Evaluation of community-based HIV self-testing delivery strategies on reducing undiagnosed HIV infection, and improving linkage to prevention and treatment services, among men who have sex with men in Kenya: a programme science study protocol

BMC Public Health

卷:19

Amy Sahai¹  James Blanchard¹  Faran Emmanuel¹  Robert Lorway¹  Stephen Moses¹  Shajy Isac¹  Marissa Becker¹  Parinita Bhattacharjee¹  Sharmistha Mishra²  Jeffrey Walimbwa³  Martin Kyana Ongaro⁴  Michael Pickles⁵  Samuel Kuria⁶  Kennedy Olango⁷  Kigen Bartilol⁸  Mary Mugambi⁸  Helgar Musyoki⁸  Dorothy Rego⁹  Janet Musimbi¹⁰ 

[1] Centre for Global Public Health, University of Manitoba;

[2] Department of Medicine, St. Michael’s Hospital, University of Toronto;

[3] G10 Research Advisory Committee;

[4] HIV and AIDS People’s Alliance of Kenya;

[5] Imperial College;

[6] Mamboleo Peer Empowerment Group;

[7] Men Against AIDS Youth Group;

[8] National AIDS and STI Control Programme, Ministry of Health;

[9] Nutrition International;

[10] Partners for Health and Development in Africa, University of Manitoba;

关键词: MSM;    HIV self testing;    HIV prevention;    Evaluation;    Kenya;   

DOI  :  10.1186/s12889-019-7291-2

来源: DOAJ

【 摘 要 】

Abstract Background HIV prevalence among men having sex with men (MSM) in Kenya is 18.2%. Despite scale-up of HIV testing services, many MSM remain unaware of their HIV status and thus do not benefit from accessing HIV treatment or prevention services. HIV self-testing (HIVST) may help address this gap. However, evidence is limited on how, when, and in what contexts the delivery of HIVST to MSM could increase awareness of HIV status and lead to early linkage to HIV treatment and prevention. Methods The study will be embedded within existing MSM-focused community-based HIV prevention and treatment programmes in 3 counties in Kenya (Kisumu, Mombasa, Kiambu). The study is designed to assess three HIV testing outcomes among MSM, namely a) coverage b) frequency of testing and c) early uptake of testing. The study will adopt a mixed methods programme science approach to the implementation and evaluation of HIVST strategies via: (i) a baseline and endline bio-behavioural survey with 1400 MSM; (ii) a socio-sexual network study with 351 MSM; (iii) a longitudinal qualitative cohort study with 72 MSM; (iv) routine programme monitoring in three sites; (v) a programme-specific costing exercise; and (vi) mathematical modelling. This protocol evaluates the impact of community-based implementation of HIV self-testing delivery strategies among MSM in Kenya on reducing the undiagnosed MSM population, and time for linkage to prevention, treatment and care following HIV self-testing. Baseline data collection started in April 2019 and the endline data collection will start in July 2020. Discussion This study is one of the first programme science studies in Sub-Saharan Africa exploring the effectiveness of integrating HIVST interventions within already existing HIV prevention and treatment programmes for MSM in Kenya at scale. Findings from this study will inform national best approaches to scale up HIVST among MSM in Kenya.

【 授权许可】

Unknown