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Improving Choice And Use Of Biomedical HIV Prevention For Women In Uganda: A Couples-based Approach

RecruitingNA

Sponsor: RTI International

Conditions: HIV

Interventions: CUPID shared decision-making counseling intervention

Countries: Uganda

This research will evaluate the effectiveness and implementation of a couples shared decision-making intervention, CUPID (Couples United in HIV Prevention Informed Decisions), delivered in community and clinic settings to support women's pre-exposure prophylaxis (PrEP) choice and use through male partner support and shared decision-making. Through a partnership with Ministry of Health clinics already providing choices for PrEP in Uganda, the investigators will evaluate whether CUPID is effective in increasing PrEP uptake, persistence, and use among Ugandan women and assess implementation outcomes to determine whether it is acceptable and feasible to implement. If successful, CUPID will offer a community-based strategy for engaging male partners to support PrEP choice and improve HIV prevention among women and provide a scalable and sustainable intervention that will contribute to a more comprehensive approach to HIV prevention.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: Yes

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

All Aims:

1. Able and willing to provide written informed consent
2. Fluent in English or the dominant language spoken in the health facility's region.

Aim 1:

1. Age ≥18 years
2. Meets one of the following criteria:

   1. Performs tasks related to PrEP outreach and/or delivery in former CATALYST study areas. This may include clinic and non-clinic positions.
   2. Is a member of one of the three regional CATALYST CABs
3. Willing to participate in a focus group discussion

Aim 2:

1. Aged 18 years or older
2. Attending a PrEP follow-up visit
3. Able and willing to complete all study procedures.

Aim 3:

1. Age ≥18 years
2. Meets one of the following criteria:

   1. CUPID couples' decision tool user
   2. A CUPID intervention provider (member of a CHT or other PrEP Provider)
   3. A provider offering PrEP choice through a health facility where CUPID is implemented
   4. MOH or District Health Official
3. Willing to complete a questionnaire and participate in a qualitative interview (individual or dyadic)

Exclusion Criteria:

All Aims: Participants will be excluded who have any condition that, in the opinion of the MPI or designee, would preclude informed consent, make study participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.

Aim 2:

Exclusion criteria: Participants aged 15-17 years

Locations (1)

Kampala, Uganda