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| ID | Type | Description | Link |
|---|---|---|---|
| R01MH121161 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
| TB HIV Care | OTHER |
| Community Media Trust | UNKNOWN |
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The purpose of this study is to evaluate the impact of a social media campaign and community engagement activities to promote pre-exposure prophylaxis (PrEP) use among young women and to influence community norms around PrEP in South Africa. To do this, the investigative team will analyze PrEP initiation and retention data from the study's implementing partner, TB HIV Care, a non-profit organization providing PrEP to marginalized young women in South Africa. The effect of the social media campaign and community engagement will be tested using a short duration cluster randomized trial (CRT).
The cluster randomized trial (CRT) will not engage in PrEP provision to individuals, but instead employs geographical regions to serve as units of randomization where social media content and community engagement will be targeted. TB HIV Care employs a large team to provide routine service delivery while the CRT tests strategies including a social media campaign and community engagement that may amplify PrEP uptake and persistence among the community, leveraging the programme infrastructure to actually provide services as it is already doing. Embedding strategies within the programme ensures that the existing results come from real world contexts and focuses on implementation of support strategies rather than clinical care provision. The CRT will be implemented across 10 districts, with 5 districts serving as control sites and 5 as intervention sites.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of Care | Other | Full-time peer educators employed by the TB HIV Care programme to engage women, layer PrEP promotion across prevention programs, and implement "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to increase young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach. |
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| Enhanced social media campaign | Experimental | Social media campaign which will be disseminated on Facebook, Instagram, and WhatsApp with targeted ads/promotion of materials in intervention districts. |
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| Enhanced social media campaign + PrEP champions | Experimental | Venue-based peers who will provide PrEP information, share personal experiences with PrEP, and refer young women to TB HIV Care to receive PrEP if interested in addition to the enhanced social media campaign. |
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| Enhanced social media campaign + Community mobilization | Experimental | Peers will work within wards to organize and attend community meetings to share PrEP information and facilitate discussions with young women, male partners, family members, and other community members in addition to the enhanced social media campaign. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Social Media Campaign | Behavioral | PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. Messaging crafted with community input will be geographically targeted to women, parents/mentors, and male partners on Facebook, Instagram, and Whatsapp, all with the intention to promote PrEP for women at high risk of HIV infection and change community norms and influence around PrEP. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Service-users Who Initiate PrEP Uptake Within the TB HIV Care Programme | De-identified aggregate counts of female sex workers (FSW) and adolescent girls and young women (AGYW) service-users within the TB HIV Care programme database who initiate PrEP during the intervention period. Number of service users in the program database who initiated prep are reported. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of PrEP Persistence at 1-month Within the TB HIV Care Programme | Proportion of FSW/AGYW clients within the TB HIV Care programme database who return for 1-month follow-up visit. For each district, the proportion of clients who returned for this visit was calculated. The mean proportion across the standard of care and intervention districts is reported. | Month 1 |
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Inclusion Criteria:
Exclusion Criteria:
Eligibility to limited to cisgender women
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| Name | Affiliation | Role |
|---|---|---|
| Sheree R Schwartz, PhD | Johns Hopkins Bloomberg School of Public Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| TB HIV Care | Cape Town | Western Cape | South Africa |
Aggregate programmatic data will be used to assess trial outcomes rather than individual participant data given the cluster randomized trial design. Therefore, no individual participant data (IPD) will be collected and no sharing plan is required.
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A total of 601 participants were enrolled and engaged in HIV prevention services from the TB HIV Care Program. The TB HIV Care program had a total of 25,168 service-users in their database who initiated prep and were included in the analysis.
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| ID | Title | Description |
|---|---|---|
| FG000 | Standard of Care | Full-time peer educators employed by the TB HIV Care programme to engage women, layer PrEP promotion across prevention programs, and implement "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to increase young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 20, 2022 |
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| Enhanced social media campaign + PrEP champions + Community mobilization | Experimental | Clusters in this arm will receive both the PrEP champion and community mobilization interventions in addition to the enhanced social media campaign. |
|
|
| PrEP Champions | Behavioral | Within venues served by the FSW and AGYW programs, the team will identify and train 1 venue-based PrEP champion per venue who will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers (e.g. women running shops next to the mobile serving AGYW) that have repeated contact with the women the programme is intended to serve. The final selection of PrEP champions will be made in consultation with the Community Advisory Groups, venues and by the programme who works closely with each of the sites. |
|
| Community Mobilization | Behavioral | A PrEP community mobilization team (2 peers, including one woman and one man) will be recruited within each ward to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, at Learning Support Agent meetings with parents/guardians, at local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. Each team will focus on promoting PrEP within their own ward over the 6-month period. |
|
| Standard of Care | Other | Full-time peer educators employed by the TB HIV Care programme to engage women, layer PrEP promotion across prevention programs, and implement "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to increase young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach. |
|
| Proportion of PrEP Persistence at 4 Months Within the TB HIV Care Programme | Proportion of FSW/AGYW clients within the TB HIV Care programme database who return for 4-month follow-up visit. For each district, the proportion of clients who returned for this visit was calculated. The mean proportion across the standard of care and intervention districts is reported. | Month 4 |
| Number of Participants Who Found Intervention Acceptable | Acceptability: Respondents who reported intervention acceptability captured in post-trial cross-sectional survey | Month 12 |
| Adoption as Assessed by Number of Facebook Page Visits by Unique Users | Service user uptake and engagement with campaign measured via the number of Facebook page visits. Facebook users who visited the campaign content is reported. | Month 12 |
| Total Cost | Total cost associated with planning, designing, and implementing the social influence campaign will be assessed via review of detailed study budgets. The reported value represents a single point estimate (in USD) of the total cost incurred, based on actual budget expenditures. Because this is a cumulative total cost, non-sampled financial figure, measures of dispersion/precision are not applicable. This outcome measure is based on a review of detailed study budgets related to the planning, design, and implementation of the social influence campaign.The unit analyzed is the campaign itself and analyzed as the overall cost of the Enhanced social media campaign/PrEP champions/Community mobilization arm per protocol. | Month 12 |
| Penetration as Assessed by Number of Participants Who Report Engagement With Campaign Among Social Support Networks | Extent to which the social influence campaign reached FSW/AGYW and their families/peers/partners measured via descriptive statistics from post-trial survey questions on campaign exposure and perceptions of the campaign among FSW/AGYW and their social support networks. | Month 12 |
| Fidelity as Assessed by Percentage of On-Schedule Posts | Extent to which the social influence campaign was carried out according to plan measured via social media metrics to determine whether static and video content were shared across platforms as planned. Fidelity is assessed by tracking adherence to the planned posting schedule. Participants were not included in assessing fidelity of on-schedule posts, rather posts made across social media platforms were analyzed. Adherence was assessed by documenting whether all scheduled posts were successfully and timely published as planned during the campaign period. | Month 12 |
| Adoption as Assessed by Number of Views by Unique Users | Service user uptake and engagement with campaign as assessed by number of times each ad was viewed overall and number of video views. | 12 months |
| Adoption as Assessed by Number of Ad Clicks | Service user uptake and engagement with campaign measured via the number of times someone clicked on each ad | 12 months |
| Fidelity as Assessed by Programme Logs Completed | Extent to which the social influence campaign was carried out according to plan was measured via trainings, logs of communication with PrEP champions, and community mobilization logs/quality assessments. | 12 months |
| FG001 | Enhanced Social Media Campaign | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. |
| FG002 | Enhanced Social Media Campaign + PrEP Champions | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. |
| FG003 | Enhanced Social Media Campaign + Community Mobilization | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. |
| FG004 | Enhanced Social Media Campaign + PrEP Champions + Community Mobilization | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. |
| Service-users in the TB HIV Care Program Database at the Ward-level (Not Enrolled) |
|
| COMPLETED |
|
| NOT COMPLETED |
|
Baseline characteristics were analyzed for 601 service-users surveyed pre-intervention from three selected control districts (n=301) and randomized wards within three selected intervention districts (n=300) to assess service-user characteristics before the intervention.
| ID | Title | Description |
|---|---|---|
| BG000 | Standard of Care | Full-time peer educators employed by the TB HIV Care programme to engage women, layer PrEP promotion across prevention programs, and implement "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to increase young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach. |
| BG001 | Enhanced Social Media Campaign/PrEP Champions/Community Mobilization | PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. |
| BG002 | Enhanced Social Media Campaign + PrEP Champions | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. |
| BG003 | Enhanced Social Media Campaign + Community Mobilization | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. |
| BG004 | Enhanced Social Media Campaign + PrEP Champions + Community Mobilization | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Wards |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years | Participants |
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| Age, Customized | Count of Participants | Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants | Participants |
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| Education Level | Row population differs from the overall as participants had the option to skip or decline to answer certain questions. | Count of Participants | Participants | Participants |
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| Relationship Status | Row population differs from the overall as participants had the option to skip or decline to answer certain questions. | Count of Participants | Participants | Participants |
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| Current Housing Status | Row population differs from the overall as participants had the option to skip or decline to answer certain questions. | Count of Participants | Participants | Participants |
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| Currently Taking PrEP | Row population differs from the overall as participants had the option to skip or decline to answer certain questions. | Count of Participants | Participants | Participants |
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| Smartphone Ownership | Count of Participants | Participants | Participants |
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| Participants With Internet Access | Row population differs from the overall as participants had the option to skip or decline to answer certain questions. | Count of Participants | Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Service-users Who Initiate PrEP Uptake Within the TB HIV Care Programme | De-identified aggregate counts of female sex workers (FSW) and adolescent girls and young women (AGYW) service-users within the TB HIV Care programme database who initiate PrEP during the intervention period. Number of service users in the program database who initiated prep are reported. | The analysis population are de-identified aggregate FSW and AGYW service-users in the TB HIV Care program database that initiated PrEP during the study period. | Posted | Count of Participants | Participants | 12 months |
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| Secondary | Proportion of PrEP Persistence at 1-month Within the TB HIV Care Programme | Proportion of FSW/AGYW clients within the TB HIV Care programme database who return for 1-month follow-up visit. For each district, the proportion of clients who returned for this visit was calculated. The mean proportion across the standard of care and intervention districts is reported. | The analysis population are de-identified aggregate FSW and AGYW service-users in the TB HIV Care programme database who initiated PrEP during the trial period and due for a 1-month follow-up visit. The intervention arms are grouped under the social influence campaign intervention as per the study protocol's analytic approach. | Posted | Mean | 95% Confidence Interval | percentage of participants | Month 1 | Districts | Districts |
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| Secondary | Proportion of PrEP Persistence at 4 Months Within the TB HIV Care Programme | Proportion of FSW/AGYW clients within the TB HIV Care programme database who return for 4-month follow-up visit. For each district, the proportion of clients who returned for this visit was calculated. The mean proportion across the standard of care and intervention districts is reported. | The analysis population are de-identified aggregate FSW and AGYW service users in the TB HIV Care programme database who initiated PrEP during the trial period and due for a 4-month follow-up visit. The intervention arms are grouped under the social influence campaign intervention as per the study protocol's analytic approach. | Posted | Mean | 95% Confidence Interval | percentage of participants | Month 4 | Districts | Districts |
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| Secondary | Number of Participants Who Found Intervention Acceptable | Acceptability: Respondents who reported intervention acceptability captured in post-trial cross-sectional survey | As outlined in the protocol, acceptability of the social media campaign was assessed among post-intervention cross-sectional survey respondents who reported exposure to the Le Kip Kip social influence campaign. | Posted | Count of Participants | Participants | Month 12 |
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| Secondary | Adoption as Assessed by Number of Facebook Page Visits by Unique Users | Service user uptake and engagement with campaign measured via the number of Facebook page visits. Facebook users who visited the campaign content is reported. | The analysis population is the number Facebook users that have seen the content. | Posted | Number | visits | Month 12 |
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| Secondary | Total Cost | Total cost associated with planning, designing, and implementing the social influence campaign will be assessed via review of detailed study budgets. The reported value represents a single point estimate (in USD) of the total cost incurred, based on actual budget expenditures. Because this is a cumulative total cost, non-sampled financial figure, measures of dispersion/precision are not applicable. This outcome measure is based on a review of detailed study budgets related to the planning, design, and implementation of the social influence campaign.The unit analyzed is the campaign itself and analyzed as the overall cost of the Enhanced social media campaign/PrEP champions/Community mobilization arm per protocol. | This analysis does not involve any participants | Posted | Number | Dollars | Month 12 | Social Influence Campaign | Social Influence Campaign |
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| Secondary | Penetration as Assessed by Number of Participants Who Report Engagement With Campaign Among Social Support Networks | Extent to which the social influence campaign reached FSW/AGYW and their families/peers/partners measured via descriptive statistics from post-trial survey questions on campaign exposure and perceptions of the campaign among FSW/AGYW and their social support networks. | As outlined in the protocol, penetration of the social influence campaign is captured by post-intervention cross-sectional survey respondents from selected standard of care and intervention districts who answered questions regarding the reach of the Le Kip Kip campaign to their families, peers, and partners. | Posted | Count of Participants | Participants | Month 12 |
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| Secondary | Fidelity as Assessed by Percentage of On-Schedule Posts | Extent to which the social influence campaign was carried out according to plan measured via social media metrics to determine whether static and video content were shared across platforms as planned. Fidelity is assessed by tracking adherence to the planned posting schedule. Participants were not included in assessing fidelity of on-schedule posts, rather posts made across social media platforms were analyzed. Adherence was assessed by documenting whether all scheduled posts were successfully and timely published as planned during the campaign period. | As outlined in the protocol, participants were not included in assessing fidelity of on-schedule posts, rather posts made across social media platforms were analyzed. | Posted | Count of Units | Posts | Month 12 | Posts | Posts |
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| Secondary | Adoption as Assessed by Number of Views by Unique Users | Service user uptake and engagement with campaign as assessed by number of times each ad was viewed overall and number of video views. | As outlined in the protocol, adoption will be assessed using social media metrics and analytics from the number of unique users who have seen the Le Kip Kip Facebook page content at least once. | Posted | Number | views | 12 months | Posts | Posts |
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| Secondary | Adoption as Assessed by Number of Ad Clicks | Service user uptake and engagement with campaign measured via the number of times someone clicked on each ad | As outlined in the protocol, adoption will be assessed using social media metrics and analytics from the number of unique users who have seen the Le Kip Kip Facebook page content at least once. | Posted | Number | clicks | 12 months | Posts | Posts |
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| Secondary | Fidelity as Assessed by Programme Logs Completed | Extent to which the social influence campaign was carried out according to plan was measured via trainings, logs of communication with PrEP champions, and community mobilization logs/quality assessments. | As outlined in the protocol, the extent to which the social influence campaign was carried out according to plan as assessed via programme logs completed by PrEP champions and community mobilizers. | Posted | Number | percentage of campaign implementers | 12 months | Campaign implementers | Campaign implementers |
|
up to 1 year
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Standard of Care | Full-time peer educators employed by the TB HIV Care programme to engage women, layer PrEP promotion across prevention programs, and implement "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to increase young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach. Standard of Care: Full-time peer educators employed by the TB HIV Care programme to engage women, layer PrEP promotion across prevention programs, and implement "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to increase young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach. | 0 | 301 | 0 | 301 | 0 | 301 |
| EG001 | Enhanced Social Media Campaign | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. | 0 | 92 | 0 | 92 | 0 | 92 |
| EG002 | Enhanced Social Media Campaign + PrEP Champions | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. | 0 | 55 | 0 | 55 | 0 | 55 |
| EG003 | Enhanced Social Media Campaign + Community Mobilization | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. | 0 | 48 | 0 | 48 | 0 | 48 |
| EG004 | Enhanced Social Media Campaign + PrEP Champions + Community Mobilization | Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. | 0 | 105 | 0 | 105 | 0 | 105 |
Not provided
Not provided
A limitation is using programmatic data to assess PrEP initiation among those accessing HIV testing through TB HIV Care. Since HIV testing and PrEP initiation programmatic data are not linked, we cannot determine the proportion of eligible women who initiate PrEP. Thus, we rely on PrEP initiation counts for the primary outcome.
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Sheree Schwartz | Johns Hopkins Bloomberg School of Public Health | 443-983-2564 | sschwartz@jhu.edu |
| Oct 21, 2024 |
| Prot_SAP_001.pdf |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
Not provided
Not provided
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| OG001 | Enhanced Social Media Campaign/PrEP Champions/Community Mobilization | Clusters in this arm will receive the enhanced social media campaign alone or combined with PrEP champions, community mobilization, or both. Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. |
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| OG001 | Enhanced Social Media Campaign/PrEP Champions/Community Mobilization | Clusters in this arm will receive the enhanced social media campaign alone or combined with PrEP champions, community mobilization, or both. Social Media Campaign: PrEP social influence campaign, which will use online approaches to promote PrEP within communities in addition to the standard of care activities. A combination of static imagery and brief videos will be used to engage these groups via social media platforms. A Facebook page will be created and maintained that can be accessed by anyone anywhere, but will only be advertised/promoted in the intervention districts. PrEP Champions: Venue-based PrEP champions will receive supplies (e.g. a hat, pin and posters, flyers, IEC material) to wear to promote PrEP, facilitate linkage between women interested in PrEP and the TB HIV Care PrEP programme. PrEP champions will be either peers with experience taking PrEP, venue managers or local influencers that have repeated contact with the women the programme is intended to serve. Community Mobilization: PrEP community mobilization teams will be recruited to promote PrEP. The team will present information about PrEP and the PrEP programme at the ward councilors meeting, Learning Support Agent meetings with parents/guardians, local events/fairs, community meetings and through engaging men, women and parents across the community through informal conversations. Teams will be wearing branded material and will focus on presenting factual information and decreasing PrEP stigma. |
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