HIV Infections
Conditions
Keywords
Pre-exposure prophylaxis of HIV infection, PrEP, MSM, TG
Brief summary
HIV is concentrated among key populations in Myanmar. Globally, HIV-prevalence among transgender (TG) women is one of the highest; laboratory-confirmed prevalence is reported up to 40%. In September 2015, WHO recommended the use of Pre-Exposure Prophylaxis (PrEP) for people at substantial risk of HIV as part of a combination HIV prevention strategy. A demonstration project will take place to implement and evaluate the uptake and effectiveness of PrEP among MSM, and TG women in a clinic in Hlaingtharyar township, Yangon. The aim is to describe PrEP uptake, as well as HIV-seroconversion and STI infection rates among those who use PrEP.
Interventions
PrEP regimens of Tenofovir Disoproxil Fumarate (TDF) 300 mg/Lamivudine (3TC) 300mg per oral (PO) daily
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV-negative * No suspicion of acute HIV infection * Substantial risk of HIV infection * Creatinine clearance is more than 30 ml/min * Willingness to use PrEP as prescribed, including periodic HIV testing * Willingness to sign informed consent
Exclusion criteria
• Anyone who is not eligible with the inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Uptake rate of PrEP | through study completion, an average of 1 year | The proportion of HIV-negative MSM and TG women who are taking PrEP among those who are eligible to take PrEP. |
| HIV seroconversion rate among PrEP user | through study completion, an average of 1 year | The portion of PrEP taking HIV negative MSM and TG women who become HIV positive while he is taking PrEP among those who are taking PrEP. |
| STI infection rates among PrEP user(Syphilis test, Gram stain for gonorrhoea and Xpert CT/NG) | through study completion, an average of 1 year | The number of positive episodes for either syphilis or gonorrhea or chlamydia infection among the PrEP taking MSM and Transgender women per number of testing among them. |
Countries
Burma