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Dr Joseph Matovu

Call Career Development Fellowship (CDF)
Programme EDCTP2
Start Date 2021-05-01
End Date 2023-04-30
Project Code TMA2019CDF-2729
Status Active

Title

Peer-led HIV self-testing to improve HIV testing and linkage to HIV care among men in two fishing communities in rural Uganda: a pilot intervention (PEST4MEN)

Objectives

This project aimed to achieve the following objectives/aims: Primary aims • Compare approaches for peer-leader selection in two different fishing communities in order to identify suitable peer-leader selection approaches for typical fishing communities. • Assess uptake of HIV testing services associated with peer-led HIV self-testing among men living in two high HIV prevalence fishing communities • Assess the effects of a peer-led HIVST model in: (i) identifying previously undiagnosed HIV infections; (ii) improving linkage to appropriate HIV prevention, care and treatment services; and (iii) improving retention in HIV care among linked HIV-positive individuals Secondary aims • Determine if HIV-positive individuals will be willing to disclose their HIV status to their peer-leaders, and if disclosure to a peer-leader improves linkage to HIV care among HIV-positive men • Assess if peer-facilitated, mobile outreaches to the fishing communities can improve linkage to and retention in HIV care among HIV-positive men living in isolated fishing communities with limited access to HIV and other health services.

Host Organisation

Institution Country
Busitema University Uganda

Study Design

This is a prospective cohort study that aims to effect of peer-led HIV self-testing on HIV testing uptake, linkage to and retention in HIV care using a mixed-methods approach

Sites

Kalangala and Buvuma districts, Uganda

Students Supervised

Type Name Title University Start Date End Date
Graduate student Aisha Twahiri Namwama HIV self-testing and linkage to HIV care preferences among highly mobile men in Buvuma district, central Uganda Busitema University 2021 2023

Results & Outcomes

Pending

Current Organisation

Busitema University

Current Job Title

Senior Lecturer

Students Supervised

Type Name Title University Start Date End Date

Memberships

Role Committee/board Start Date End Date
Editorial Board Member BMC Public Health 2019
Academic Editor PLoS ONE 2017 2021
Associate Editor AIDS and Behavior 2010 2021

Education

Institution Degree Year
Makerere University, Uganda PhD

Areas Of Specialisation

Human Immuno-deficiency Virus (HIV)

Grants

Publications

Correlates of HIV status awareness among older adults in Uganda: results from a nationally representative survey
Authors:
Anne M. Nabukenya , author
Joseph K. B. Matovu , author
Date:
2018-09-01
Journal:
BMC Public Health
Content:
Fertility desires and unmet need for family planning among HIV infected individuals in two HIV clinics with differing models of family planning service delivery
Authors:
Rhoda K Wanyenze , author
Joseph KB Matovu , author
Moses R Kamya , author
Nazarius M Tumwesigye , author
Maria Nannyonga , author
Glenn J Wagner , author
Date:
2015-01-01
Journal:
BMC Women's Health
Content:
Repeat voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda.
Authors:
Matovu JK , author
Gray RH , author
Kiwanuka N , author
Kigozi G , author
Wabwire-Mangen F , author
Nalugoda F , author
Serwadda D , author
Sewankambo NK , author
Wawer MJ , author
Date:
2006-10-01
Journal:
AIDS and behavior
Content:
Feasibility and acceptability of a pilot, peer-led HIV self-testing intervention in a hyperendemic fishing community in rural Uganda
Authors:
Date:
2020-08-07
Journal:
PLoS ONE
Content:

Background: Novel interventions are needed to reach young people and adult men with HIV services given the low HIV testing rates in these population sub-groups. We assessed the feasibility and acceptability of a peer-led oral HIV self-testing (HIVST) intervention in Kasensero, a hyperendemic fishing community (HIV prevalence: 37-41%) in Rakai, Uganda.

Methods: This study was conducted among young people (15-24 years) and adult men (25+ years) between May and August 2019. The study entailed distribution of HIVST kits by trained "peer-leaders," who were selected from existing social networks and trained in HIVST distribution processes. Peer-leaders received up to 10 kits to distribute to eligible social network members (i.e. aged 15-24 years if young people or 25+ years if adult man, not tested in the past 3 months, and HIV-negative or of unknown HIV status at enrolment). The intervention was evaluated against the feasibility benchmark of 70% of peer-leaders distributing up to 70% of the kits that they received; and the acceptability benchmark of >80% of the respondents self-testing for HIV.

Results: Of 298 enrolled into the study at baseline, 56.4% (n = 168) were young people (15-24 years) and 43.6% (n = 130) were adult males (25+ years). Peer-leaders received 298 kits and distributed 296 (99.3%) kits to their social network members. Of the 282 interviewed at follow-up, 98.2% (n = 277) reported that they used the HIVST kits. HIV prevalence was 7.4% (n = 21). Of the 57.1% (n = 12) first-time HIV-positives, 100% sought confirmatory HIV testing and nine of the ten (90%) respondents who were confirmed as HIV-positive were linked to HIV care within 1 week of HIV diagnosis.

Conclusion: Our findings show that a social network-based, peer-led HIVST intervention in a hyperendemic fishing community is highly feasible and acceptable, and achieves high linkage to HIV care among newly diagnosed HIV-positive individuals.

Facilitators and Barriers to Linkage to HIV Care among Female Sex Workers Receiving HIV Testing Services at a Community-Based Organization in Periurban Uganda: A Qualitative Study
Authors:
Sharon Nakanwagi , author
Joseph K. B. Matovu , author
Betty N. Kintu , author
Frank Kaharuza , author
Rhoda K. Wanyenze , author
Date:
2016-07-01
Journal:
Journal of Sexually Transmitted Diseases
Content:
Trends in cesarean section deliveries from 2012 – 2014 in Uganda, 2016
Authors:
Emily Atuheire , author
Daniel Kadobera , author
Alex Riolexus Ario , author
Joseph Matovu , author
Blandina Nakiganda , author
Frank Kaharuza , author
Date:
2018-01-01
Journal:
Pan African Medical Journal Conference Proceedings
Content:
Availability of human immunodeficiency virus prevention services in secondary schools in Kabarole District, Uganda
Authors:
Jane Namuddu , author
Peter Waiswa , author
Betty Nsangi , author
Robert Iriso , author
Joseph Matovu , author
Albert Maganda , author
Adeodata Kekitiinwa , author
Date:
2015-08-01
Journal:
Journal of Public Health in Africa
Content:
Risk Factors for Podoconiosis: Kamwenge District, Western Uganda, September 2015
Authors:
Christine Kihembo , author
Ben Masiira , author
William Z. Lali , author
Gabriel K. Matwale , author
Joseph K. B. Matovu , author
Frank Kaharuza , author
Alex R. Ario , author
Immaculate Nabukenya , author
Issa Makumbi , author
Monica Musenero , author
Bao-Ping Zhu , author
Miriam Nanyunja , author
Date:
2017-06-07
Journal:
The American Journal of Tropical Medicine and Hygiene
Content:
Determinants and processes of HIV status disclosure to HIV - infected children aged 4 to 17 years receiving HIV care services at Baylor College of Medicine Children’s Foundation Tanzania, Centre of Excellence (COE) in Mbeya: a cross-sectional study
Authors:
Mary S. Nzota , author
Joseph KB. Matovu , author
Heather R. Draper , author
Rose Kisa , author
Suzanne N. Kiwanuka , author
Date:
2015-07-01
Journal:
BMC Pediatrics
Content:
Strengthening Global Health Security Through Africa's First Absolute Post-Master's Fellowship Program in Field Epidemiology in Uganda
Authors:
Alex R. Ario , author
Rhoda K. Wanyenze , author
Alex Opio , author
Patrick Tusiime , author
Daniel Kadobera , author
Benon Kwesiga , author
Lilian Bulage , author
Christine Kihembo , author
Steven N. Kabwama , author
Joseph K. B. Matovu , author
Steve Becknell , author
Bao-Ping Zhu , author
Date:
2018-01-01
Journal:
Health Security
Content:
A Yield and Cost Comparison of TB Contact Investigation and Intensified Case Finding in Uganda
Authors:
Michael Kakinda , author
Joseph K. B Matovu , author
Date:
Journal:
Content:
HIV counseling and testing practices among clients presenting at a market HIV clinic in Kampala, Uganda: a cross-sectional study
Authors:
Joseph K.B. Matovu , author
Paul W. Bukuluki , author
David K. Mafigiri , author
Harriet Mudondo , author
Date:
2017-09-01
Journal:
African Health Sciences
Content:
Opt-out cervical cancer screening increases coverage of cervical cancer screening in HIV clinical care settings: Experiences from Mildmay, Uganda
Authors:
Anne M Nabukenya , author
Joseph Matovu , author
Joan Nangiya , author
Esther Kawuma , author
Mary Odiit , author
Barbara Mukasa , author
Date:
2014-07-07
Journal:
BMC Health Services Research
Content:
Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda
Authors:
Joseph KB Matovu , author
Ronald H Gray , author
Fredrick Makumbi , author
Maria J Wawer , author
David Serwadda , author
Godfrey Kigozi , author
Nelson K Sewankambo , author
Fred Nalugoda , author
Date:
2005-03-01
Journal:
AIDS
Content:
Examination of Mediators and Moderators to Understand How and in What Context Game Changers Increases HIV Prevention Advocacy Among Persons Living With HIV in Uganda
Authors:
Glenn J. Wagner , author
Laura M. Bogart , author
David J. Klein , author
Harold D. Green , author
Andrew Kambugu , author
Joan Nampiima , author
Joseph K. B. Matovu , author
Date:
2021-03-01
Journal:
International Journal of Behavioral Medicine
Content:
A Pilot Test of Game Changers, a Social Network Intervention to Empower People with HIV to be Prevention Advocates in Uganda
Authors:
Laura M. Bogart , author
Joseph K. B. Matovu , author
Glenn J. Wagner , author
Harold D. Green , author
Erik D. Storholm , author
David J. Klein , author
Terry Marsh , author
Sarah MacCarthy , author
Andrew Kambugu , author
Date:
2020-02-06
Journal:
AIDS and Behavior
Content:
Repeat HIV testing of individuals with discrepant HIV self-test results in Central Uganda
Authors:
Rose Kisa , author
Joseph K. B. Matovu , author
Esther Buregyeya , author
William Musoke , author
Caroline J. Vrana-Diaz , author
Jeffrey E. Korte , author
Rhoda K. Wanyenze , author
Date:
2019-09-01
Journal:
AIDS Research and Therapy
Content:
Determinants of HIV Counseling and Testing Uptake among Individuals in Long-Term Sexual Relationships in Uganda
Authors:
Joseph Matovu , author
Joseph Kabanda , author
John Bwanika , author
Denis Bwayo , author
Narathius Asingwire , author
David Kyaddondo , author
Sheila Coutinho , author
Date:
2014-07-01
Journal:
Current HIV Research
Content:
Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda
Authors:
Sharon Eva Ahumuza , author
Joseph KB Matovu , author
John Bosco Ddamulira , author
Florence Kyoheirwe Muhanguzi , author
Date:
2014-08-02
Journal:
Reproductive Health
Content:
Factors associated with utilization of motorcycle ambulances by pregnant women in rural eastern Uganda: a cross-sectional study
Authors:
Rogers Ssebunya , author
Joseph K. B. Matovu , author
Date:
2016-03-03
Journal:
BMC Pregnancy and Childbirth
Content:
Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda
Authors:
JULIET NABIRYE , author
Joseph KB Matovu , author
John Baptist Bwanika , author
Fredrick Makumbi , author
Rhoda K. Wanyenze , author
Date:
Journal:
Content:
Correlates of previous couples’ HIV counseling and testing uptake among married individuals in three HIV prevalence strata in Rakai, Uganda
Authors:
Joseph K. B. Matovu , author
Jim Todd , author
Rhoda K. Wanyenze , author
Fred Wabwire-Mangen , author
David Serwadda , author
Date:
2015-06-08
Journal:
Global Health Action
Content:
HIV healthcare providers’ perceptions on smoking behavior among PLHIV and smoking cessation service provision in HIV clinics in Uganda
Authors:
Kellen Nyamurungi Namusisi , author
Frances Thirlway , author
Noreen Mdege , author
Joseph Matovu , author
Date:
2021-09-01
Journal:
Tobacco Prevention & Cessation
Content:
HIV prevalence and uptake of HIV/AIDS services among youths (15–24 Years) in fishing and neighboring communities of Kasensero, Rakai District, South Western Uganda
Authors:
Richardson Mafigiri , author
Joseph K. B. Matovu , author
Fredrick Edward Makumbi , author
Anthony Ndyanabo , author
Doreen Nabukalu , author
Moses Sakor , author
Godfrey Kigozi , author
Fred Nalugoda , author
Rhoda K. Wanyenze , author
Date:
2017-03-01
Journal:
BMC Public Health
Content:
Sexual-risk behaviours and HIV and syphilis prevalence among in- and out-of-school adolescent girls and young women in Uganda: A cross-sectional study
Authors:
Joseph K. B. Matovu , author
Justine N. Bukenya , author
Dickson Kasozi , author
Stephens Kisaka , author
Rose Kisa , author
Agnes Nyabigambo , author
Abdulaziz Tugume , author
John Baptist Bwanika , author
Levicatus Mugenyi , author
Irene Murungi , author
David Serwadda , author
Rhoda K. Wanyenze , author
Susan Marie Graham , editor
Date:
2021-09-10
Journal:
PLOS ONE
Content:
Risk factors for HIV infection among married couples in Rakai, Uganda: A cross-sectional study
Authors:
Anne M. Nabukenya , author
Aminah Nambuusi , author
Joseph KB Matovu , author
Date:
Journal:
Content:
Formative research to inform the development of a peer-led HIV self-testing intervention to improve HIV testing uptake and linkage to HIV care among adolescents, young people and adult men in Kasensero fishing community, Rakai, Uganda: a qualitative study
Authors:
Joseph K. B. Matovu , author
Aminah Nambuusi , author
Scovia Nakabirye , author
Rhoda K. Wanyenze , author
David Serwadda , author
Date:
2020-10-01
Journal:
BMC Public Health
Content:
Tobacco use and cessation in the context of ART adherence: Insights from a qualitative study in HIV clinics in Uganda
Authors:
Frances Thirlway , author
Kellen Namusisi Nyamurungi , author
Joseph K.B. Matovu , author
Andrew Kibuuka Miti , author
Noreen Dadirai Mdege , author
Date:
2021-03-01
Journal:
Social Science & Medicine
Content:
Preventing HIV Transmission in Married and Cohabiting HIV-Discordant Couples in Sub-Saharan Africa through Combination Prevention
Authors:
Joseph Matovu , author
Date:
2010-09-01
Journal:
Current HIV Research
Content:
Coping Mechanisms of Previously Diagnosed and New HIV-Discordant, Heterosexual Couples Enrolled in a Pilot HIV Self-Testing Intervention Trial in Central Uganda
Authors:
Joseph K. B. Matovu , author
Rose Kisa , author
Angela M. Malek , author
Caroline Vrana-Diaz , author
Semei Christopher Mukama , author
William Musoke , author
Jeffrey E. Korte , author
Rhoda K. Wanyenze , author
Date:
2021-08-01
Journal:
Frontiers in Reproductive Health
Content:
Cholera outbreak caused by drinking contaminated water from a lakeshore water-collection site, Kasese District, south-western Uganda, June-July 2015
Authors:
Gerald Pande , author
Benon Kwesiga , author
Godfrey Bwire , author
Peter Kalyebi , author
AlexArio Riolexus , author
Joseph K. B. Matovu , author
Fredrick Makumbi , author
Shaban Mugerwa , author
Joshua Musinguzi , author
Rhoda K. Wanyenze , author
Bao-Ping Zhu , author
Martyn Kirk , editor
Date:
2018-06-01
Journal:
PLOS ONE
Content:
HIV counselling and testing on the move
Authors:
Joseph KB Matovu , author
Date:
2011-07-01
Journal:
The Lancet Infectious Diseases
Content:
Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: alternative approaches for improving uptake, 2001-2007
Authors:
Joseph K.B. Matovu , author
Fredrick E. Makumbi , author
Date:
2007-10-01
Journal:
Tropical Medicine & International Health
Content:
Knowledge and correlates of use of safer conception methods among HIV-infected women attending HIV care in Uganda
Authors:
Violet Gwokyalya , author
Jolly Beyeza-Kashesya , author
John Baptist Bwanika , author
Joseph K. B. Matovu , author
Shaban Mugerwa , author
Jim Arinaitwe , author
Dickson Kasozi , author
Justine Bukenya , author
Rosemary Kindyomunda , author
Glenn J. Wagner , author
Fredrick E. Makumbi , author
Rhoda K. Wanyenze , author
Date:
2019-05-01
Journal:
Reproductive Health
Content:
Uptake and correlates of cervical cancer screening among HIV-infected women attending HIV care in Uganda
Authors:
Rhoda K. Wanyenze , author
John Baptist Bwanika , author
Jolly Beyeza-Kashesya , author
Shaban Mugerwa , author
Jim Arinaitwe , author
Joseph K. B. Matovu , author
Violet Gwokyalya , author
Dickson Kasozi , author
Justine Bukenya , author
Fred Makumbi , author
Date:
2017-10-01
Journal:
Global Health Action
Content:

Projects

Peer-led HIV self-testing to improve HIV testing among in two fishing communities in Uganda
Fellow:
Joseph Matovu
Collaborators:
Name Country Institution
Joseph KB Matovu Uganda Busitema University
Objectives:
1. To assess acceptability of a peer-led HIV self-testing intervention in the two fishing communities 2. Determine linkage to and retention in HIV care among newly diagnosed HIV-positive men following peer-led HIV self-testing
Sites:
Kalangala and Buvuma islands, Lake Victoria
Study Design:
Prospective cohort study
Subjects:
800
Outcomes:
1. Percentage of previously untested men and HIV-negative men who last tested for HIV more than 3 months ago who tested for HIV through peer-led HIV self-testing 2. Percentage of first-time HIV-positive men who were linked to HIV care following peer-led HIV self-testing 3. Percentage of HIV-positive men linked to HIV care who are retained in HIV care as 18 months post-enrollment
Start Date:
2021-09-01
End Date:
2022-08-31

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