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Impact Research and Development Organization, Kisumu, Kenya

Secondary distribution of HIV self-tests to promote HIV testing among male partners of young women: subgroup analysis from a randomized trial. Impact Research and Development Organization, Kisumu, Kenya Kawango Agot, PhD, MPH; Beatrice Obonyo , BSc.; Julie Ambia , MPH, MSc

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Impact Research and Development Organization, Kisumu, Kenya

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  1. Secondary distribution of HIV self-tests to promote HIV testing among male partners of young women: subgroup analysis from a randomized trial • Impact Research and Development Organization, Kisumu, Kenya • Kawango Agot, PhD, MPH; Beatrice Obonyo, BSc.; Julie Ambia, MPH, MSc • Nyanza Initiative for Girls Education and Empowerment, Kisumu, Kenya • Gift-Noelle Wango, BSN, MPH • University of Pennsylvania, Department of Medical Ethics and Health Policy, USA • HarshaThirumurthy, PhD

  2. Background 1.8 Billion (UNFPA, 2014) Adolescents (10-24) in the world; ~50% 15-24 yrs 83% of 2.1 Million Adolescents living with HIV are in Sub-Saharan Africa (SSA), the most affected region globally 75%(PEPFAR, 2017) The majority of new HIV infections among adolescents in SSA occur in adolescent girls and young women (AGYW) 100 Million Today, there are 100 million more 15-24 year olds than at the beginning of the epidemic > 1,000 Every day, more than 1,000 AGYW are infected with HIV

  3. Methods • Data analyzed from subgroup of young women (18-24 years) in an RCT in Kisumu, Kenya (NCT# 02386215). • Participants: women seeking antenatal and postpartum care in 3 government clinics • Random assignment to 2 groups Comparison group: Participants given referral vouchers that invited their partner to obtain HIV testing at HTS clinics, alone or as a couple HIVST group: Participants given 2 oral fluid based HIV self-tests to take home and offer one to their partner to test alone or for testing as a couple Follow-up: Conducted at 3 months

  4. Key Results • 599 women enrolled in the trial • 367 (61.2%) were aged 18-24 years • 179 and 188 were randomized to the HIVST and comparison groups, respectively • Follow-up interviews were completed by 347 (94.5%) of the women • Participants reported “Yes” to at least one of the 7 GBV questions in our follow-up survey; however, none was related to HIVST Study Outcomes by Study Group

  5. Conclusions • Provision of multiple HIV self-tests to young women was effectivein increasing male partner and couples testing • There was no IPV related to distribution or use of HIVST by partners • The findings suggest that HIVST can play a prominent role in facilitating testing among male partners of AGYW • As countries scale-up HIVST, further investigation of secondary distribution interventions among young(er) women is warranted

  6. Acknowledgements • Participants in the study and study staff • Ministry of Health at county and sub-county levels • Bill and Melinda Gates Foundation • International Institute of Impact Evaluation (3ie) • University of North Carolina at Chapel Hill & University of Pennsylvania • The Government of The Netherlands, for processing visas of delegates from LMIC for FREE (:- For more details, visit Poster THPD C0104, outside Emerald Room! Thank You!

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