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Evaluating oral HIV testing to increase HIV testing uptake among truck drivers in Kenya


Author
Kelvin et al.

Publication year
2017

Country

Type of approach
Dual

Type of assistance
Both

Specimen
Oral-fluid

Study population
Vulnerable population: Vulnerable population: truck drivers

Study design
Trials

Sample size
305

UNAIDS HIV prevalence (2017)
5.9 [4.9 - 7.0]

Methodology
305 male truck drivers who come to receive services at one of two participating North Star Alliance clinics in Kenya are randomized to receive either (1) the standard care (offer of a provider-administered blood-based (fingerprick) HIV test) or (2) a choice of the standard care test or a supervised self-administered oral HIV test in the clinic. Those in the intervention arm who refuse testing the in the clinic will then be offered a self-administered oral HIV test kit to take for home use. For the primary outcome, we will compare HIV test uptake at baseline between the standard care and the intervention. Following these baseline procedures, participants will be followed for 6 months to look at HIV testing over time. Those in the intervention arm will be told that they may pick up a self-administered oral HIV test kit for home use during follow-up and a text reminder will be sent to them at 3 months, while those in the standard care arm will be eligible only for the standard HIV test in the clinic and will also receive a standard text reminder at 3 months. We will compare the HIV testing rates over 6 months follow-up in the standard care versus the intervention arms.

Summary of findings
All participants were male and of African race, mean age 37 years. Participants had worked as truck drivers for a mean average of 8.7 years. Truck drivers are more likely to test when offered a choice of HIV testing methods, when including HIVST(OR: 2.8, p=0.002).

Acceptability
0.73

Acceptability details
Out of the 130 participants offered a choice in testing methods, 84 (64.6%) chosed observed HIVST in the clinic and another 11 (8.5%) took a test kit for use outside of the clinic.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
n/a

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a


Study status
Completed