Evidence map›Paper›PMID 32967974›Full record

Trial reportScience translational medicine2020

A stepped-wedge randomized trial and qualitative survey of HIV pre-exposure prophylaxis uptake in the Eswatini population.

Pascal Geldsetzer, Kate Bärnighausen, Anita Hettema, Shannon A McMahon, Shona Dalal, Rachel P Chase, Catherine E Oldenburg, Stefan Kohler, Simiao Chen, Phiwayinkhosi Dlamini and 4 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Science translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.3field-weighted citation impact, top 30% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 5 countries.

Pascal GeldsetzerDivision of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94035, USA. till.baernighausen@uni-heidelberg.de pgeldsetzer@stanford.edu.ORCID 0000-0002-8878-5505
Kate BärnighausenHeidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany.ORCID 0000-0002-4466-8921
Anita HettemaClinton Health Access Initiative, Mbabane H100, Eswatini.ORCID 0000-0002-9764-2178
Shannon A McMahonHeidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany.ORCID 0000-0002-8634-9283
Shona DalalDepartment of Global HIV, Hepatitis and STI Programmes, World Health Organization, CH-1211 Geneva 27, Switzerland.
Rachel P ChaseHeidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany.ORCID 0000-0002-1503-4954
Catherine E OldenburgDepartment of Ophthalmology, University of California, San Francisco, San Francisco, CA 94115, USA.
Stefan KohlerHeidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany.ORCID 0000-0003-1365-7506
Simiao ChenHeidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany.ORCID 0000-0003-0555-2157
Phiwayinkhosi DlaminiClinton Health Access Initiative, Mbabane H100, Eswatini.ORCID 0000-0003-4953-409X
Mxolisi MavusoClinton Health Access Initiative, Mbabane H100, Eswatini.
Allison B HugheyClinton Health Access Initiative, Mbabane H100, Eswatini.ORCID 0000-0001-6047-7183
Sindy MatseEswatini National AIDS Programme, Ministry of Health, Government of the Kingdom of Eswatini, Mbabane H100, Eswatini.
Till BärnighausenHeidelberg Institute of Global Health (HIGH), Heidelberg University, 69120 Heidelberg, Germany. till.baernighausen@uni-heidelberg.de pgeldsetzer@stanford.edu.
Heidelberg University · DEClinton Health Access Initiative · USJohns Hopkins University · USMinistry of Health · SZUniversity of California, San Francisco · USUniversity of the Witwatersrand · ZAWorld Health Organization · CH

Funding

SOCIAL AND ECONOMIC PREDICTORS OF PHYSICAL AND COGNITIVE FUNCTIONP01AG041710 · NIA · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI LISA F BERKMAN · 2013 to 2026
$37.3M
Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
Training Tanzanian Researchers for HIV/AIDS Implementation ScienceD43TW009775 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, Christopher Sudfeld · 2015 to 2026
$3.0M
New Methods for the design and evaluation of large HIV prevention interventionsR01AI112339 · NIAID · YALE UNIVERSITY · PI SPIEGELMAN, DONNA L · 2014 to 2017
$2.7M
Causal Pathways to population health impact of HIV antiretroviral treatmentR01HD084233 · NICHD · UNIVERSITY OF KWAZULU-NATAL · PI BARNIGHAUSEN, TILL, TANSER, FRANK COURTENEY · 2015 to 2021
$2.3M
Can HIV Hot-Spots be eradicated? An intervention to decrease HIV transmission to young women in rural KwaZulu-Natal South AfricaR01AI124389 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI BARNIGHAUSEN, TILL, TANSER, FRANK COURTENEY · 2016 to 2020
$2.1M
FIC NIH HHS D43 TW009775NCATS NIH HHS KL2 TR003143NIAID NIH HHS R01 AI112339NIAID NIH HHS R01 AI124389NIA NIH HHS P01 AG041710NICHD NIH HHS R01 HD084233PEPFARWorld Health Organization 001
6 · The paper itself

Abstract

Clinical trials have shown that antiretroviral drugs used as pre-exposure prophylaxis (PrEP) are highly effective for preventing HIV acquisition. PrEP efforts, including in sub-Saharan Africa, have almost exclusively focused on certain priority groups, particularly female sex workers, men having sex with men, pregnant women, serodiscordant couples, and young women. As part of a PrEP demonstration project involving the general population at six primary health care facilities in Eswatini (formerly Swaziland), we conducted a randomized trial of a health care facility-based PrEP promotion package designed to increase PrEP uptake. Over the 18-month study duration, 33.6% (517 of 1538) of adults identified by health care workers as being at risk of acquiring HIV took up PrEP, and 30.0% of these individuals attended all scheduled appointments during the first 6 months after initiation of PrEP. The PrEP promotion package was associated with a 55% (95% confidence interval, 15 to 110%;

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisSex WorkersAdultAfrica South of the SaharaEswatiniFemaleHumansMalePregnancyAnti-HIV Agents

Identifiers

PMID32967974
PMCPMC8023147
OpenAlexW3087861630

What OpenQuestion holds

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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.