Innovative tools to expand HIV self-testing and long-acting injectables for HIV treatment and prevention among commercial minibus drivers (I-test lais)

Active Project Grant Awarded Last action

Award ID
R01AI186786
Recipient
Awarding agency
Obligated
$3,505,994

Award facts

Assistance listing
93.855 Allergy and Infectious Diseases Research
Completion date 46% complete
Place of performance
Washington, DC 20037, USA

Award details come from USAspending.gov.

Description

Abstract
Commercial minibus drivers constitute a large social network of highly mobile men who work long and demanding hours, are at increased risk for HIV, and have limited time to seek health services for HIV. In our preliminary work, our team found a high HIV seropositivity rate of 12.5% among 407 commercial minibus drivers in nigeria, a prevalence that is nine times higher than the national HIV average. Despite the high willingness to test for HIV among the drivers, the mobile nature of their work poses substantial barriers for those living with HIV to initiate and adhere to antiretroviral therapy (art) and for those who are HIV-negative and are at risk for HIV to obtain pre-exposure prophylaxis (PREP). Therefore, innovative strategies such as HIV self-testing (HIVST), which allows individuals to test at home or in private, and long-acting- injectable art (LAI art) or LAI PREP may work better to address the barriers that impede commercial drivers from accessing HIV testing, prevention, and treatment services. Our team has recently evaluated a youth-friendly HIVST intervention combined with linkage to PREP in nigeria as part of an NIH-funded project called itest: innovative tools to expand youth- friendly HIV self-testing (UH3HD096929). We propose to leverage our established research program in nigeria in collaboration with the national institute of medical research to implement a tailored itest intervention for commercial minibus drivers (itest lais), which will include male peer-led distribution of HIV self-testing kits combined with demand creation for both oral and LAI modalities of art and PREP. Our multi-disciplinary research team proposes a hybrid type I effectiveness-implementation study to assess clinical and implementation determinants outcomes simultaneously. Our specific aims are: aim 1: determine the comparative effectiveness of the I-test LAI intervention compared to SOC on LAI PREP uptake and HIV prevention among minibus drivers in nigeria. In addition, explore the impact of mediating and moderating factors on influencing primary and secondary outcomes. Aim 2: D etermine the effectiveness of the I-test LAI intervention compared to SOC on LAI art uptake, retention in care, and viral suppression among minibus drivers living with HIV with viral suppression (VL below 1000 HIV RNA copies/ML). In addition, explore the impact of mediating and moderating factors on influencing primary and secondary outcomes. Aim 3: as part of our type 1 hybrid implementation-effectiveness design, assess determinants of implementation, and estimate cost-effectiveness to inform scale-up and dissemination.

Transactions

Action Obligated Date
Amendment $91,690
Amendment $581,952
Amendment $0
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Amendment $93,646
Amendment $93,646
Amendment $93,646
Amendment $0
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Amendment $580,574
Amendment $580,574
Amendment $580,574
Amendment $75,912
Original award $733,780
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Subawards

Subrecipient Amount Awarded
Nigerian Institute Of Medical Research Innovative Tools to Expand HIV Self-Testing and Long-Acting Injectables for HIV Treatment and Prevention Among Commercial Minibus Drivers (I-TEST LAIs) $185,336
Rutgers The State University Of New Jersey $29,720
University Of Rochester $109,879
The Washington University $77,584
Nigerian Institute Of Medical Research $86,681
Wake Forest University Health Sciences $125,180
Wake Forest University Health Sciences $383,094
University Of Rochester $34,384
Emory University $29,262
Emory University $9,628
The Washington University $25,802
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Quick answers

Who received award R01AI186786?

R01AI186786 was awarded to George Washington University (The) by National Institute of Allergy and Infectious Diseases (National Institutes of Health) on August 15, 2024.

How much is award R01AI186786 worth?

$3,505,994 has been obligated on R01AI186786.

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