Financial Incentives to Increase Pediatric HIV Testing

Study Overview
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Brief Summary
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The purpose of this study is to determine whether giving small financial incentives will motivate parents to test their children for HIV.

Detailed Description
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The study will be a randomized controlled trial (RCT) with 5 arms with equal allocation to each arm: no incentive, or one of 4 different levels of financial incentive. We will randomize 800 parents with children of unknown status at HIV treatment clinics in Western Kenya.

Official Title
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Financial Incentives to Increase Pediatric HIV Testing

Conditions
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HIV

Intervention / Treatment
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* Behavioral: Financial incentive


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent/caregiver receiving HIV care Parent/caregiver has one or more children <13 years old Child is HIV exposed (parent/caregiver report or clinic confirmation) Caregiver reports child's HIV status is unknown Exclusion Criteria: None The investigators reserve the right to exclude any potential enrollee who is deemed to be at high personal risk, or whose children are at high personal risk, of interpersonal violence, by study participation .

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No incentive<br>No incentive | |
| Experimental: KES financial incentive 1<br>Kenyan Shillings conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|
| Experimental: KES financial incentive 2<br>Kenyan Shillings conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|
| Experimental: KES financial incentive 3<br>Kenyan Shillings conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|
| Experimental: KES financial incentive 4<br>Kenyan Shillings conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants Who Present Children for HIV Testing | Number of caregivers who present child(ren) to complete HIV testing at the study clinic within 2 months of recruitment; test results will be recorded in a study questionnaire | 2 months | 
| Number of Days Participants Take to Bring Children for HIV Testing | Number of days it took between randomization and caregiver presenting the child for HIV testing | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Female Participants Who Present Children for HIV Testing (Females) | HIV testing [primary outcome 1] stratified by caregiver sex (females) | 2 months | 
| Number of Male Participants Who Present Children for HIV Testing | Time to HIV testing [primary outcome 1] stratified by caregiver sex (males) | 2 months | 
| Number of Caregivers With One Child Who Present Children for HIV Testing | HIV testing [primary outcome 1] stratified by number of children (one child) | 2 months | 
| Number of Participants With More Than 1 Child Who Present Children for HIV Testing | Number of participants presenting children for HIV testing among caregivers with more than child | 2 months | 
| Number of Caregivers With Age Less Than Median Presenting Children for HIV Testing | Number of participants presenting for HIV testing stratified by caregiver age (caregiver <=38 years) | 2 months | 
| Number of Caregivers With Age More Than Median Presenting Children for HIV Testing | Number of caregivers presenting children for HIV testing stratified by caregiver age (caregiver >38 years) | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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financial incentive, pediatric HIV testing