Please select the eligibility criteria that correspond to the clinical trial below.
Title: Text Messaging to Improve Adherence to Post-Operative Clinic Appointments and Reduce Early Resumption of Sexual Intercourse After Adult Male Circumcision: A Randomized Controlled Trial
Brief Summary: Male circumcision (MC) reduces, by more than half, the risk of HIV-1 acquisition. WHO and UNAIDS recommend that "male circumcision should be recognized as an efficacious intervention for HIV prevention especially in countries and regions with heterosexual HIV epidemics and low male circumcision prevalence." As a result, programs have been introduced and scaled up for voluntary medical male circumcision. Kenya leads with the largest expansion of services.

Early resumption of sexual intercourse after MC may have deleterious effects, including higher rates of post-operative surgical complications, and higher HIV acquisition among females in couples that resume sexual activity before certified wound healing. In the context of rapid scale-up of MC, adherence to post-operative clinic appointments allows clinicians to assess wound healing and to deliver risk reduction counseling. Abstinence from sexual intercourse before complete wound healing would reduce the rate of post-operative adverse events and minimize the risk of HIV transmission from HIV-infected men to their uninfected female partners.

To the investigators knowledge, the effect of reminders delivered via text messaging to promote adherence to clinic visits and abstinence after MC has not been investigated. The investigators propose a randomized controlled trial in which men who will have undergone voluntary medical male circumcision at selected sites in Kisumu will be randomized to receive either the intervention (context-sensitive text messages after circumcision) or the control condition (usual care). This study seeks to determine (a) the effect of regular text messages sent to men after circumcision on attendance of the scheduled 7-day post-operative clinic visit versus usual care; (b) the proportion of men who resume sexual activity before 42 days post-procedure after receiving regular text messages versus usual care within the 42 days post-circumcision; and (c) to identify potential predictors of failure to attend the scheduled 7-day post-operative visit and early resumption of sexual intercourse.


Options:
A: Wisepill Participants:

Inclusion Criteria:

* HIV-infected
* Initiating ART within the next two weeks
* Age 18 years and older
* Owns a cell phone for personal use and has reliable cellular phone reception at home on a network supported by the technology used in this study
* Lives in the Mbarara District (i.e, within 20 km of the ISS Clinic)
* Has at least one person who could be named as a social supporter(see criteria below).

Exclusion Criteria:

* Unable to use SMS
* Unwilling to receive SMS reminders
* Severe mental condition limiting the ability to provide consent
* Cellular phone reception is not reliable

Social supporters (i.e., recipients of the SMS notifications for Wisepill participants in the intervention arms):

Inclusion criteria:

* Knows Wisepill participant has HIV
* Age 18 years or older
* Reports having provided social support to the intervention participant at least once
* Own a cell phone for personal use and have reliable cellular phone reception at home on a network supported by the technology used in this study
* Lives in the Mbarara District

Exclusion criteria:

* Unable to use SMS
* Unwilling to receive SMS notifications regarding interruptions in the intervention participant's adherence
* Severe mental condition limiting the ability to provide consent
B: Inclusion Criteria:

* Male
* 18 years or older
* Have undergone circumcision on the day they are screened for the study
* Currently own a mobile phone with text-messaging capability, and
* Have the mobile phone in their possession at the time of enrollment
* Able and willing to respond to a questionnaire administered via a phone call

Exclusion Criteria:

* Prior participation in a study on male circumcision
* Currently participating in other ongoing research studies
* Any medical condition or situation exists such that study participation would not be in the man's best interest, as determined by the investigator
C: Inclusion Criteria:

Caregiver with child due for birth dose vaccination or at 6weeks-OPV1,Penta1,PCV1,Rota1.

Exclusion Criteria: Caregiver with child who have already had OPV1,Penta1,PCV1and Rota1.

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D: Inclusion Criteria:

* Female or female-to-male transgender patients with a cervix
* HIV-negative
* Medical appointment at Fenway Community Health during calendar year 2012 who have not had a Pap smear in the past 3 years (since January 2010)

Exclusion Criteria:

* HIV-positive (due to different Pap testing guidelines)
* Male-to-female transgender patients
* Patients with a history of a hysterectomy, unless specified as partial or supracervical
* Patients aged 30-64 who had a negative Pap test in the past 5 years with simultaneous negative Human papillomavirus infection (HPV) co-testing

Answer: B