Evidence map›Paper›PMID 30148731›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2018

Impact of HIV Self-Test Distribution to Male Partners of ANC Clients: Results of a Randomized Controlled Trial in Kenya.

Anthony Gichangi, Jonesmus Wambua, Stephen Mutwiwa, Rosemary Njogu, Eva Bazant, Joyce Wamicwe, Rose Wafula, Caroline J Vrana, Danielle R Stevens, Mildred Mudany and 1 more

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 69 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 7 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 7 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  4. A Systematic Review and Network Meta-analyses to Assess the Effectiveness of Human Immunodeficiency Virus (HIV) Self-testing Distribution Strategies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Anthony GichangiJhpiego, Nairobi, Kenya.
Jonesmus WambuaJhpiego, Nairobi, Kenya.
Stephen MutwiwaJhpiego, Kigali, Rwanda.
Rosemary NjoguJhpiego, Nairobi, Kenya.
Eva BazantJhpiego, Baltimore, MD.
Joyce WamicweNational AIDS and STI Control Program, Nairobi, Kenya.
Rose WafulaNational AIDS and STI Control Program, Nairobi, Kenya.
Caroline J VranaDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Danielle R StevensDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Mildred MudanyJhpiego, Nairobi, Kenya.
Jeffrey E KorteDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Medical University of South Carolina · USNational Aids Control Council · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Kenya, HIV testing during first antenatal care (ANC) visit is a standard practice for pregnant women. Despite a policy promoting male partner testing in ANC, few male partners accompany their partners for HIV testing. We evaluated the impact of using oral HIV self-testing on HIV couples testing among ANC clients in Kenya and their male partners.

methodsIn a 3-arm randomized control study in eastern and central Kenya, consenting women attending the first ANC visit were randomized to receive: (1) standard-of-care and a standard information card; (2) an improved card stating the importance of male HIV testing; and (3) 2 oral HIV self-test kits and HIV testing information. Women completed a baseline and endline questionnaire, and consenting male partners were surveyed 3 months after enrolling female ANC clients. The primary outcome was HIV couples testing as reported by the female partners.

resultsWe randomized 1410 women at their first ANC visit of which 1215 were successfully followed up. One thousand one hundred thirty-three male partners consented to the survey. In the self-testing study arm 3, 79.1% (334/422) of the women reported that their partner tested for HIV as part of a couple, compared with 27% (110/406) and 35.1% (136/387) in study arm 1 and study arm 2, respectively. More than 90% of male partners who used the oral HIV self-test kits reported that it was easy to take sample and read the test results.

conclusionsThe study demonstrates that the ANC platform offers a unique opportunity to increase HIV couples testing among men using self-testing through distribution by their female partners.

Indexed as

Family HealthAdolescentAdultDiagnostic Tests, RoutineFamily CharacteristicsFemaleHIV InfectionsHumansKenyaMaleMiddle AgedPregnancyPrenatal DiagnosisProcedures and Techniques UtilizationSelf-ExaminationYoung Adult

Identifiers

PMID30148731
PMCPMC6250253
OpenAlexW2888561884

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.