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| Name | Class |
|---|---|
| Kenyatta National Hospital | OTHER_GOV |
| University of Nairobi | OTHER |
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The aim of the pilot study is to evaluate the feasibility, acceptability and costs of a financial incentive intervention to motivate pediatric HIV testing in Western Kenya. The study will evaluate 3 cash incentive values and determine percent uptake of testing. A post-test questionnaire will explore parental satisfaction, mechanisms of incentive effectiveness and the impact of testing on emotional health and pediatric healthcare utilization.
The study will be a randomized trial with 3 arms (1:1:1 allocation) with small, medium, and large cash incentive. The investigators will randomize 60 parents with children of unknown status at Kisumu County Hospital in Western Kenya.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Financial Incentive | Experimental | Conditional cash transfer upon HIV testing |
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| Medium Financial Incentive | Experimental | Conditional cash transfer upon HIV testing |
|
| High Financial Incentive | Experimental | Conditional cash transfer upon HIV testing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Financial incentive | Behavioral | Conditional cash transfer upon HIV testing |
|
| Measure | Description | Time Frame |
|---|---|---|
| HIV testing | % of parents completing pediatric HIV testing within 2 months will be compared between arms. | Testing within 2 months of recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Parental satisfaction with incentives | A post-test questionnaire will assess parental satisfaction with the incentive, including the value provided, other preferred formats (vouchers, agricultural items, etc) | 2 months of recruitment |
| Motivational mechanism |
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Inclusion Criteria:
Exclusion Criteria:
-None
*The investigators reserve the right to exclude any potential enrollee who is deemed to be a high personal risk, or whose children are at high personal risk, of interpersonal violence, by study participation.
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer A Slyker, PhD, MSc | University of Washington | Principal Investigator |
| Irene N Njuguna, MBChB, Msc | University of Washington/Kenyatta National Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kisumu County Hospital | Kisumu | Kenya |
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| ID | Type | URL | Comment |
|---|---|---|---|
| FIT-Pilot | Study Protocol | View IPD |
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A post-test questionnaire will assess mechanisms by which incentives motivate behavioral change. Questions will assess potential for coercion, parental previous intention to test, and whether incentives overcame economic and/or emotional barriers to testing |
| 2 months |
| Care seeking | A post-test questionnaire will assess whether learning the child's HIV status will affect the likelihood of seeking future medical services for the child | 2 months |
| Emotional impact | A post-test questionnaire will assess impact of testing on caregiver, child, and family emotional well-being | 2 months |
Anyone with a gmail account should be able to access this PDF. Please contact the study investigators to request a copy of the protocol if you are unable to access this link. |