to determine whether workplace delivery of HIV self-testing will lead to an increase in uptake of HIV testing and subsequent linkage to care or prevention services among men in Uganda.
详细描述
The current coverage of HIV testing and counseling in Uganda is 60% with only 34% of these being men and only about 55% of males living with HIV know their status (MoH, 2016). The challenges with HIV testing require a new focus and new approaches to reach people with undiagnosed HIV infection.
HIV self-testing (HIVST) is one such innovative approach to making testing more accessible to several under-served populations such as men and key populations (WHO, 2013).
In this regard, this study seeks to determine whether providing HIVST in workplace settings will increase the uptake of HIV testing services among men employed in private security services in Uganda and improve linkage to treatment and prevention services.
Design: Cluster randomized trial in two Ugandan districts
Participants: Male employees of private security companies
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Eligibility Criteria:
- •18-60 years old
- •Employed >6 months in the private security company
- •Men who have not tested for HIV before
- •Men who tested HIV >one year ago
排除标准
- 未提供
研究组 & 干预措施
Workplace-based HIV Self-Testing
i. Explain the procedure of conducting HIVST & interpret HIV self- test result to the user.
ii. Demonstrate how to perform the self-test and how to interpret the self-test result.
iii. Provide appointment card including information on linkage for HIV prevention services and further testing for diagnosis among those with a reactive self-test. Participants with a non-reactive self-test will be referred to HIV prevention services.
iv. Provide a toll free number for continued consultation
干预措施: Oral HIV Self-Test (OraQuick) (Device)
Workplace-based standard HIV Testing Services (HTS)
Standard of care following the HIV testing algorithm .
结局指标
主要结局
HIV self-testing
时间窗: Within one month of the intervention
Proportion of men who self-report testing after receiving a kit at the workplace
次要结局
- Initiation of Antiretroviral Therapy (ART) following a confirmatory HIV test(measured at 1 and 3 months after intervention)
- Linkage into HIV care and confirmatory testing following HIV self-testing(measured at 1 and 3 months after intervention)
- Consistent condom use following HIV self-testing(measured at 1 and 3 months after intervention)
- Uptake of Voluntary Male Medical Circumcision (VMMC) following HIV self-testing(measured at 1 and 3 months after intervention)
- Uptake of PrEP by Most-At-Risk Populations (MARP) following HIV self-testing(measured at 1 and 3 months after intervention)