Oral self-testing and optimum peer educator to female sex worker ratio for increased uptake of HIV testing and follow up among female sex workers in Kenya
In Kenya, a higher HIV prevalence is reported in key populations(KPs) such as female and male sex workers (FSW and MSW), men who have sex with men (MSM) and people who inject drugs (PWID). For example, sex workers (FSW and MSW) are at a higher risk of HIV infection due to high risk sexual behaviors (such as many sexual partners, numerous sexual acts with partners, concurrent relationships with regular partners, engaging in unprotected vaginal and anal sex and may engage in drug and alcohol prior to sex etc.,) and contribute to about 14% new infections in the country. Existing targeted HIV prevention interventions for KPs needed to be evaluated to determine if innovations in service delivery improve the programs feasibility, acceptability, scalability, efficiency and cost per person served. In addition, new strategies need to be identified to improve enrollment in drop-in-centres (DICEs) where KP-friendly comprehensive HIV prevention, care and treatment services are being provided. This study focused on programs for HIV prevention, care and treatment of SWs in Mombasa, Nairobi, Kisumu and Migori to identify specific elements within Kenya SWs programs that may lead to increased initial uptake of HIV testing and counseling (HTC), increased quarterly clinic visits and HTC uptake among HIV-negative FSWs, and increased enrollment in care and treatment among HIV positive FSWs. The specific objectives of the study includes;
- to determine the optimum peer-educator-to-FSW ratio (PE:FSW) that improves routine clinic visits among HIV-positive FSWs or improves quarterly HTC uptake among HIV-negative FSWs;
- assess user acceptability, competence and feasibility of oral HIV self-testing and its impact on enrollment of FSWs into DICEs; and
- building capacity of stakeholders in implementation science, HIV programming and policy population. It is expected that the results of the study will be used to inform current KP guidelines and strengthen current FSWs.
Study Contact: Kawango Agot (Email: firstname.lastname@example.org )
Principal Investigator: Kawango Agot, PhD, MPH (Impact Research and Development Organization, IRDO), Joshua Kimani, MD, MPH (University of Nairobi, UoN/ University of Manitoba,UoM), Grace Muthumbi, RN/BCHD (International Medical Corps, ICM), Peter Gichangi, PhD, MMED, MBCHB (International Centre for Reproductive Health, ICRH)
Funding: Centre for Disease Control (CDC)