Bringing South African Men Into HIV Counseling and Testing and Care

University of California, Los Angeles1,806 enrolled

Overview

This clinical trial seeks to determine if male-centered recruitment increases men's testing for HIV and whether or not individualized introduction to clinics increases male engagement in treatment for HIV. The study is being conducted in rural KwaZulu Natal.

This study combines structural and individual level interventions for HIV and integrates the two to address the study's objective of identifying South African men in KwaZulu Natal with HIV and maintaining those diagnosed with HIV in care to the point of viral suppression. The cluster-randomized design will randomize 8 communities to intervention or control to test the hypothesis whether male-centered mobilization and testing increases the population-level percentage of men who have been tested within the past 12 months by more than 10 absolute percentage points. The individually randomized design will test whether individualized case management will effectively link HIV-positive men to treatment to the point of viral suppression. The study will also examine the incremental cost-effectiveness of the interventions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

1,806

Conditions

Human Immunodeficiency Virus

Interventions

Men-Centered HIV TestingBEHAVIORAL

The intervention involves bringing mobile HIV testing to venues where men congregate, talking to them as a group about HIV testing, and then providing testing at that venue.

Linkage to Care for HIV+ MenBEHAVIORAL

Men diagnosed with HIV are accompanied to the clinic and registered there with the help of a community health worker.

Clinic-based HIV TestingBEHAVIORAL

Individuals present to a clinic and request HIV counseling and testing

Eligibility

Sex: MALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Men residing in the target communities Exclusion Criteria: * Men outside of the target communities * Men who report being tested and HIV+

Locations (1)

Human Sciences Research Council

Pietermaritzburg, KwaZulu-Natal, South Africa

Outcomes

Primary Outcomes

Percentage of men tested for HIV

Percentage of men in the community, selected through probability sampling, who report being tested for HIV

Time frame: Tested within the past 12 months

Data from ClinicalTrials.gov

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