AHRI.HITS.2019.v1
Home-based Intervention to Test and Start (HITS)
Name | Country code |
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South Africa | ZA |
The HITS trial aims to evaluate the effect of two interventions - micro-incentives (R50 food voucher) and a male-targeted HIV specific decision support (EPIC-HIV) - on increasing home-based testing and linkage to HIV care among men with the ultimate aim of reducing HIV related mortality in men and HIV incidence in young women. The HITS trial is nested in the AHRI HIV surveillance platform. The HIV surveillance is annually conducted on all resident individuals aged 15 year or older to collect sexual behaviour, general health data and dried blood spots (DBS) samples for anonymized HIV testing, as well as offer rapid HIV testing. The trial was delivered in 2018 in a four strata using a 2 x2 factorial design in 45 clusters (weekblocks) in the southern AHRI HIV Surveillance area. The four strata are: Arm 1 micro-incentives (n=8), Arm 2 both micro-incentives and EPIC-HIV (n=8), Arm 3 EPIC-HIV (n=8) and Arm 4 standard of care (n=21). Individuals were eligible if they agreed to participate in the annual HIV surveillance. Both males and females were eligible to receive the micro-incentives, but only males were eligible to receive EPIC-HIV. Individuals that reported to be already on antiretroviral therapy were not eligible to receive any of the HITS interventions. The interventions were offered in a two-stage scheme.
The first stage was aimed at encouraging HIV testing (rapid test) and the second stage aimed at encouraging linkage to care if tested HIV positive. Micro-incentives were conditional on undergoing a home-based rapid HIV test. If diagnosed with HIV and presented for HIV care in one of the local departments of health clinics servicing the HIV surveillance program area within 6 weeks of the HIV test, participants received a second R50 food voucher. EPIC-HIV was available in two versions (EPIC-HIV1 and EPIC-HIV 2). EPIC-HIV 1 was offered to men at the point of HIV test offer prior to HIV counselling and testing to support men when choosing whether or not to test for HIV. If participants were diagnosed with HIV but did not present in the local Department of Health clinic within a month of the positive HIV test, a study tracker team re-visited participants at home and offered EPIC-HIV 2
Survey data and clinical data
Individual
V1.0.0
Umkhanyakude district, Southern PIPSA
Individuals aged 15 years and older, and resident members of the AHRI HIV surveillance southern area.
Name | Affiliation |
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Prof Frank Tanser | AHRI, University of Lincoln |
Prof Till Barnaghausen | AHRI, University of Heidelberg |
Name |
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Africa Health Research Institute |
Name | Role |
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National Institute for Health | Funder |
2 x2 factorial design in 45 clusters (weekblocks) in the southern AHRI HIV Surveillance area. The four strata are: Arm 1 micro-incentives (n=8), Arm 2 both micro-incentives and EPIC-HIV (n=8), Arm 3 EPIC-HIV (n=8) and Arm 4 standard of care (n=21). Individuals were eligible if they agreed to participate in the annual HIV surveillance
Start | End |
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2018-01-30 | 2018-12-11 |
The representative of the Receiving Organization agrees to comply with the following conditions:
Tanser, F., & Barnaghausen, T. (2020). Home-based Intervention to Test and Start (HITS) [Data set]. Africa Health Research Institute (AHRI). https://doi.org/10.23664/AHRI.HITS.2019
DDI.AHRI.HITS.2019.v1
Name |
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Africa Health Research Institute |