ANRS 12415 - Quali PrEP Cambodia
ANRS 12415
Qualitative Assessment About PrEP Acceptability in Key-populations and Conditions Required for Community-based PrEP Implementation in Cambodia
1 other identifier
observational
88
1 country
1
Brief Summary
Hypothesis:
- Hypothesis 1 : Regarding the recentness of preexposure prophylaxis (PrEP) implementation with an uptake of 20% and according to the first consultative meeting, awareness and acceptability of PrEP seems to be low in key-populations of Cambodia
- Hypothesis 2 : Individual, social and structural barriers and facilitating factors of PrEP implementation as perceived by health workers and community-based organizations would be similar to what was observed worldwide 4,8.
- Hypothesis 3: Some subgroups of key-populations are difficult to reach in health facilities. Community organizations can play a critical role to provide PrEP information, initiation and counselling with the support of new technologies.
- Hypothesis 4: Community organizations might lack financial, logistical and skill capacities to deliver PrEP in good conditions Main objective:
- To qualitatively evaluate the knowledge, awareness, perception, experience and acceptability of PrEP among key populations (entertainment workers (EW), men who have sex with men (MSM), transgender women (TW)), and among healthcare and community workers in charge of key populations Secondary objectives:
- To better understand the characteristics, needs and expectations of community-based organizations (CBOs), in order to define the optimal conditions for community-based PrEP implementation
- To identify tools that could be useful to increase PrEP awareness and acceptability, especially new technologies (apps, websites) Methodology: Qualitative study Focus groups with key-populations, healthcare and community workers Semi-directive interviews with decision makers and policy makers Estimated enrolment: 10 participants per focus group, 8 focus groups, 80 participants in focus groups, 6 interviewed persons, 86 participants in total Study population: Men who have sex with men (MSM), entertainment workers (EW), transgender women (TGW), healthcare workers, community workers, decision and policy makers
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2022
Shorter than P25 for all trials
1 active site
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
First Submitted
Initial submission to the registry
September 23, 2021
CompletedFirst Posted
Study publicly available on registry
October 25, 2021
CompletedStudy Start
First participant enrolled
January 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
May 15, 2022
CompletedSeptember 28, 2023
September 1, 2023
4 months
September 23, 2021
September 26, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Knowledge about PrEP
qualitative assessement
1 hour
Perception of PrEP
qualitative assessement
1 hour
Acceptability of PrEP
qualitative assessement
1 hour
Secondary Outcomes (2)
To better understand the characteristics, needs and expectations of community-based organisations (CBOs), in order to define the optimal conditions for community-based PrEP implementation
1 hour
To identify tools that could be useful to increase PrEP awareness and acceptability, especially new technologies (apps, websites)
1 hour
Study Arms (16)
Men who have sex with men (MSM) non-using PrEP
Focus group (10 persons)
Male entertainment workers
Focus group (10 persons)
Free-lance based entertainment female workers non-using PrEP
Focus group (10 persons)
Venue-based entertainment female workers non-using PrEP
Focus group (10 persons)
Transgender women (TGW) non-using PrEP
Focus group (10 persons)
Healthcare workers in charge of key-populations
Focus group (10 persons)
Community workers in charge of key-populations
Focus group (10 persons)
PrEP users
Focus group (10 persons)
NCHADS
Individual semi-directive interview (1 person) (NCHADS: operational unit of the Ministry of Health in charge of health sector policy development for HIV/AIDS)
National Aids Authority
Individual semi-directive interview (1 person) (National Aids Authority: in charge to lead, manage, coordinate and facilitate the comprehensive and multi-sectoral response to HIV and AIDS in Cambodia)
Ministry of Health
Individual semi-directive interview (1 person)
Key influencer in the MSM and/or TGW community
Individual semi-directive interview (1 person)
Key influencer in the EW community
Individual semi-directive interview (1 person)
Khana
Individual semi-directive interview (1 person) Khana : an umbrella organization belonging to the HIV/AIDS international Alliance
High class and hidden MSM
Individual semi-directive interview (1 person)
Discontinued PrEP user
Individual semi-directive interview (1 person)
Interventions
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
Eligibility Criteria
MSM, TGW, MEW, FEW will be recruited through community-based organisations, or online, or directly on hotspots. PrEP users will be recruited through the pilot program "Khmer PrEP" or online or through community-based organisations or directly on hotspots. Health workers will be recruited in HIV services targeting key-populations. Decision makers will be recruited in their organizations respectively.
You may not qualify if:
- Eligibility criteria for community and health workers
- Health workers and counselors: 1/ currently working in a HIV service targeting key populations (Samdach Ov Referral Hospital, Meanchey Referral Hospital, Social Health Clinic). 2/ currently working in a health service delivering PrEP (Chhouk Sar Clinic, Pochentong and Chaktomuk hospitals, RHAC)
- Community workers: currently working in CBOs with EW, TG and/or MSM (Cambodian Women for Peace and Development (CWPD), Men's Health Cambodia (MHC), Men's Health Social Service (MHSS)
- Individual semi-directive interviews will be conducted:
- NCHADS (operational unit of the Ministry of Health in charge of health sector policy development for HIV/AIDS)
- National Aids Authority: in charge to lead, manage, coordinate and facilitate the comprehensive and multi-sectoral response to HIV and AIDS in Cambodia
- Ministry of Health
- Key influencer in the MSM and/or TG community
- Key influencer in the EW community
- Khana : an umbrella organization belonging to the HIV/AIDS international Alliance.
- High class and hidden MSM
- Discontinued PrEP user
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Health Sciences
Phnom Penh, Cambodia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vonthanak SAPHONN
University of Health Sciences (UHS)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
September 23, 2021
First Posted
October 25, 2021
Study Start
January 1, 2022
Primary Completion
May 15, 2022
Study Completion
May 15, 2022
Last Updated
September 28, 2023
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will not share