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首页> 外文期刊>BMC Public Health >Evaluation of community-based HIV self-testing delivery strategies on reducing undiagnosed HIV infection, and improving linkage to prevention and treatment services, among men who have sex with men in Kenya: a programme science study protocol
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Evaluation of community-based HIV self-testing delivery strategies on reducing undiagnosed HIV infection, and improving linkage to prevention and treatment services, among men who have sex with men in Kenya: a programme science study protocol

机译：评估基于社区的艾滋病毒自我检测交付策略，减少未确诊的艾滋病毒感染，以及改善与肯尼亚男子发生性关系的男性与预防和治疗服务的联系：一个计划科学研究协议

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HIV prevalence among men having sex with men (MSM) in Kenya is 18.2%. Despite scale-up of HIV testing services, many MSM remain unaware of their HIV status and thus do not benefit from accessing HIV treatment or prevention services. HIV self-testing (HIVST) may help address this gap. However, evidence is limited on how, when, and in what contexts the delivery of HIVST to MSM could increase awareness of HIV status and lead to early linkage to HIV treatment and prevention. The study will be embedded within existing MSM-focused community-based HIV prevention and treatment programmes in 3 counties in Kenya (Kisumu, Mombasa, Kiambu). The study is designed to assess three HIV testing outcomes among MSM, namely a) coverage b) frequency of testing and c) early uptake of testing. The study will adopt a mixed methods programme science approach to the implementation and evaluation of HIVST strategies via: (i) a baseline and endline bio-behavioural survey with 1400 MSM; (ii) a socio-sexual network study with 351 MSM; (iii) a longitudinal qualitative cohort study with 72 MSM; (iv) routine programme monitoring in three sites; (v) a programme-specific costing exercise; and (vi) mathematical modelling. This protocol evaluates the impact of community-based implementation of HIV self-testing delivery strategies among MSM in Kenya on reducing the undiagnosed MSM population, and time for linkage to prevention, treatment and care following HIV self-testing. Baseline data collection started in April 2019 and the endline data collection will start in July 2020. This study is one of the first programme science studies in Sub-Saharan Africa exploring the effectiveness of integrating HIVST interventions within already existing HIV prevention and treatment programmes for MSM in Kenya at scale. Findings from this study will inform national best approaches to scale up HIVST among MSM in Kenya.
机译：肯尼亚与男人发生性关系的人之间的艾滋病毒患病率为18.2％。尽管艾滋病毒检测服务扩大了扩大，但许多MSM仍然没有意识到他们的艾滋病毒状况，因此不要受益于访问艾滋病毒治疗或预防服务。艾滋病毒自检（艾滋病毒）可能有助于解决这种差距。然而，证据是有限的，当艾滋病毒艾滋病毒症交付到MSM的方式有限，可以提高对艾滋病毒状况的认识并导致艾滋病毒治疗和预防的早期联系。该研究将嵌入在肯尼亚（Kisumu，Mombasa，Kiambu）的3个县的现有MSM的群落艾滋病毒预防和治疗方案中。该研究旨在评估MSM中的三个HIV测试结果，即A）覆盖B）检测频率和C）早期摄取测试。该研究将采用一项混合方法，通过：（i）具有1400 MSM的基线和终点生物行为调查，实施和评估艾滋病毒策略的实施和评估; （ii）具有351 MSM的社会性网络研究; （iii）具有72msm的纵向定性队列研究; （iv）三个地点的例行程序监测; （v）特定于计划的成本练习;和（vi）数学建模。本议定书评估了基于社区的实施的影响，在肯尼亚在肯尼亚举行的MSM中的影响，减少了未确诊的MSM人群，并在艾滋病毒自我检测后预防，治疗和护理的连锁时间。基线数据收集于2019年4月开始，终点数据收集将于2020年7月开始。本研究是撒哈拉以南非洲的第一个节目科学研究之一，探讨了在已经存在于MSM的现有艾滋病毒预防和治疗方案中整合艾滋病毒干预的有效性在肯尼亚规模。本研究的调查结果将以肯尼亚MSM中的国家最佳培养艾滋病毒的最佳方法。

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