scholarly journals Home-Based Versus Mobile Clinic HIV Testing and Counseling in Rural Lesotho: A Cluster-Randomized Trial

PLoS Medicine ◽  
2014 ◽  
Vol 11 (12) ◽  
pp. e1001768 ◽  
Author(s):  
Niklaus Daniel Labhardt ◽  
Masetsibi Motlomelo ◽  
Bernard Cerutti ◽  
Karolin Pfeiffer ◽  
Mashaete Kamele ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Hiv Testing ◽  
Cluster Randomized Trial ◽  
Mobile Clinic ◽  
Hiv Testing And Counseling ◽  
Home Based ◽  
Cluster Randomized ◽  
Testing And Counseling

scholarly journals Undetectable=untransmittable (U=U) messaging increases uptake of HIV testing among men: Results from a pilot cluster randomized trial

2020 ◽  
Author(s):  
Philip Smith ◽  
Alison Buttenheim ◽  
Laura Schmucker ◽  
Linda-Gail Bekker ◽  
Harsha Thirumurthy ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Hiv Testing ◽  
Cluster Randomized Trial ◽  
Hiv Treatment ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Mobile Clinic ◽  
Testing Uptake ◽  
Cluster Randomized ◽  
The Impact

AbstractHIV testing coverage in sub-Saharan Africa is lower among men than women. We investigated the impact of a peer-delivered U=U (undetectable equals untransmittable) message on men’s HIV testing uptake through a cluster randomized trial with individual mobile clinic days as unit of randomization.On standard of care (SOC) days, peer promoters’ informed men about the availability of HIV testing at the mobile clinic. On intervention days, peer promoters’ delivered U=U messages. We used logistic regression adjusting for mobile clinic location, clustering by study day, to determine the percentage of invited men who tested for HIV at the mobile clinic.Peer promoters delivered 1048 invitations over 12 days. In the SOC group, 68 (13%) of 544 men invited tested for HIV (3, 4.4% HIV-positive). In the U=U group, 112 (22%) of 504 men invited tested for HIV (7, 6.3% HIV-positive). Men in the U=U group had greater odds of testing for HIV (adjusted odds ratio=1.59, 95% CI=0.98-2.57).Tailored, peer-delivered messages that explain the benefits of HIV treatment in reducing HIV transmission can increase men’s HIV testing uptake.

scholarly journals Delivery of home-based postpartum contraception in rural Guatemalan women: a cluster-randomized trial protocol

2019 ◽  
Author(s):  
Margo Harrison ◽  
Saskia Bunge-Montes ◽  
Claudia Rivera ◽  
Andrea Jimenez-Zambrano ◽  
Gretchen Heinrichs ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Clinical Care ◽  
Cluster Randomized Trial ◽  
Trial Registration ◽  
Postpartum Visit ◽  
Postpartum Contraception ◽  
Home Setting ◽  
Home Based ◽  
Cluster Randomized ◽  
Long Acting

Abstract Background Postpartum contraception is important to prevent unintended and closely spaced pregnancies following childbirth. Methods This study is a cluster-randomized trial of communities in rural Guatemala where women receive ante- and postnatal care through a community-based nursing program. When nurses visit women for their postpartum visit in the intervention clusters, instead of providing only routine care that includes postpartum contraceptive education and counseling, the nurses will also bring a range of barrier, short-acting, and long-acting contraceptives that will be offered and administered in the home setting, after routine clinical care is provided. Discussion A barrier to postpartum contraception is access to medications and devices. Our study removes some access barriers (distance, time, cost) by providing contraception in the home. We also trained community nurses to place implants, which are a type of long-acting reversible contraceptive method that was previously only available in the closest town, which is about an hour away by vehicle. Therefore, our study examines how home-based delivery of routinely available contraceptives and the less routinely available implant may be associated with increased uptake of postpartum contraception within three months of childbirth. The potential implications of this study include: nurses may be able to be trained to safely provide contraceptives, including place implants, in the home setting, and provision of home-based contraception may be an effective way of delivering an evidence-based intervention for preventing unintended and closely spaced pregnancies in the postpartum period. Retrospective Trial Registration clinicaltrials.gov Trial Identifying Number NCT04005391 Date of Registration in Primary Registry: July 1, 2019 Trial Registration: https://clinicaltrials.gov/ct2/show/NCT04005391?term=NCT04005391&rank=1 Keywords: postpartum contraception, long-acting reversible contraceptives, implant, nursing, community programming, cluster-randomized trial

scholarly journals Delivery of home-based postpartum contraception in rural Guatemalan women: a cluster-randomized trial protocol

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Margo S. Harrison ◽  
Saskia Bunge-Montes ◽  
Claudia Rivera ◽  
Andrea Jimenez-Zambrano ◽  
Gretchen Heinrichs ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Clinical Care ◽  
Cluster Randomized Trial ◽  
Routine Care ◽  
Postpartum Visit ◽  
Postpartum Contraception ◽  
Home Setting ◽  
Home Based ◽  
Cluster Randomized ◽  
Long Acting

Abstract Background Postpartum contraception is important to prevent unintended and closely spaced pregnancies following childbirth. Methods This study is a cluster-randomized trial of communities in rural Guatemala where women receive ante- and postnatal care through a community-based nursing program. When nurses visit women for their postpartum visit in the intervention clusters, instead of providing only routine care that includes postpartum contraceptive education and counseling, the nurses will also bring a range of barrier, short-acting, and long-acting contraceptives that will be offered and administered in the home setting, after routine clinical care is provided. Discussion A barrier to postpartum contraception is access to medications and devices. Our study removes some access barriers (distance, time, cost) by providing contraception in the home. We also trained community nurses to place implants, which are a type of long-acting reversible contraceptive method that was previously only available in the closest town which is about an hour away by vehicular travel. Therefore, our study examines how home-based delivery of routinely available contraceptives and the less routinely available implant may be associated with increased uptake of postpartum contraception within 3 months of childbirth. The potential implications of this study include that nurses may be able to be trained to safely provide contraceptives, including placing implants, in the home setting, and provision of home-based contraception may be an effective way of delivering an evidence-based intervention for preventing unintended and closely spaced pregnancies in the postpartum period. Trial registration Clinicaltrials.gov, NCT04005391. Retrospectively registered on 1 July 2019.

Home-Based HIV Testing and Counseling in Rural and Urban Kenyan Communities

2013 ◽  
Vol 62 (2) ◽  
pp. e47-e54 ◽  
Author(s):  
Warren Dalal ◽  
Daniel R. Feikin ◽  
Manase Amolloh ◽  
Ray Ransom ◽  
Heather Burke ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Hiv Testing And Counseling ◽  
Rural And Urban ◽  
Home Based ◽  
Testing And Counseling
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