Secondary distribution of HIV self-tests: an innovative strategy for promoting male partner testing and reducing risk

HIV自检的二次分发:促进男性伴侣检测和降低风险的创新策略

基本信息

  • 批准号:
    9762633
  • 负责人:
  • 金额:
    $ 65.36万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2016
  • 资助国家:
    美国
  • 起止时间:
    2016-09-15 至 2021-06-30
  • 项目状态:
    已结题

项目摘要

Project Title Secondary distribution of HIV self-tests by female sex workers: an innovative strategy for promoting male partner testing and reducing HIV risk. Project Summary/Abstract Greater uptake of HIV testing among those likely to be HIV-infected is vital for meeting the first of the UNAIDS “90-90-90” targets. However, roughly 55% of HIV-infected individuals in sub-Saharan Africa remain unaware of their serostatus, with men having lower awareness than women. While community-based HIV testing strategies have had considerable success in promoting HIV testing in the general population, there is a need for innovative HIV testing strategies that can reach key populations and high-risk individuals such as male partners of female sex workers. Interventions are also needed to promote couples testing, which can result in improved sexual decision-making, including increased condom use and increased antiretroviral therapy use to prevent sexual transmission. HIV self-testing is a promising approach that has the potential to substantially increase access to testing in a manner that is confidential and empowering for users. Data from across the globe demonstrate high interest in and acceptability of self-testing among a wide range of populations. Although HIV self-testing can be a good alternative for those not engaged in regular repeat testing, little is known about the optimal distribution strategies for facilitating self-test use by the hardest-to-reach individuals. One innovative strategy is `secondary distribution' of HIV self-tests, whereby an individual who is given multiple self-tests can distribute them to sexual partners or to others in their social network. This project will evaluate whether secondary distribution of self-tests by female sex workers in Kenya can be used to fulfill multiple HIV prevention goals, including the promotion of HIV testing among high-risk men and the facilitation of mutual disclosure of serostatus, couples testing, and safer sexual decision making. By facilitating safer sexual decision-making, secondary distribution of self-tests has the potential to reduce HIV incidence among female sex workers, a population that faces an especially high risk of HIV infection. Building on preliminary data in demonstrating that female sex workers can safely distribute oral self-tests to their sexual partners and make safer sexual behavior decisions following self-testing, we will conduct a randomized controlled trial in which female sex workers are randomized to receive multiple self-tests or a voucher to refer partners to clinic-based HIV testing. In Aim 1, we will test whether secondary distribution of self-tests by female sex workers results in greater identification of HIV-infected men and safer sexual behaviors. In Aim 2, we will conduct in-depth interviews to assess study participants' experiences distributing self-tests to their sexual partners. In Aim 3, we will determine the cost-effectiveness of secondary distribution of self-tests by female sex workers. The project will help determine whether HIV self-testing can be useful in furthering multiple HIV prevention goals. It will also provide guidance on optimal distribution strategies for self-tests as countries in sub-Saharan Africa develop HIV self-testing policies and scale-up the availability of self-tests.
项目标题

项目成果

期刊论文数量(0)
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HARSHA THIRUMURTHY其他文献

HARSHA THIRUMURTHY的其他文献

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{{ truncateString('HARSHA THIRUMURTHY', 18)}}的其他基金

A savings intervention to reduce men's engagement in HIV risk behaviors
减少男性艾滋病毒危险行为的储蓄干预措施
  • 批准号:
    10437933
  • 财政年份:
    2021
  • 资助金额:
    $ 65.36万
  • 项目类别:
A savings intervention to reduce men's engagement in HIV risk behaviors
减少男性艾滋病毒危险行为的储蓄干预措施
  • 批准号:
    10258585
  • 财政年份:
    2021
  • 资助金额:
    $ 65.36万
  • 项目类别:
A savings intervention to reduce men's engagement in HIV risk behaviors
减少男性艾滋病毒危险行为的储蓄干预措施
  • 批准号:
    10613353
  • 财政年份:
    2021
  • 资助金额:
    $ 65.36万
  • 项目类别:
Secondary distribution of HIV self-tests: an innovative strategy for promoting male partner testing and reducing risk
HIV自检的二次分发:促进男性伴侣检测和降低风险的创新策略
  • 批准号:
    9352381
  • 财政年份:
    2016
  • 资助金额:
    $ 65.36万
  • 项目类别:
Assessing the effect of household member mortality on mental health outcomes using longitudinal data from South Africa
使用南非的纵向数据评估家庭成员死亡率对心理健康结果的影响
  • 批准号:
    9181170
  • 财政年份:
    2016
  • 资助金额:
    $ 65.36万
  • 项目类别:
Assessing the effect of household member mortality on mental health outcomes using longitudinal data from South Africa
使用南非的纵向数据评估家庭成员死亡率对心理健康结果的影响
  • 批准号:
    9321381
  • 财政年份:
    2016
  • 资助金额:
    $ 65.36万
  • 项目类别:
Preferences, expectations, and the prediction of health and economic behavior
偏好、期望以及健康和经济行为的预测
  • 批准号:
    8728663
  • 财政年份:
    2011
  • 资助金额:
    $ 65.36万
  • 项目类别:
Preferences, expectations, and the prediction of health and economic behavior
偏好、期望以及健康和经济行为的预测
  • 批准号:
    7892727
  • 财政年份:
    2011
  • 资助金额:
    $ 65.36万
  • 项目类别:
Preferences, expectations, and the prediction of health and economic behavior
偏好、期望以及健康和经济行为的预测
  • 批准号:
    8261321
  • 财政年份:
    2011
  • 资助金额:
    $ 65.36万
  • 项目类别:
Preferences, expectations, and the prediction of health and economic behavior
偏好、期望以及健康和经济行为的预测
  • 批准号:
    8533802
  • 财政年份:
    2011
  • 资助金额:
    $ 65.36万
  • 项目类别:

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