RecruitingNCT06319105

PathToScale: An Implementation Evaluation

Accelerating the Path To Scale for Injectable PrEP in Malawi: An Implementation Evaluation


Sponsor

Georgetown University

Enrollment

9,900 participants

Start Date

Mar 26, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

The purpose of this study is to evaluate the implementation and clinical outcomes of expanded pre-exposure prophylaxis delivery modalities and service delivery points offering long-acting injectable cabotegravir and oral pre-exposure prophylaxis to high-priority groups through diverse delivery channels.


Eligibility

Min Age: 15 YearsMax Age: 110 Years

Inclusion Criteria7

  • Individuals who are 15+ years old AND either
  • Female sex workers (FSW) OR
  • Men who have sex with men (MSM) OR
  • Transgender individuals (TG) OR
  • Women and adolescent girls and young women (AGYW) presenting at STI services and/or family planning and/or HIV testing services OR
  • Breastfeeding women (BFW) OR
  • Male partners of female sex workers and/or Men at high risk for HIV and/or men presenting with a syndromic or lab-confirmed sexually transmitted infections. All individuals initiated on long-acting injectable cabotegravir for pre-exposure prophylaxis 15 years or above will be included in the passively enrolled sample.

Exclusion Criteria1

  • Those living with HIV-1 or evidence of possible acute HIV infection OR Those with a prior Hepatitis B diagnosis OR Those with a known history of severe side effects to Cabotegravir Long Acting OR Those unwilling or unable to return for 3-monthly HIV testing or 2-monthly counseling and safety monitoring visits OR Clients currently on multi-drug resistance tuberculosis (MDR-TB) medications OR Clients currently taking post-exposure prophylaxis.

Interventions

OTHERStandard intervention: Offer PrEP choice

This hybrid observational-implementation study will observe the implementation of a choice of oral pre-exposure prophylaxis or long-acting injectable cabotegravir for pre-exposure prophylaxis for all participants.


Locations(1)

Community Health Science Unit

Lilongwe, Malawi

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NCT06319105


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