HIV Infections
Conditions
Keywords
HIV self-testing, Men, Workplace, Security Services, Linkage
Brief summary
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.
Detailed description
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
Interventions
DEVICEOral HIV Self-Test (OraQuick)
The oral HIV self-test is a device for taking a test which is painless. The user gently swipes the test swab along the upper gums once and the lower gums once. The swab is then inserted inside the test tube provided and results are ready in 20 minutes.
Sponsors
Makerere University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HIV self-testing | Within one month of the intervention | Proportion of men who self-report testing after receiving a kit at the workplace |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Linkage into HIV care and confirmatory testing following HIV self-testing | measured at 1 and 3 months after intervention | Proportion of participants who self report confirmatory testing from a health facility for all participants with a reactive-self test |
| Consistent condom use following HIV self-testing | measured at 1 and 3 months after intervention | Proportion of participants who use a condom for each sexual encounter in a month. |
| Initiation of Antiretroviral Therapy (ART) following a confirmatory HIV test | measured at 1 and 3 months after intervention | Proportion of participants who self report ART initiation following a positive result from a confirmatory HIV test result or evidence of an ART card. Data will be collected using a questionnaire. |
| Uptake of Voluntary Male Medical Circumcision (VMMC) following HIV self-testing | measured at 1 and 3 months after intervention | Proportion of previously uncircumcised participants who self report Voluntary Male Medical Circumcision (VMMC). |
| Uptake of PrEP by Most-At-Risk Populations (MARP) following HIV self-testing | measured at 1 and 3 months after intervention | Proportion of participants considered as Most-At-Risk Populations (MARP) who initiate Pre-exposure prophylaxis (PrEP) |
Countries
Uganda
Contacts
Primary ContactPatience Muwanguzi, PhD
Outcome results
None listed