The Effect of HIV Self‑Testing Delivery Models on Female Sex Workers’ Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda

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dc.contributor.authorOrtblad, Katrina F.
dc.contributor.authorMusoke, Daniel Kibuuka
dc.contributor.authorNakitende, Aidah
dc.contributor.authorBärnighausen, Till
dc.date.accessioned2025-04-15T09:08:52Z
dc.date.available2025-04-15T09:08:52Z
dc.date.issued2019-01-16
dc.description.abstractHIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs’ sexual behaviors in this setting. Clusters of one peer educator and eight participants were 1:1:1 randomized to: (1) direct provision of an HIV self-test, (2) provision of a coupon for facility collection of an HIV self-test, or (3) referral to standard-of-care HIV testing services. Sexual behaviors were self-reported at 1 and 4 months. From October to November 2016, 960 participants were enrolled and randomized. At 4 months, there were no statistically significant differences in participants’ sexual behaviors, including inconsistent condom use, across study arms. We do not find any changes in sexual risk-taking among FSWs in response to the delivery of HIV self-tests. Routine policies for HIV self-testing are likely a behaviorally safe component of comprehensive HIV prevention strategies.
dc.identifier.citationOrtblad, K. F., Kibuuka Musoke, D., Ngabirano, T., Nakitende, A., Harling, G., Haberer, J. E., ... & Bärnighausen, T. (2019). The effect of HIV self-testing delivery models on female sex workers’ sexual behaviors: a randomized controlled trial in urban Uganda. AIDS and Behavior, 23, 1225-1239.
dc.identifier.otherhttps://doi.org/10.1007/s10461-019-02393-z
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/10664
dc.language.isoen
dc.publisherAIDS and Behavior
dc.titleThe Effect of HIV Self‑Testing Delivery Models on Female Sex Workers’ Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda
dc.typeArticle
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