Targeting Interventions at Venues Where Risk of HIV Transmission is High

Study Overview
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Brief Summary
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The aim of this study is to investigate whether distribution of condoms and condom demonstrations by youth peer educators in venues where people meet new sexual partners in Livingstone, Zambia, leads to increased condom use among guests socializing in these venues.

Detailed Description
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In countries where the HIV prevalence is high, focusing on high risk places such as venues where people meet new sexual partners is probably more effective in reducing the transmission rate of HIV than targeting interventions just at perceived high risk groups. A survey conducted in 2005 in places where people met new sexual partners in Livingstone found that guests socializing there were engaging in high risk sex, but condoms were not always available in the venues. In this intervention study, youth peer educators will distribute condoms and demonstrate condom use in venues where people meet new sexual partners. After the intervention has run for a year, condom use among guests socializing in such venues in the intervention township will be compared with condom use among people socializing in similar venues in a comparison township.

Official Title
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Targeting Interventions at Venues Where Risk of HIV Transmission is High

Conditions
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HIV

Intervention / Treatment
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* Other: Condom distribution and peer education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Socializing in a venue where people are said to be meeting new sexual partners Age 18 years and above Exclusion Criteria: Too drunk to give sensible answers

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Condom distribution and peer education<br>Youth peer educators distribute condoms and conduct condom demonstration in venues where people meet new sexual partners, i.e. bars, night clubs, sherbeens, guest houses | Other: Condom distribution and peer education<br>* Condom distribution and condom demonstrations by youth peer educators at least twice a week<br>|
| No Intervention: Business as usual<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Condom use with last sexual partner met in this venue | Guests socializing in venues where people meet new sexual partners are asked about condom use with the last sexual partner met in the venue where interview conducted | in post-intervention survey (1 year after start of intervention) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Condom availability in the last 12 months in venues where people meet new sexual partners | One person representing each venue included in the survey is asked about the availability of condoms in the venue in the last 12 months | in post-intervention survey (1 year after start of intervention) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV prevention, condom distribution, youth peer education, high risk places, condom use, prevention through increased condom use