Brief Summary

Primary Objective The purpose of this study is to evaluate the impact of an interactive VMMC education session offered by a circumcised health worker and contribution to transport costs for accessing VMMC along with either (1) conditional economic compensation for wages or (2) lottery-based economic incentives on the uptake of VMMC. Hypothesis VMMC education session offered by a role model - a young male health worker who has been previously benefited from VMMC services in this community - addressing risks of HIV infection, benefits of VMMC, and the fear of pain associated with VMMC, with/without a conditional fixed or lottery-based financial incentives off-setting present-biased preferences, will improve risk perception and increase uptake of VMMC in HIV-negative young men. Study outcomes The primary outcomes for the study will be risk perception measured in a follow-up survey at 6 months and proportion of men taking up VMMC within 6 months measured through self-reports and matched to program records.

Trial Health

On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment

1,028

participants targeted

Target at P75+ for not_applicable

Timeline

Completed

Started Jul 2018

Typical duration for not_applicable

Geographic Reach

1 country

7 active sites

Status

completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

2.6 years study duration

First Submitted

Initial submission to the registry

June 11, 2018

Completed

10 days until next milestone

First Posted

Study publicly available on registry

June 21, 2018

Completed

16 days until next milestone

Study Start

First participant enrolled

July 7, 2018

Completed

2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 30, 2021

Completed

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 30, 2021

Completed

Last Updated

October 23, 2023

Status Verified

October 1, 2023

Enrollment Period

2.6 years

First QC Date

June 11, 2018

Last Update Submit

October 19, 2023

Conditions

HIV/AIDS

Keywords

Voluntary medical male circumcisionHIV preventionRisk perception

Outcome Measures

Primary Outcomes (1)

Uptake of voluntary medical male circumcision (VMMC)
Proportion of men taking up VMMC within 6 months measured through self-reports and matched to programme records
6 months

Secondary Outcomes (1)

Changes in perception of risk of HIV
6 months

Study Arms (3)

Education session with fixed incentive

EXPERIMENTAL

Education sessions offered by a circumcised health worker and contribution towards transport costs to the health facility with payments conditional on being circumcised.

Behavioral: Education session with fixed incentive

Education session with lottery incentive

EXPERIMENTAL

Education sessions offered by a circumcised health worker and contribution towards transport costs but with conditional lottery financial incentives.

Behavioral: Education session with lottery incentive

Control arm

NO INTERVENTION

No intervention will be administered to the control arm

Interventions

Education session with fixed incentiveBEHAVIORAL

All participants will receive an education session on the risk of HIV infection and benefits from medical male circumcision. The sessions will be implemented by trained male healthcare workers who have undergone VMMC. All participants will receive contributions towards transport costs to access medical male circumcision at participating clinics. On completing VMMC, participants assigned to receive fixed incentives will receive payment through mobile payments. In two sites a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures.

Education session with fixed incentive

Education session with lottery incentiveBEHAVIORAL

All participants will receive an education session on the risk of HIV infection and benefits from medical male circumcision. The sessions will be implemented by trained male healthcare workers who have undergone VMMC. All participants will receive contributions towards transport costs to access medical male circumcision at participating clinics. On completing VMMC, participants will participate in a lottery with prizes equivalent in expected value to the fixed incentives. In two sites a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures.

Education session with lottery incentive

Eligibility Criteria

Age15 Years - 29 Years

Sexmale(Gender-based eligibility)

Gender Eligibility DetailsParticipant eligibility is based on self-representation of gender identity.

Healthy VolunteersYes

Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

Men
Age 15-29 years

You may not qualify if:

Participants testing HIV-positive at baseline
Self-reporting have already undergone circumcision

Contact the study team to confirm eligibility.