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

This is a randomized controlled trial to test a combination behavioral and biomedical interventions to improve the HIV prevention and care cascades in a population of mobile men in a high priority setting (fishermen in Kenya). The intervention strategy is to recruit and train highly socially-connected men to distribute HIV self-tests and provide linkage support to men in their close social networks. The study will determine whether this social network-based approach along with small financial incentives in the form of transport vouchers can increase men's self-testing, linkage to and uptake of ART and PrEP after self-testing, virologic suppression at 6 months (for those initiating ART) and PrEP adherence (for those initiating PrEP) at 6 months. The study includes a longitudinal qualitative and mixed methods (quantitative and qualitative assessments) to identify the pathways of intervention action, and understand how the social network-based approach with support for linkage affects testing and ART and PrEP uptake and retention in men.

Sex

Male

Minimum age

18 Years

Inclusion Criteria:

* Adult (18 years or older)
* Male
* Working as a fisherman or fishing-related occupation
* Willing and able to provide informed consent for participation
* Not participating in another research study related to HIV testing, treatment and/or prevention

Exclusion Criteria:

* Younger than 18 years of age
* Female
* Included in another intervention study on HIV/AIDS
* Inadequate cognitive and/or hearing capacity to complete planned study procedures, at the discretion of the study team

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