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Akiba Study


Self-Test Strategies and Linkage Incentives to Improve ART and PrEP Uptake in Men

A collaborative study between Impact Research and Development Organization and the University of Pennsylvania in the USA in partnership with Equity bank, Kenya


To test the impact of a “prize-linked savings” intervention on men’s engagement in high-risk behaviors (transactional sex and alcohol use), by reducing their spending on these behaviors



  • Determine whether providing training and HIVST to select fishermen to distribute to other men in their close social networks increases men’s HIV testing uptake
  • Determine whether network-central promoters and small incentives can improve ART and PrEP uptake among men in their close social networks
  • Test the impact of interventions on ART or PrEP retention and adherence


Randomized Control Trial


Men ages 18-39 years with access to regular cash income and who are at high risk of HIV and STI infection


Siaya County


5 years


Eunice Kennedy Shriver National Institute of Child Health and Human Development

Local IRB Approval:

Maseno University Ethics Review Committee – MUERC 1022/2

Current activities:

Participant recruitment

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