Clinical trial NCT01423357: Targeting Interventions at Venues Where Risk of HIV Transmission is High
Official title: Targeting Interventions at Venues Where Risk of HIV Transmission is High
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: HIV
Keywords: HIV prevention
condom distribution
youth peer education
high risk places
condom use
prevention through increased condom use
Lead sponsor: University of Zambia
Sponsor class: OTHER
Collaborators: name: University of Bergen
First posted: 2011-08-25
Enrollment: 537
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Condom use with last sexual partner met in this venue
timeFrame: in post-intervention survey (1 year after start of intervention)
Secondary outcomes:
measure: Condom availability in the last 12 months in venues where people meet new sexual partners
timeFrame: in post-intervention survey (1 year after start of intervention)
Other outcomes:
Locations:
city: Livingstone
country: Zambia
facility: Dambwa
city: Livingstone
country: Zambia
facility: Maramba
Study officials:
affiliation: University of Zambia
name: Charles C Michelo, MD, MPH, PhD
role: STUDY_DIRECTOR
affiliation: University of Zambia
name: Cosmas M Zyaambo, MD, MPhil
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Bergen
name: Knut M Fylkesnes, DMD. DrPhilos
role: STUDY_CHAIR
References:
citation: Sandoy IF, Siziya S, Fylkesnes K. Lost opportunities in HIV prevention: programmes miss places where exposures are highest. BMC Public Health. 2008 Jan 24;8:31. doi: 10.1186/1471-2458-8-31.
citation: Sandoy IF, Zyaambo C, Michelo C, Fylkesnes K. Targeting condom distribution at high risk places increases condom utilization-evidence from an intervention study in Livingstone, Zambia. BMC Public Health. 2012 Jan 5;12:10. doi: 10.1186/1471-2458-12-10.