Peer-led HIV Self-testing Among Men in Two Ugandan Fishing Communities

The goal of this observational study is to assess the feasibility and acceptability of a peer-led HIV self-testing intervention among men in two fishing communities along the shores of Lake Victoria in Uganda. The main objectives of the study are: a) to assess the feasibility of implementing a peer-led HIV self-testing intervention among men in a fishing community context; b) determine the uptake of HIV self-testing among men in the fishing communities, and c) determine linkage to and retention in HIV care among newly diagnosed HIV-positive men following peer-led HIV self-testing. Participants will:Be administered a baseline questionnaire to assess prior HIV testing behaviors and willingness to self-test for HIVReceive two HIV self-test kits, one for them and one for someone else that they prefer to give the kit, to determine HIV testing behaviors among men and their significant othersBe administered follow-up questionnaires at one (1), six (6) and 12 months post-baseline to determine linkage to and retention in HIV care among those testing HIV-positive, as well as linkage to appropriate HIV prevention services among those testing HIV-negative.

Inclusion Criteria:Age 15 years or olderResidence in the targeted fishing community (and intended to stay for 12 or more months)Self-reported HIV-negative or unknown HIV status at enrolmentLast HIV test was done three or more months from the time of enrolmentExclusion Criteria:Men reporting a history of intimate partner violence in the past year preceding the surveyMen who did not belong to pre-identified social networks in the communityMen who were mentally incapacitated to understand the informed consent processUnemancipated minors aged 15-17 years