Implementation of an HIV status-neutral nurse-led intervention to increase equity in clinical outcomes for male HIV self-testers in tanzania
Active Project Grant Awarded Last action
- Award ID
- R01NR021169
- Recipient
-
George Washington University (The) UEI ECR5E2LU5BL6
- Awarding agency
-
National Institute of Nursing Research
National Institutes of Health, Department of Health and Human Services
- Obligated
- $1,510,771
Award facts
- Assistance listing
- 93.361 Nursing Research
- Completion date 48% complete
- Place of performance
- Washington, DC 20037, USA
Award details come from USAspending.gov.
Description
- Abstract
- There is a critical need for heterosexual men in sub-saharan africa (SSA) to receive HIV care, including antiretroviral therapy (art) and pre-exposure prophylaxis (prep), following an HIV self-test (hivst). Heterosexual men in SSA are routinely shown to be at a high risk for HIV acquisition, but test at lower rates than women and experience inadequate linkages to HIV care following a self-test, regardless of the test result. Tanzania's sauti project was launched in 2015 by the tanzania ministry of health (MOH) and included the piloting of hivst and community-based prep and art administration for women, female SEX workers, and men who have SEX with men. However, heterosexual men were not included in this study, despite their high risk. Based on feedback from men that peer-based navigation and community-based linkage to care services are preferrable to facility-based HIV care, the step+cbnimart intervention was developed. There are three aims to this study. Aim 1.) tailor the step+cbnimart intervention for heterosexual male self- testers. In aim 1, the intervention will be further tailored to men through a "theater test" and feedback from key stakeholders and topical experts, and later utilized for training community based health service providers (cbhsps) who will help deliver the intervention. Aim 2.) test the effectiveness of the step+cbnimart intervention on art or prep initiation and retention for male self-testers. We will conduct a crct using a hybrid type i implementation-effectiveness study design to assess the effectiveness of the intervention. The crct will include an intervention and control arm, with intervention participants receiving nurse-led community-based art and prep initiation, and control arm participants receiving the standard of care. Art and prep adherence will be measured through a baseline survey and subsequent follow-UPS of participants in both arms. Aim 3.) evaluate the facilitators and barriers of implementing the intervention to refine the intervention for adoption in other settings. We will use a qualitative approach to explore facilitators and barriers affecting nurses' and cbhsps' abilities to implement the intervention and men's abilities to participate in the intervention and refinements that are needed to make the intervention as successful as possible.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $51,142 | |
| Amendment | $676,281 | |
| Original award | $783,348 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Rutgers The State University Of New Jersey | $24,767 | |
| Yale Univ | $23,217 | |
| Muhimbili University Of Health And Allied Sciences | $51,142 | |
| The Population Council, Inc. | $75,733 | |
| Muhimbili University Of Health And Allied Sciences | $100,148 | |
| Yale Univ | $46,434 | |
| The Population Council, Inc. | $169,819 |
Quick answers
Who received award R01NR021169?
R01NR021169 was awarded to George Washington University (The) by National Institute of Nursing Research (National Institutes of Health) on June 25, 2024.
How much is award R01NR021169 worth?
$1,510,771 has been obligated on R01NR021169.
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