Leveraging Infant Visit PrEP INtegration & tasK Shifting to Improve Post-partum HIV Prevention in Malawi
NCT06506188 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5000
Last updated 2025-08-24
Summary
The goal of the Leveraging Infant Visit PrEP INtegration \& tasK Shifting to Improve Postpartum HIV Prevention in Malawi (LINK) study is to evaluate both the effectiveness of a postpartum prevention package ("LINK model") among post-partum women and its implementation into existing clinical care models in Lilongwe, Malawi. The main question the study seeks to answer is:
Do women at clinics implementing the LINK model have improved Pre-exposure Prophylaxis (PrEP) persistence compared to women at clinics receiving the standard of care?
Researchers will compare the LINK model to standard of care by randomizing twelve sites to either the LINK model or the standard of care. Then researchers will review existing medical record and health surveillance data, and qualitative and quantitative data collected from intervention and control sites.
Conditions
- Breastfeeding
- HIV Prevention
Interventions
- BEHAVIORAL
-
LINK model
The LINK model includes four elements: (1) linking postpartum HIV testing and PrEP services to early infant vaccination, (2) screening for HIV risk among those who test negative for HIV at the early infant vaccination visit, (3) male partner engagement to support status awareness within couples and PrEP persistence, and (4) community-facility linkage (CFL) peer mom for ongoing support of breastfeeding women using PrEP and follow-up of breastfeeding women who disengage from PrEP care.
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
University of North Carolina, Chapel Hill
lead OTHER
Principal Investigators
-
Sarah E Rutstein, MD, PhD · University of North Carolina, Chapel Hill
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 15 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-09-15
- Primary Completion
- 2028-03-31
- Completion
- 2028-03-31
Countries
- Malawi
Study Locations
More Related Trials
-
Evaluation of a Differentiated Point-of-care Active Case Finding & Management Model to Eliminate Mother-to-Child Transmission of HIV in Malawi
NCT06493357 ·Status: RECRUITING ·Phase: NA
-
PrEP in Breastfeeding Study
NCT02776748 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Prenatal and Postnatal Studies of Interventions for Prevention of Mother-To-Child Transmission
NCT00028145 ·Status: COMPLETED
-
Infant Peri-Exposure Prophylaxis to Prevent HIV-1 Transmission by Breastfeeding: Mechanisms & Safety
NCT03519503 ·Status: COMPLETED
-
Study to Improve Survival Among HIV-Exposed Infants in Botswana
NCT01229761 ·Status: COMPLETED ·Phase: PHASE2
-
Breastfeeding, Antiretroviral, and Nutrition Study
NCT00164736 ·Status: COMPLETED ·Phase: PHASE3
-
Stepped Care to Optimize PrEP Effectiveness in Pregnant and Postpartum Women
NCT05322629 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Evaluating Strategies to Reduce Mother-to-Child Transmission of HIV Infection in Resource-Limited Countries
NCT01061151 ·Status: COMPLETED ·Phase: PHASE3
-
Tshireletso: Safety, Efficacy and Feasibility of Cabotegravir-LA PrEP in a Breastfeeding Population in Botswana
NCT05986084 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Healthy Mothers: an Intervention to Support Perinatal Women Living With HIV in Kenya
NCT05219552 ·Status: COMPLETED ·Phase: NA
-
Long Term Outcomes of Therapy in Women Initiated on Lifelong ART Because of Pregnancy in DR Congo
NCT03048669 ·Status: COMPLETED ·Phase: NA
-
Mother Infant Retention for Health: MIR4Health
NCT01962220 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Pre-Exposure Prophylaxis (PrEP) in Pregnant and Breastfeeding Women
NCT03902418 ·Status: COMPLETED
-
Increasing Neonatal HIV Test and Treat to Maximize the Long-Term Impact on Infant Health and Novel Infant Antiretroviral Treatment
NCT06267508 ·Status: RECRUITING
-
Vertical Transmission Study
NCT01948557 ·Status: COMPLETED ·Phase: NA
-
Mobile Phone Technology for Prevention of Mother-to-Child Transmission of HIV: Acceptability, Effectiveness, and Cost
NCT01645865 ·Status: COMPLETED
-
Preventing Unplanned Pregnancies in HIV Infected Zambian Couples
NCT00067522 ·Status: UNKNOWN ·Phase: NA
-
Measuring the Impact of Integrating Maternal and Newborn HIV Testing With Childhood Immunization Services
NCT02479659 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Population-level Impact of PMTCT Option B+ in Zimbabwe
NCT03388398 ·Status: COMPLETED
-
Using Nevirapine to Prevent Mother-to-Child HIV Transmission During Breastfeeding
NCT00074412 ·Status: COMPLETED ·Phase: PHASE3
-
Zambia Exclusive Breastfeeding Study
NCT00310726 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Pre-exposure Prophylaxis Cascade in Pregnant and Breastfeeding Women in Cape Town (Formative Study)
NCT03826199 ·Status: COMPLETED ·Phase: PHASE4
-
Trizivir Vs. Kaletra and Combivir for the Prevention of Mother-to-Child Transmission of HIV
NCT00270296 ·Status: COMPLETED ·Phase: PHASE2
-
ARVs to Prevent Breastmilk HIV:Viral and Immune Responses
NCT00167674 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluating Factors That Impact Loss to Follow-up Among Postpartum HIV-infected Women in Mississippi
NCT01190605 ·Status: COMPLETED