About this trial
This is a cluster randomized, stepped wedge implementation study to introduce HIV testing services (HTS) counselor-led PrEP care in public health clinics in Kenya.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
≥15 years of age
Accessing health services at participating public health facilities.
Not known to be living with HIV prior to the visit when their clinical data is first abstracted
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
HTS counselor-led PrEP care model
Other interventionPrEP delivery ,including HIV testing, eligibility assessment, dispensing, adherence counseling, and provision of refills, provided by an HTS counselor
Treatment groups
Trial outcomes
Primary outcomes
PrEP screening
Using individual client-level data at clinics, compare proportion of clients completing PrEP eligibility screening in usual care (control) versus intervention time points
PrEP initiation
Using individual client-level data at clinics, compare PrEP initiation in usual care (control) versus intervention time points. PrEP initiation will be measured as the proportion of eligible clients starting PrEP use documented on ministry of health (MOH) tools.
PrEP continuation
Using individual client-level data at clinics, compare PrEP continuation in usual care (control) versus intervention time points. PrEP continuation among clients initiating PrEP will be determined by clinic visit attendance and pharmacy PrEP refill records obtained by abstraction of MOH clinic records.
Sponsors and contacts
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University of Washington
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator