Direct and Spillover Impacts of a Community-Level HIV/AIDS Program

NCT ID: NCT03880175

Last Updated: 2021-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

3658 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2021-06-30

Brief Summary

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The HIV/AIDS crisis in Sub-Saharan Africa has left millions of children orphaned. These children, who are potentially infected with HIV themselves, are highly vulnerable and face some serious risks to their health and overall well-being.

A variety of health and economic interventions to help orphans and vulnerable children (OVCs) (and the households in which they live) are being carried out in Mozambique by World Education Inc./Bantwana (WEI/B), funded by USAID. The program is known in Portuguese as Força à Comunidade e Crianças or FCC (in English, "Strengthening Family and Communities").

This study will collect survey and administrative data to assess the impact of the FCC program on OVCs and the households in which they live. A baseline survey was administered to define a sample of households and individuals to follow over time through the upcoming follow-up survey and to measure baseline household characteristics.

Follow-up data collection will begin in March 2019. It has several components:

1. Household survey The follow-up survey will provide measurements of the rich set of intermediate and final outcomes for the estimation of treatment effects of the FCC program.
2. Data collection on HIV testing and school attendance This study will supplement survey-reported HIV testing rates with an objective, administrative measure of HIV testing at health clinics. At the time of the follow-up survey, the survey team will recommend that eligible individuals in the household be tested for HIV at a specified local health clinic. To allow tracking of those who follow through with testing, consenting individuals will be given coupons redeemable for a small financial incentive once they have completed an HIV test.

In addition to self-reported data on school participation by children, this study will also measure school participation directly. Both school enrollment (presence in school registration records) and school attendance (physical presence of children in school during unannounced school visits by research staff) will be measured. Project staff will visit schools in study communities to check attendance rates of specific school-aged children who were listed in the baseline survey in their community.
3. Informational treatments aimed at raising HIV testing rates To allow insight into the mechanisms through which the FCC program has its effects, this study will provide additional simple treatments in the context of the follow-up survey to explore possible FCC mechanisms: stigma reduction, HIV/AIDS information, and HIV treatment (antiretroviral therapy, or ART) information.

Detailed Description

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Conditions

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HIV/AIDS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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FCC DEB and Anti-stigma

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- direct beneficiary

Intervention Type BEHAVIORAL

Households are directly linked to the FCC implementing organization

Anti Stigma Information

Intervention Type BEHAVIORAL

Adults in the households are provided anti-stigma information

FCC DEB and HIV info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- direct beneficiary

Intervention Type BEHAVIORAL

Households are directly linked to the FCC implementing organization

HIV/AIDS Information

Intervention Type BEHAVIORAL

The households receive information about HIV infection and AIDS

FCC DEB and ART info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- direct beneficiary

Intervention Type BEHAVIORAL

Households are directly linked to the FCC implementing organization

ART Information

Intervention Type BEHAVIORAL

The households receive information about antiretroviral therapy.

FCC DEB and HIV-ART info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- direct beneficiary

Intervention Type BEHAVIORAL

Households are directly linked to the FCC implementing organization

HIV/AIDS and ART Information Combined

Intervention Type BEHAVIORAL

The households receive both information about HIV/AIDS and information about antiretroviral therapy.

FCC DEB and high coupon value

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- direct beneficiary

Intervention Type BEHAVIORAL

Households are directly linked to the FCC implementing organization

High coupon value

Intervention Type BEHAVIORAL

The HIV testing coupons distributed to households in this group have higher values.

FCC DEB and no info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- direct beneficiary

Intervention Type BEHAVIORAL

Households are directly linked to the FCC implementing organization

FCC non-DEB and Anti-stigma

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Intervention Type BEHAVIORAL

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

Anti Stigma Information

Intervention Type BEHAVIORAL

Adults in the households are provided anti-stigma information

FCC non-DEB and HIV info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Intervention Type BEHAVIORAL

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

HIV/AIDS Information

Intervention Type BEHAVIORAL

The households receive information about HIV infection and AIDS

FCC non-DEB and ART info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Intervention Type BEHAVIORAL

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

ART Information

Intervention Type BEHAVIORAL

The households receive information about antiretroviral therapy.

FCC non-DEB and HIV-ART info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Intervention Type BEHAVIORAL

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

HIV/AIDS and ART Information Combined

Intervention Type BEHAVIORAL

The households receive both information about HIV/AIDS and information about antiretroviral therapy.

FCC non-DEB and high coupon value

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Intervention Type BEHAVIORAL

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

High coupon value

Intervention Type BEHAVIORAL

The HIV testing coupons distributed to households in this group have higher values.

FCC non-DEB and no info

Group Type EXPERIMENTAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Intervention Type BEHAVIORAL

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

FCC control and Anti-stigma

Group Type EXPERIMENTAL

Anti Stigma Information

Intervention Type BEHAVIORAL

Adults in the households are provided anti-stigma information

FCC control and HIV info

Group Type EXPERIMENTAL

HIV/AIDS Information

Intervention Type BEHAVIORAL

The households receive information about HIV infection and AIDS

FCC control and ART info

Group Type EXPERIMENTAL

ART Information

Intervention Type BEHAVIORAL

The households receive information about antiretroviral therapy.

FCC control and HIV-ART info

Group Type EXPERIMENTAL

HIV/AIDS and ART Information Combined

Intervention Type BEHAVIORAL

The households receive both information about HIV/AIDS and information about antiretroviral therapy.

FCC control and High coupon value

Group Type EXPERIMENTAL

High coupon value

Intervention Type BEHAVIORAL

The HIV testing coupons distributed to households in this group have higher values.

FCC control and no info

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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FCC (Força à Comunidade e Crianças) program- direct beneficiary

Households are directly linked to the FCC implementing organization

Intervention Type BEHAVIORAL

FCC (Força à Comunidade e Crianças) program- non-direct beneficiary

Households live in FCC implementing communities but are not directly linked to the FCC implementing organization

Intervention Type BEHAVIORAL

Anti Stigma Information

Adults in the households are provided anti-stigma information

Intervention Type BEHAVIORAL

HIV/AIDS Information

The households receive information about HIV infection and AIDS

Intervention Type BEHAVIORAL

ART Information

The households receive information about antiretroviral therapy.

Intervention Type BEHAVIORAL

HIV/AIDS and ART Information Combined

The households receive both information about HIV/AIDS and information about antiretroviral therapy.

Intervention Type BEHAVIORAL

High coupon value

The HIV testing coupons distributed to households in this group have higher values.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Households that lives in one of the eligible communities.

Exclusion Criteria

* Households that are not in the eligible communities will not be included in the survey sample.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Dean Yang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Lessitala Consultoria e Servicos

Beira, Sofala, Mozambique

Site Status

Countries

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Mozambique

Other Identifiers

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AID-OAA-L-12-00001

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

AID-OAA-LA-16-0004

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

AID391A1500006

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HUM00113011

Identifier Type: -

Identifier Source: org_study_id

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