GH11-005, Kenya: MALE CIRCUMCISION FOR HIV PREVENTION IN KENYA: EFFECTIVE STRATEGIES TO RECRUIT OL
GH11-005,肯尼亚:肯尼亚男性包皮环切术预防艾滋病毒:招募 OL 的有效策略
基本信息
- 批准号:8513781
- 负责人:
- 金额:$ 50万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-07-01 至 2016-06-30
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Title: Male Circumcision for HIV Prevention in Kenya: Seeking effective strategies to
recruit older men
Background: In Kenya, 1.4-1.6 million people are living with HIV, with an adult prevalence of
6.3%. Nyanza, one of the eight provinces, has the highest prevalence, at 13.9%. Within Nyanza,
HIV prevalence in the districts occupied by the Luo - the dominant ethnic community in the
province and third nationally - was 20.2% (17.1% in men and 22.8% in women). Several drivers
of the rapid spread of HIV in the province have been identified as, among other factors, lack of
male circumcision. A large number of observational studies and three randomized controlled
trials concurred in their findings, that male circumcision reduces the risk of acquiring HIV by
about 60%. Following the publications of these results and subsequent endorsement by the
World Health Organization, Kenya rolled out male circumcision (MC) services from October
2008, and by March 2011, had circumcised 250,807 people in Nyanza province, 115,196 of these
performed by our organization. However, uptake of services by older men (aged >25 years) who
are more at risk of acquiring HIV has been elusive. We propose to evaluate different strategies to
recruit men aged 25-39 years - Inter-Personal Communication (IPC), Conditional Cash Transfer
(CCT), and a combination of IPC and CCT - in terms of uptake and cost of MC in Nyanza.
Goal and Aims: With a goal of getting 80% of men aged 25-39 years circumcised, the specific
aims are to: i) assess the rate of uptake of MC services among four categories of men aged 25-39
years: those exposed CCT vs. those exposed to IPC vs. those exposed to both interventions
combined vs. those receiving no intervention; ii) determine the cost of providing MC among the
three interventions vs. no intervention; iii) determine, through anonymous testing blood from the
excised foreskin, the proportion of men who decline pre-operative testing who are HIV infected;
and iv) link 80% of those who test positive in MC settings to HIV care and treatment programs.
Methods: Three recruitment approaches will be implemented and evaluated: IPC, CCT and a
combination of the two. Under IPC, we will engage those who have been circumcised, female
champions, work-place champions, and opinion leaders to conduct one-on-one and small-group
recruitment and referrals to our MC service sites; Under CCT, spouses or adult family members
will accompany clients for MC services and couple HTC and MC education will be offered to
clients with spouses. After surgery, the spouse/family member will be given a food stamp worth
KShs. 1,750 (USD 23) per day for one week. The stamp will be presented to a designated shop in
exchange of food stuff for use by the family when the bread-winner is recovering; Under
Combined IPC and CCT, the effect of both interventions implemented together will be
examined; In the Control District, no intervention will be implemented. The proposed study is
unique in several ways: given MC is a one-off intervention, using cash incentives to increase the
uptake of the services would pay off in terms of achieving faster population level impact;
utilizing local resources and existing community structures to promote public health will ensure
sustainability; and cash transfer to the spouse will promote women's involvement in decision-
making around circumcision of their spouses. We anticipate doubling, in one year, the number of
men age 25-39 years circumcised over the last 21/2 years, from 10,519 to 21,038, with a
contributory ratio of 1:1.5:2 by IPC, CCT and IPC/CCT interventions, respectively.
题目:肯尼亚男性包皮环切术预防艾滋病毒:寻求有效战略
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('Kawango Agot', 18)}}的其他基金
IPrEP: A Combination HIV Prevention Strategy for Young Women at Risk for HIV
IPrEP:针对面临艾滋病毒风险的年轻女性的艾滋病毒综合预防策略
- 批准号:
9983145 - 财政年份:2016
- 资助金额:
$ 50万 - 项目类别:
IPrEP: A Combination HIV Prevention Strategy for Young Women at Risk for HIV
IPrEP:针对面临艾滋病毒风险的年轻女性的艾滋病毒综合预防策略
- 批准号:
9355701 - 财政年份:2016
- 资助金额:
$ 50万 - 项目类别:
High-yield HIV Testing, Facilitated Linkage to Care, and Prevention for Female Youth in Kenya
肯尼亚青年女性的高成果艾滋病毒检测、促进与护理和预防的联系
- 批准号:
9115046 - 财政年份:2015
- 资助金额:
$ 50万 - 项目类别:
MALE CIRCUMCISION FOR HIV PREVENTION IN KENYA: EFFECTIVE STRATEGIES TO RECRUIT OL
肯尼亚通过男性包皮环切术预防艾滋病毒:招募 OL 的有效策略
- 批准号:
8261782 - 财政年份:2012
- 资助金额:
$ 50万 - 项目类别:
COMPREHENSIVE AND INTEGRATED HIV PREVENTION INTERVENTIONS FOR A HIV-FREE NYANZA:
全面综合的艾滋病毒预防干预措施,实现无艾滋病毒的 NYANZA:
- 批准号:
8332041 - 财政年份:2010
- 资助金额:
$ 50万 - 项目类别:
COMPREHENSIVE AND INTEGRATED HIV PREVENTION INTERVENTIONS FOR A HIV-FREE NYANZA:
全面综合的艾滋病毒预防干预措施,实现无艾滋病毒的 NYANZA:
- 批准号:
8884705 - 财政年份:2010
- 资助金额:
$ 50万 - 项目类别:
COMPREHENSIVE AND INTEGRATED HIV PREVENTION INTERVENTIONS FOR A HIV-FREE NYANZA:
全面综合的艾滋病毒预防干预措施,实现无艾滋病毒的 NYANZA:
- 批准号:
8845854 - 财政年份:2010
- 资助金额:
$ 50万 - 项目类别:
COMPREHENSIVE AND INTEGRATED HIV PREVENTION INTERVENTIONS FOR A HIV-FREE NYANZA:
全面综合的艾滋病毒预防干预措施,实现无艾滋病毒的 NYANZA:
- 批准号:
8729365 - 财政年份:2010
- 资助金额:
$ 50万 - 项目类别:
COMPREHENSIVE AND INTEGRATED HIV PREVENTION INTERVENTIONS FOR A HIV-FREE NYANZA:
全面综合的艾滋病毒预防干预措施,实现无艾滋病毒的 NYANZA:
- 批准号:
8788215 - 财政年份:2010
- 资助金额:
$ 50万 - 项目类别:
COMPREHENSIVE AND INTEGRATED HIV PREVENTION INTERVENTIONS FOR A HIV-FREE NYANZA:
全面综合的艾滋病毒预防干预措施,实现无艾滋病毒的 NYANZA:
- 批准号:
7871741 - 财政年份:2010
- 资助金额:
$ 50万 - 项目类别:
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