HIV/AIDS
Conditions
Keywords
Biomedical HIV Prevention, Peer Mentor Intervention, Women Engaged in Sex Work, Uganda
Brief summary
The overall goal of the P4P: Peers for PrEP (pre-exposure prophylaxis) study is to pilot test a peer-led and delivered intervention for biomedical HIV prevention that is tailored to women who engage in sex work in southwestern Uganda. This study will evaluate whether this intervention is feasible, acceptable, and increases uptake of biomedical prevention.
Detailed description
The investigators have collaborated with key stakeholders to develop a community-based, peer-led intervention to provide biomedical prevention products (e.g. pre-exposure prophylaxis \[PrEP\] and post-exposure prophylaxis \[PEP\]) for women who engage in sex work in southwestern Uganda. A single-arm pilot trial will evaluate the feasibility, acceptability, and preliminary effectiveness of the intervention. The intervention is designed to reduce stigma associated with attending clinics (via community-based delivery by peers), leverage peer support to foster adherence, and reduce barriers to prevention services (through access to PrEP, HIV self-testing, and PEP from trusted peers).
Interventions
OTHERP4P intervention
The final Peers for PrEP (P4P) intervention components were refined based on stakeholder engagement, key informant interviews, and focus group discussions. Trained peers will deliver the following intervention with remote clinician support and ongoing mentorship: pre-exposure prophylaxis (PrEP) access and refills in community/at hotspots; HIV testing, with option for HIV self-testing (HIVST); Rapid post-exposure prophylaxis (PEP) access for unplanned exposures; Family planning integration; Phone/text messaging hotline for peer support
Sponsors
Gilead Sciences
University of California, San Francisco
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
A single-arm pilot trial to evaluate a community-based, peer-led and delivered intervention to provide biomedical prevention products (e.g. pre-exposure prophylaxis \[PrEP\] and post-exposure prophylaxis \[PEP\]) for women who engage in sex work in southwestern Uganda. This study will test whether the intervention is feasible, acceptable, and increases biomedical prevention uptake.
Eligibility
Sex/Gender
FEMALE
Age
15 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Female sex at birth * Self-identified as commercial sex worker; exchange of sex for goods or money in last 3 months; or work or live in setting associated with sex work * Age \>=18 years (or mature minor \>=15 years) * HIV-negative by country-standard rapid testing algorithm
Exclusion criteria
* Contraindication to country-recommended PrEP regimen per national guidelines * Unable or unwilling to provide informed consent * Participation in another HIV prevention study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Uptake of biomedical prevention | 6 months | Number of participants receiving biomedical prevention (e.g., oral pre-exposure prophylaxis \[PrEP\] or post-exposure prophylaxis \[PEP\]) divided by the number of participants |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of delivery of the P4P intervention by peers | 6 months | Feasibility of the P4P intervention will be assessed based on number of participants with services delivered by a peer divided by the number of participants |
| Acceptability of the P4P intervention | 6 months | The acceptability of the P4P intervention will be assessed based on participant responses to a post-intervention survey on the acceptability of the intervention |
Countries
Uganda
Outcome results
None listed