The Risk of HIV Acquisition Among Traditional Healers in South Africa
NCT04440813 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 136
Last updated 2024-06-18
Summary
Traditional healers, community-based partners with the national health system of South Africa, are exposed to patient blood an average of 1,500 times during their careers due to the practice of delivering herbal remedies via herbs rubbed into dozens of sub-cutaneous cuts. The purpose of this proposal is to compare two implementation strategies to increase consistent use of Personal Protective Equipment (PPE): (1) a health care worker provided training program followed by 3 educational outreach and coaching visits at the healer's place of practice vs. (2) a training and educational outreach initiative led by a team of health care workers and healers who adopted and use PPE on their own (early adopters) to assess their effects on exposure to patient blood. With an HIV prevalence among healers well above that in the baseline population (30% vs. 19%) and HIV prevalence of 59% among those exposed to patient blood, this study will allow the investigators to test a novel implementation strategy for delivering PPE training to prevent new HIV infections among a newly identified high-risk population in a region with the world's highest HIV prevalence.
Conditions
- HIV Infections
Interventions
- BEHAVIORAL
-
Education and Training by Clinicians
Training in the use of PPE and education about the risks of blood exposure.
- BEHAVIORAL
-
Training and Education from Traditional Healers and Clinicians
Training in the use of PPE and education about the risks of blood exposure.
Sponsors & Collaborators
-
National Institute of Allergy and Infectious Diseases (NIAID)
collaborator NIH -
University of Witwatersrand, South Africa
collaborator OTHER -
Vanderbilt University Medical Center
lead OTHER
Principal Investigators
-
Carolyn M Audet, PhD · Vanderbilt University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-08-23
- Primary Completion
- 2023-01-25
- Completion
- 2023-01-25
Countries
- South Africa
Study Locations
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