EDCTP Alumni Network

Fostering excellence and collaboration in the next generation of researchers

Call Career Development Fellowship (CDF)
Programme EDCTP2
Start Date 2021-05-01
End Date 2023-04-30
Project Code TMA2019CDF-2729
Status Active

Title

Peer-led HIV self-testing to improve HIV testing and linkage to HIV care among men in two fishing communities in rural Uganda: a pilot intervention (PEST4MEN)

Objectives

This project aimed to achieve the following objectives/aims: Primary aims • Compare approaches for peer-leader selection in two different fishing communities in order to identify suitable peer-leader selection approaches for typical fishing communities. • Assess uptake of HIV testing services associated with peer-led HIV self-testing among men living in two high HIV prevalence fishing communities • Assess the effects of a peer-led HIVST model in: (i) identifying previously undiagnosed HIV infections; (ii) improving linkage to appropriate HIV prevention, care and treatment services; and (iii) improving retention in HIV care among linked HIV-positive individuals Secondary aims • Determine if HIV-positive individuals will be willing to disclose their HIV status to their peer-leaders, and if disclosure to a peer-leader improves linkage to HIV care among HIV-positive men • Assess if peer-facilitated, mobile outreaches to the fishing communities can improve linkage to and retention in HIV care among HIV-positive men living in isolated fishing communities with limited access to HIV and other health services.

Host Organisation

Institution Country
Busitema University Uganda

Study Design

This is a prospective cohort study that aims to effect of peer-led HIV self-testing on HIV testing uptake, linkage to and retention in HIV care using a mixed-methods approach

Current Organisation

Busitema University

Current Job Title

Senior Lecturer

Memberships

Role Committee/board Start Date End Date
Editorial Board Member BMC Public Health 2019
Academic Editor PLoS ONE 2017 2021
Associate Editor AIDS and Behavior 2010 2021

Education

Institution Degree Year
Makerere University, Uganda PhD

Areas Of Specialisation

Human Immuno-deficiency Virus (HIV)

Publications

Authors:
Anne M. Nabukenya , author
Joseph K. B. Matovu , author
Date:
2018-09-01
Journal:
BMC Public Health
Content:
Identifiers:
Authors:
Rhoda K Wanyenze , author
Joseph KB Matovu , author
Moses R Kamya , author
Nazarius M Tumwesigye , author
Maria Nannyonga , author
Glenn J Wagner , author
Date:
2015-01-01
Journal:
BMC Women's Health
Content:
Identifiers:
Authors:
Matovu JK , author
Gray RH , author
Kiwanuka N , author
Kigozi G , author
Wabwire-Mangen F , author
Nalugoda F , author
Serwadda D , author
Sewankambo NK , author
Wawer MJ , author
Date:
2006-10-01
Journal:
AIDS and behavior
Content:
Identifiers:
Authors:
Date:
2020-08-07
Journal:
PLoS ONE
Content:

Background: Novel interventions are needed to reach young people and adult men with HIV services given the low HIV testing rates in these population sub-groups. We assessed the feasibility and acceptability of a peer-led oral HIV self-testing (HIVST) intervention in Kasensero, a hyperendemic fishing community (HIV prevalence: 37-41%) in Rakai, Uganda.

Methods: This study was conducted among young people (15-24 years) and adult men (25+ years) between May and August 2019. The study entailed distribution of HIVST kits by trained "peer-leaders," who were selected from existing social networks and trained in HIVST distribution processes. Peer-leaders received up to 10 kits to distribute to eligible social network members (i.e. aged 15-24 years if young people or 25+ years if adult man, not tested in the past 3 months, and HIV-negative or of unknown HIV status at enrolment). The intervention was evaluated against the feasibility benchmark of 70% of peer-leaders distributing up to 70% of the kits that they received; and the acceptability benchmark of >80% of the respondents self-testing for HIV.

Results: Of 298 enrolled into the study at baseline, 56.4% (n = 168) were young people (15-24 years) and 43.6% (n = 130) were adult males (25+ years). Peer-leaders received 298 kits and distributed 296 (99.3%) kits to their social network members. Of the 282 interviewed at follow-up, 98.2% (n = 277) reported that they used the HIVST kits. HIV prevalence was 7.4% (n = 21). Of the 57.1% (n = 12) first-time HIV-positives, 100% sought confirmatory HIV testing and nine of the ten (90%) respondents who were confirmed as HIV-positive were linked to HIV care within 1 week of HIV diagnosis.

Conclusion: Our findings show that a social network-based, peer-led HIVST intervention in a hyperendemic fishing community is highly feasible and acceptable, and achieves high linkage to HIV care among newly diagnosed HIV-positive individuals.

Identifiers:
Authors:
Sharon Nakanwagi , author
Joseph K. B. Matovu , author
Betty N. Kintu , author
Frank Kaharuza , author
Rhoda K. Wanyenze , author
Date:
2016-07-01
Journal:
Journal of Sexually Transmitted Diseases
Content:
Identifiers:
DOI: 10.1155/2016/7673014
Part of ISSN: 2090-7893
Authors:
Emily Atuheire , author
Daniel Kadobera , author
Alex Riolexus Ario , author
Joseph Matovu , author
Blandina Nakiganda , author
Frank Kaharuza , author
Date:
2018-01-01
Journal:
Pan African Medical Journal Conference Proceedings
Content:
Identifiers:
Authors:
Jane Namuddu , author
Peter Waiswa , author
Betty Nsangi , author
Robert Iriso , author
Joseph Matovu , author
Albert Maganda , author
Adeodata Kekitiinwa , author
Date:
2015-08-01
Journal:
Journal of Public Health in Africa
Content:
Identifiers:
DOI: 10.4081/jphia.2015.454
Part of ISSN: 2038-9930
Authors:
Christine Kihembo , author
Ben Masiira , author
William Z. Lali , author
Gabriel K. Matwale , author
Joseph K. B. Matovu , author
Frank Kaharuza , author
Alex R. Ario , author
Immaculate Nabukenya , author
Issa Makumbi , author
Monica Musenero , author
Bao-Ping Zhu , author
Miriam Nanyunja , author
Date:
2017-06-07
Journal:
The American Journal of Tropical Medicine and Hygiene
Content:
Identifiers:
DOI: 10.4269/ajtmh.16-0932
Part of ISSN: 0002-9637
Authors:
Mary S. Nzota , author
Joseph KB. Matovu , author
Heather R. Draper , author
Rose Kisa , author
Suzanne N. Kiwanuka , author
Date:
2015-07-01
Journal:
BMC Pediatrics
Content:
Identifiers:
Authors:
Alex R. Ario , author
Rhoda K. Wanyenze , author
Alex Opio , author
Patrick Tusiime , author
Daniel Kadobera , author
Benon Kwesiga , author
Lilian Bulage , author
Christine Kihembo , author
Steven N. Kabwama , author
Joseph K. B. Matovu , author
Steve Becknell , author
Bao-Ping Zhu , author
Date:
2018-01-01
Journal:
Health Security
Content:
Identifiers:
DOI: 10.1089/hs.2018.0045
Part of ISSN: 2326-5094
Authors:
Michael Kakinda , author
Joseph K. B Matovu , author
Date:
Journal:
Content:
Identifiers:
Authors:
Joseph K.B. Matovu , author
Paul W. Bukuluki , author
David K. Mafigiri , author
Harriet Mudondo , author
Date:
2017-09-01
Journal:
African Health Sciences
Content:
Identifiers:
DOI: 10.4314/ahs.v17i3.15
Part of ISSN: 1680-6905
Authors:
Anne M Nabukenya , author
Joseph Matovu , author
Joan Nangiya , author
Esther Kawuma , author
Mary Odiit , author
Barbara Mukasa , author
Date:
2014-07-07
Journal:
BMC Health Services Research
Content:
Identifiers:
Authors:
Joseph KB Matovu , author
Ronald H Gray , author
Fredrick Makumbi , author
Maria J Wawer , author
David Serwadda , author
Godfrey Kigozi , author
Nelson K Sewankambo , author
Fred Nalugoda , author
Date:
2005-03-01
Journal:
AIDS
Content:
Identifiers:
Authors:
Glenn J. Wagner , author
Laura M. Bogart , author
David J. Klein , author
Harold D. Green , author
Andrew Kambugu , author
Joan Nampiima , author
Joseph K. B. Matovu , author
Date:
2021-03-01
Journal:
International Journal of Behavioral Medicine
Content:
Identifiers:
Authors:
Laura M. Bogart , author
Joseph K. B. Matovu , author
Glenn J. Wagner , author
Harold D. Green , author
Erik D. Storholm , author
David J. Klein , author
Terry Marsh , author
Sarah MacCarthy , author
Andrew Kambugu , author
Date:
2020-02-06
Journal:
AIDS and Behavior
Content:
Identifiers:
Authors:
Rose Kisa , author
Joseph K. B. Matovu , author
Esther Buregyeya , author
William Musoke , author
Caroline J. Vrana-Diaz , author
Jeffrey E. Korte , author
Rhoda K. Wanyenze , author
Date:
2019-09-01
Journal:
AIDS Research and Therapy
Content:
Identifiers:
Authors:
Joseph Matovu , author
Joseph Kabanda , author
John Bwanika , author
Denis Bwayo , author
Narathius Asingwire , author
David Kyaddondo , author
Sheila Coutinho , author
Date:
2014-07-01
Journal:
Current HIV Research
Content:
Identifiers:
Authors:
Sharon Eva Ahumuza , author
Joseph KB Matovu , author
John Bosco Ddamulira , author
Florence Kyoheirwe Muhanguzi , author
Date:
2014-08-02
Journal:
Reproductive Health
Content:
Identifiers:
DOI: 10.1186/1742-4755-11-59
Part of ISSN: 1742-4755
Authors:
Rogers Ssebunya , author
Joseph K. B. Matovu , author
Date:
2016-03-03
Journal:
BMC Pregnancy and Childbirth
Content:
Identifiers:
Authors:
JULIET NABIRYE , author
Joseph KB Matovu , author
John Baptist Bwanika , author
Fredrick Makumbi , author
Rhoda K. Wanyenze , author
Date:
Journal:
Content:
Identifiers:
Authors:
Joseph K. B. Matovu , author
Jim Todd , author
Rhoda K. Wanyenze , author
Fred Wabwire-Mangen , author
David Serwadda , author
Date:
2015-06-08
Journal:
Global Health Action
Content:
Identifiers:
DOI: 10.3402/gha.v8.27935
Part of ISSN: 1654-9716
Authors:
Kellen Nyamurungi Namusisi , author
Frances Thirlway , author
Noreen Mdege , author
Joseph Matovu , author
Date:
2021-09-01
Journal:
Tobacco Prevention & Cessation
Content:
Identifiers:
DOI: 10.18332/tpc/140131
Part of ISSN: 2459-3087
Authors:
Richardson Mafigiri , author
Joseph K. B. Matovu , author
Fredrick Edward Makumbi , author
Anthony Ndyanabo , author
Doreen Nabukalu , author
Moses Sakor , author
Godfrey Kigozi , author
Fred Nalugoda , author
Rhoda K. Wanyenze , author
Date:
2017-03-01
Journal:
BMC Public Health
Content:
Identifiers:
Authors:
Joseph K. B. Matovu , author
Justine N. Bukenya , author
Dickson Kasozi , author
Stephens Kisaka , author
Rose Kisa , author
Agnes Nyabigambo , author
Abdulaziz Tugume , author
John Baptist Bwanika , author
Levicatus Mugenyi , author
Irene Murungi , author
David Serwadda , author
Rhoda K. Wanyenze , author
Susan Marie Graham , editor
Date:
2021-09-10
Journal:
PLOS ONE
Content:
Identifiers:
Authors:
Anne M. Nabukenya , author
Aminah Nambuusi , author
Joseph KB Matovu , author
Date:
Journal:
Content:
Identifiers:
Authors:
Joseph K. B. Matovu , author
Aminah Nambuusi , author
Scovia Nakabirye , author
Rhoda K. Wanyenze , author
David Serwadda , author
Date:
2020-10-01
Journal:
BMC Public Health
Content:
Identifiers:
Authors:
Frances Thirlway , author
Kellen Namusisi Nyamurungi , author
Joseph K.B. Matovu , author
Andrew Kibuuka Miti , author
Noreen Dadirai Mdege , author
Date:
2021-03-01
Journal:
Social Science & Medicine
Content:
Identifiers:
Authors:
Joseph Matovu , author
Date:
2010-09-01
Journal:
Current HIV Research
Content:
Identifiers:
Authors:
Joseph K. B. Matovu , author
Rose Kisa , author
Angela M. Malek , author
Caroline Vrana-Diaz , author
Semei Christopher Mukama , author
William Musoke , author
Jeffrey E. Korte , author
Rhoda K. Wanyenze , author
Date:
2021-08-01
Journal:
Frontiers in Reproductive Health
Content:
Identifiers:
DOI: 10.3389/frph.2021.700850
Part of ISSN: 2673-3153
Authors:
Gerald Pande , author
Benon Kwesiga , author
Godfrey Bwire , author
Peter Kalyebi , author
AlexArio Riolexus , author
Joseph K. B. Matovu , author
Fredrick Makumbi , author
Shaban Mugerwa , author
Joshua Musinguzi , author
Rhoda K. Wanyenze , author
Bao-Ping Zhu , author
Martyn Kirk , editor
Date:
2018-06-01
Journal:
PLOS ONE
Content:
Identifiers:
Authors:
Joseph KB Matovu , author
Date:
2011-07-01
Journal:
The Lancet Infectious Diseases
Content:
Identifiers:
Authors:
Joseph K.B. Matovu , author
Fredrick E. Makumbi , author
Date:
2007-10-01
Journal:
Tropical Medicine & International Health
Content:
Identifiers:
Authors:
Violet Gwokyalya , author
Jolly Beyeza-Kashesya , author
John Baptist Bwanika , author
Joseph K. B. Matovu , author
Shaban Mugerwa , author
Jim Arinaitwe , author
Dickson Kasozi , author
Justine Bukenya , author
Rosemary Kindyomunda , author
Glenn J. Wagner , author
Fredrick E. Makumbi , author
Rhoda K. Wanyenze , author
Date:
2019-05-01
Journal:
Reproductive Health
Content:
Identifiers:
Authors:
Rhoda K. Wanyenze , author
John Baptist Bwanika , author
Jolly Beyeza-Kashesya , author
Shaban Mugerwa , author
Jim Arinaitwe , author
Joseph K. B. Matovu , author
Violet Gwokyalya , author
Dickson Kasozi , author
Justine Bukenya , author
Fred Makumbi , author
Date:
2017-10-01
Journal:
Global Health Action
Content:
Identifiers:

Projects

Fellow:
Joseph Matovu
Collaborators:
Name Country Institution
Joseph KB Matovu Uganda Busitema University
Objectives:
1. To assess acceptability of a peer-led HIV self-testing intervention in the two fishing communities 2. Determine linkage to and retention in HIV care among newly diagnosed HIV-positive men following peer-led HIV self-testing
Sites:
Kalangala and Buvuma islands, Lake Victoria
Study Design:
Prospective cohort study
Subjects:
800
Outcomes:
1. Percentage of previously untested men and HIV-negative men who last tested for HIV more than 3 months ago who tested for HIV through peer-led HIV self-testing 2. Percentage of first-time HIV-positive men who were linked to HIV care following peer-led HIV self-testing 3. Percentage of HIV-positive men linked to HIV care who are retained in HIV care as 18 months post-enrollment
Start Date:
2021-09-01
End Date:
2022-08-31

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