HIV
Conditions
Keywords
HIV, financial incentive, pediatric HIV testing
Brief summary
The aim of the pilot study is to evaluate the feasibility, acceptability and costs of a financial incentive intervention to motivate pediatric HIV testing in Western Kenya. The study will evaluate 3 cash incentive values and determine percent uptake of testing. A post-test questionnaire will explore parental satisfaction, mechanisms of incentive effectiveness and the impact of testing on emotional health and pediatric healthcare utilization.
Detailed description
The study will be a randomized trial with 3 arms (1:1:1 allocation) with small, medium, and large cash incentive. The investigators will randomize 60 parents with children of unknown status at Kisumu County Hospital in Western Kenya.
Interventions
BEHAVIORALFinancial incentive
Conditional cash transfer upon HIV testing
Sponsors
Kenyatta National Hospital
University of Nairobi
University of Washington
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Parent/caregiver receiving HIV care * Parent/caregiver is female * Parent/caregiver has one or more children \<13 years old * Child is HIV exposed (parent/caregiver report or clinic confirmation) * Caregiver reports child's HIV status is unknown
Exclusion criteria
-None \*The investigators reserve the right to exclude any potential enrollee who is deemed to be a high personal risk, or whose children are at high personal risk, of interpersonal violence, by study participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HIV testing | Testing within 2 months of recruitment | % of parents completing pediatric HIV testing within 2 months will be compared between arms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parental satisfaction with incentives | 2 months of recruitment | A post-test questionnaire will assess parental satisfaction with the incentive, including the value provided, other preferred formats (vouchers, agricultural items, etc) |
| Motivational mechanism | 2 months | A post-test questionnaire will assess mechanisms by which incentives motivate behavioral change. Questions will assess potential for coercion, parental previous intention to test, and whether incentives overcame economic and/or emotional barriers to testing |
| Care seeking | 2 months | A post-test questionnaire will assess whether learning the child's HIV status will affect the likelihood of seeking future medical services for the child |
| Emotional impact | 2 months | A post-test questionnaire will assess impact of testing on caregiver, child, and family emotional well-being |
Countries
Kenya
Outcome results
None listed