Evidence map›Paper›PMID 41639731›Full record

Trial reportBMC health services research2026

Advancing youth HIV prevention and care in Uganda: stakeholder-informed innovations through implementation science, protocol for a randomized controlled trial.

Enid Kabugho, Rachel L King, Brenda Gati Mirembe, Florence Mwangwa, Rodgers Katwesigye, Grace Paul Kisitu, Asiphas Owaraganise, Eleanor Namusoke-Magongo, Moses R Kamya, Dithan Kiragga and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06474364 (Using Implementation Science to Understand and Design Stakeholder Informed Innovative Interventions to Improve Youth HIV Prevention and Care Continuums in Rural and Urban Uganda.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06474364 phase4recruitingnot on this map

Using Implementation Science to Understand and Design Stakeholder Informed Innovative Interventions to Improve Youth HIV Prevention and Care Continuums in Rural and Urban Uganda.

TypeinterventionalSponsorMU-JHU CARERan2024 to 2028Enrolled600ConditionsHIVArmsLong-acting Cabotegravir injection, SEARCH-YOUTH
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

13 authors.

Enid KabughoEpidemiology, Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Upper Mulago Hill Road, Kampala, Uganda. ekabugho@mujhu.org.
Rachel L KingDepartment of Epidemiology and Biostatistics, Institute for Global Health Sciences, University of California, San Francisco, California, USA.
Brenda Gati MirembeEpidemiology, Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Upper Mulago Hill Road, Kampala, Uganda.
Florence MwangwaInfectious Diseases Research Collaboration, Kampala, Uganda.
Rodgers KatwesigyeMakerere University Joint AIDS Program, Kampala, Uganda.
Grace Paul KisituBaylor College of Medicine Children's Foundation-Uganda, Kampala, Uganda.
Asiphas OwaraganiseInfectious Diseases Research Collaboration, Kampala, Uganda.
Eleanor Namusoke-MagongoPediatric HIV Care & Treatment at AIDS Control Program, Ministry of Health, Kampala, Uganda.
Moses R KamyaInfectious Diseases Research Collaboration, Kampala, Uganda.
Dithan KiraggaBaylor College of Medicine Children's Foundation-Uganda, Kampala, Uganda.
Patricia Nahirya NtegeBaylor College of Medicine Children's Foundation-Uganda, Kampala, Uganda.
Fred Collins SemitalaMakerere University Joint AIDS Program, Kampala, Uganda.
Philippa MusokeEpidemiology, Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration, Upper Mulago Hill Road, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared with older adults, adolescents and young adults (AYA) face greater HIV incidence and poorer outcomes across the HIV prevention and care continuum. Despite the high HIV burden, youth in sub-Saharan Africa have suboptimal uptake rates of oral preexposure prophylaxis (PrEP) and viral suppression. Although effective interventions are available, AYA exhibit low uptake and persistence due to stigma, pill burden, and accessibility challenges. The HIV Prevention and Care Interventions for Youth in Uganda (HIP-CY) study aims to explore the adoption and effectiveness of cabotegravir (CAB LA), a new long-acting injectable antiretroviral and highly efficacious PrEP choice that can mitigate barriers to the use of daily oral PrEP among AYA at heightened risk of HIV acquisition, and the SEARCH-YOUTH intervention, an efficacious multilevel strategy for improving virologic suppression in AYA aged 15–24 years living with HIV in East Africa.

methodsThe HIP-CY study uses a type II hybrid (effectiveness-implementation) design to evaluate the feasibility, acceptability, fidelity, and cost-effectiveness of two evidence-based HIV prevention and care interventions (CAB LA and SEARCH-YOUTH) across five geographically distinct urban, semiurban, and rural sites in Uganda. We use the CFIR and RE-AIM frameworks to guide data collection and analysis. DISCUSSION: Our findings will provide insights into differentiated service delivery models for CAB LA and support policies that integrate CAB LA and contextualized multilevel HIV care interventions (SEARCH-YOUTH) for AYA in real-world health service delivery to reduce the incidence of HIV in Ugandan youth. Stakeholder engagement will inform scalable, policy-aligned solutions for sustainable HIV prevention and care and contribute to broader HIV control efforts across SSA.

trial registrationNCT06474364 Registered 13 June 20 244, https://clinicaltrials.ucsf.edu/trial/NCT06474364 . Protocol version 6, dated 16 April 2025. Amendments from versions 1 to 4 incorporated REC recommendations and updated the Investigators Roster. Protocol versions 4 to 6 were updated to align with the Ministry of Health directive on integrating HIV care into chronic medical conditions.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisAdherence InterventionsAdolescentCost-Benefit AnalysisFemaleHumansImplementation ScienceMaleStakeholder ParticipationUgandaYoung AdultAnti-HIV AgentsAdolescentsCAB LAHIV careHIV preventionImplementation sciencePrEPStakeholder engagementUgandaVirologic suppression

Identifiers

PMID41639731
PMCPMC12973547

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.