Senior Lecturer at Busitema University
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)
Career Development Fellowship (CDF)
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.
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
Across sub-Saharan Africa, efforts to reach men with HIV testing services and to link them to HIV care, if HIV-positive, have been hampered by men’s reluctance to utilize facility-based services. In this study, we are implementing a community-based, peer-led HIV self-testing (HIVST) model to assess uptake of HIV testing, as well as linkage to and retention in HIV care among men living in two fishing communities located in two high HIV prevalence island districts of Buvuma and Kalangala in Lake Victoria. The selection of two fishing communities will enable us to compare different approaches for peer-leader selection in order to identify which approaches serve best in a typical fishing community setting. The overall goal of the study is to assess the feasibility and acceptability of a peer-led HIV self-testing intervention in improving HIV testing uptake, linkage to and retention in HIV care among highly mobile men living in the selected fishing communities.
|Department of Community and Public Health