HIV/AIDS, HIV/AIDS Prevention
Conditions
Keywords
Biomedical HIV Prevention, Peer Mentor Intervention, Uganda, Dynamic Choice HIV Prevention
Brief summary
This Hybrid Type 1 cluster randomized trial will test the Peer-led Dynamic Choice HIV Prevention (DCP) intervention compared to standard of care.
Detailed description
This study will test a Peer-led Dynamic Choice HIV Prevention intervention tailored to women at elevated risk of HIV exposure in Western and South-Central Uganda. The investigators will conduct a cluster randomized trial to test the effectiveness and implementation outcomes of a Peer-led Dynamic Choice HIV Prevention intervention for women.
Interventions
The intervention consists of peer mentor training on patient-centered choice counseling and Peer-led DCP services, and will be delivered by the peer mentor with remote clinician support: 1) HIV prevention product choice, with the option to switch over time, 2) HIV testing, 3) Low-barrier PEP, 4) STI integration, 5) Travel kit, and 6) Phone/SMS contact and peer support.
Sponsors
Study design
Intervention model description
Hybrid Type 1 cluster randomized trial to test the effectiveness and implementation outcomes of a Peer-led Dynamic Choice HIV Prevention intervention for women.
Eligibility
Inclusion criteria
1. Age \>=15 years (with parent/guardian consent required for age 15 to \<18 years) 2. Female sex at birth; 3. HIV negative by country-standard testing algorithm; 4. Elevated risk of HIV exposure, defined as at least 1 of the following: a) eligible for PrEP/PEP based on Uganda Ministry of Health Guidelines or b) work in bar or guesthouse
Exclusion criteria
1. Contraindication to recommended PrEP/PEP regimen per Ministry of Health guidelines 2. Participation in another HIV prevention study 3. Aged 15 to \<18 years with no parent or guardian to provide consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Biomedical HIV prevention coverage | 48 weeks | Percentage of follow-up time that a participant uses a biomedical HIV prevention product. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biomedical HIV prevention coverage | 96 weeks | Percentage of follow-up time that a participant uses a biomedical HIV prevention product. |
Countries
Uganda
Contacts
University of California, San Francisco
Infectious Diseases Research Collaboration