HIV Pre-exposure Prophylaxis, Human Immunodeficiency Virus (HIV)
Conditions
Keywords
PrEP, HIV Prevention
Brief summary
This is a cluster randomized, stepped wedge implementation study to introduce HIV testing services (HTS) counselor-led PrEP care in public health clinics in Kenya.
Interventions
PrEP delivery ,including HIV testing, eligibility assessment, dispensing, adherence counseling, and provision of refills, provided by an HTS counselor
Sponsors
Study design
Intervention model description
Stepped-wedge cluster randomized trial of 20 public health clinics implementing the intervention of HTS counselor-led PrEP care
Eligibility
Inclusion criteria
* ≥15 years of age * Accessing health services at participating public health facilities. * Not known to be living with HIV prior to the visit when their clinical data is first abstracted
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PrEP screening | Up to 42 months | Using individual client-level data at clinics, compare proportion of clients completing PrEP eligibility screening in usual care (control) versus intervention time points |
| PrEP initiation | Up to 42 months | Using individual client-level data at clinics, compare PrEP initiation in usual care (control) versus intervention time points. PrEP initiation will be measured as the proportion of eligible clients starting PrEP use documented on ministry of health (MOH) tools. |
| PrEP continuation | Up to 42 months | Using individual client-level data at clinics, compare PrEP continuation in usual care (control) versus intervention time points. PrEP continuation among clients initiating PrEP will be determined by clinic visit attendance and pharmacy PrEP refill records obtained by abstraction of MOH clinic records. |
Countries
Kenya
Contacts
University of Washington