This study seeks to determine whether workplace delivery of HIV self-testing will lead to an increase in uptake of HIV testing and subsequent linkage to care or prevention services among men in Uganda.
The current coverage of HIV testing and counseling in Uganda is 60% with only 34% of these being men and only about 55% of males living with HIV know their status (MoH, 2016). The challenges with HIV testing require a new focus and new approaches to reach people with undiagnosed HIV infection. HIV self-testing (HIVST) is one such innovative approach to making testing more accessible to several under-served populations such as men and key populations (WHO, 2013). In this regard, this study seeks to determine whether providing HIVST in workplace settings will increase the uptake of HIV testing services among men employed in private security services in Uganda and improve linkage to treatment and prevention services. Design: Cluster randomized trial in two Ugandan districts Participants: Male employees of private security companies
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
548
The oral HIV self-test is a device for taking a test which is painless. The user gently swipes the test swab along the upper gums once and the lower gums once. The swab is then inserted inside the test tube provided and results are ready in 20 minutes.
Security companies
Hoima, Uganda
RECRUITINGSecurity companies
Kampala, Uganda
RECRUITINGHIV self-testing
Proportion of men who self-report testing after receiving a kit at the workplace
Time frame: Within one month of the intervention
Linkage into HIV care and confirmatory testing following HIV self-testing
Proportion of participants who self report confirmatory testing from a health facility for all participants with a reactive-self test
Time frame: measured at 1 and 3 months after intervention
Consistent condom use following HIV self-testing
Proportion of participants who use a condom for each sexual encounter in a month.
Time frame: measured at 1 and 3 months after intervention
Initiation of Antiretroviral Therapy (ART) following a confirmatory HIV test
Proportion of participants who self report ART initiation following a positive result from a confirmatory HIV test result or evidence of an ART card. Data will be collected using a questionnaire.
Time frame: measured at 1 and 3 months after intervention
Uptake of Voluntary Male Medical Circumcision (VMMC) following HIV self-testing
Proportion of previously uncircumcised participants who self report Voluntary Male Medical Circumcision (VMMC).
Time frame: measured at 1 and 3 months after intervention
Uptake of PrEP by Most-At-Risk Populations (MARP) following HIV self-testing
Proportion of participants considered as Most-At-Risk Populations (MARP) who initiate Pre-exposure prophylaxis (PrEP)
Time frame: measured at 1 and 3 months after intervention
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.