GIRLS

High-yield HIV testing, facilitated linkage to care, and prevention for female youth in Kenya
Women ages 15-24 in Kenya are 2-3 times more likely than males to be HIV-infected, and the related risks of teen pregnancy contribute to higher vertical HIV. Therefore, it is critical to prioritize access to HIV testing, prevention, and treatment for this population. In this study, an implementation science framework will be undertaken to address the HIV prevention and treatment continuum that will inform best practices in identifying high-need young women, providing testing options, and primary HIV prevention as well as linkage to HIV care. The study will be carried out in Homa Bay County, Kenya, that has the highest prevalence of HIV in Kenya, at 25.7%. In these region high fertility, early sex, frequent intergenerational sex and low male circumcision is common that put many young women at increased risk for HIV. The specific objectives include:

  • identify female youth ages 15-24 years at risk for HIV who have not had a HIV test and utilizing either community-based and home-based ‘seek’ strategies and offer them options to be tested for HIV (either self-testing, staff-aided HIV testing and counseling (HTC) in a mobile setting, or facility-based testing HTC);

  • pilot and evaluate an adaptive intervention to link HIV-positive female youth to HIV treatment (one-time financial incentive to link to care vs. SMS reminders); and

  • conduct an economic evaluation, using to determine the relative utility of each of the 1-2 seek, test, link, and prevention interventions

Study Contact: Kawango Agot (Email: kawango@impact-rdo.org )
Principal Investigator: Kawango Agot, MPH, PhD (Impact Research & Development Organization, IRDO), Irene Inwani, MD, MPH (Kenyatta National Hospital, KNH) and Ann Kurth, PhD, CNM, MPH (NYUCN Global, New York University, NYU)
Co-Investigators: Peter Cherutich, MBChB, MPH (Kenya Ministry of Health), John Kinuthia,MD, MPH (Kenyatta National Hospital), Ruth Nduati, MD, MPH (Kenyatta National Hospital), Harsha Thirumurthy, PhD (University of North Carolina at Chapel Hill, NC, USA), Jared Baeten, MD, PhD (University of Washington), Connie Celum,MD, MPH (University of Washington) and Jasmine Buttolph MPH (New York University)
Funding: National Institute of Child Health Development, NICHD (USA)


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CONTACT

Impact Research and Development Organization
Baring Road-Milimani
P.O. Box 9171-40141
Kisumu City
(254)-057-2020132
(254)-727-688550
(254)-738-772119
info@impact-rdo.org

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The Research

GIRLS

High-yield HIV testing, facilitated linkage to care, and prevention for female youth in Kenya

Women ages 15-24 in Kenya are 2-3 times more likely than males to be HIV-infected, and the related risks of teen pregnancy contribute to higher vertical HIV. Therefore, it is critical to prioritize access to HIV testing, prevention, and treatment for this population. In this study, an implementation science framework will be undertaken to address the HIV prevention and treatment continuum that will inform best practices in identifying high-need young women, providing testing options, and primary HIV prevention as well as linkage to HIV care.

The study will be carried out in Homa Bay County, Kenya, that has the highest prevalence of HIV in Kenya, at 25.7%. In these region high fertility, early sex, frequent intergenerational sex and low male circumcision is common that put many young women at increased risk for HIV. The specific objectives include:

  • identify female youth ages 15-24 years at risk for HIV who have not had a HIV test and utilizing either community-based and home-based ‘seek’ strategies and offer them options to be tested for HIV (either self-testing, staff-aided HIV testing and counseling (HTC) in a mobile setting, or facility-based testing HTC);

  • pilot and evaluate an adaptive intervention to link HIV-positive female youth to HIV treatment (one-time financial incentive to link to care vs. SMS reminders); and

  • conduct an economic evaluation, using to determine the relative utility of each of the 1-2 seek, test, link, and prevention interventions.

Study Contact: Kawango Agot (Email: kawango@impact-rdo.org )
Principal Investigator: Kawango Agot, MPH, PhD (Impact Research & Development Organization, IRDO), Irene Inwani, MD, MPH (Kenyatta National Hospital, KNH) and Ann Kurth, PhD, CNM, MPH (NYUCN Global, New York University, NYU)
Co-Investigators: Peter Cherutich, MBChB, MPH (Kenya Ministry of Health), John Kinuthia,MD, MPH (Kenyatta National Hospital), Ruth Nduati, MD, MPH (Kenyatta National Hospital), Harsha Thirumurthy, PhD (University of North Carolina at Chapel Hill, NC, USA), Jared Baeten, MD, PhD (University of Washington), Connie Celum,MD, MPH (University of Washington) and Jasmine Buttolph MPH (New York University)
Funding: National Institute of Child Health Development, NICHD (USA)

Our Partners