ComBaCaL HIV Prevention TwiCs
NCT07581600 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 380
Last updated 2026-05-22
Summary
This cluster-randomized intervention is embedded in the ComBaCaL (Community-Based Chronic disease care Lesotho) cohort study (EKNZ ID AO\_2022-00058, clinicaltrials.gov ID NCT05596773, Lesotho NH-REC ID 210-2022), a platform for the investigation of chronic diseases and their management in rural Lesotho that is maintained by local lay chronic care village health workers (CC-VHWs).
This study is to evaluate the effectiveness and safety of the CoPrev model in regard to biomedical HIV prevention utilization compared with an enhanced standard of care, in which VHWs assisted by a tablet-based CDS application, perform the same activities except for the prescription and/or delivery of PEP, oral PrEP, COC and self-injectable contraception. Additionally, this study aims to assess the outcomes and processes related to the implementation of such a model.
Conditions
- Human Immunodeficiency Virus (HIV)
Interventions
- OTHER
-
CoPrev model
* prescribe and deliver drugs for biomedical HIV prevenTion (PEP (TDF/3TC/DTG 300mg/300mg/50mg) or oral PrEP (TDF/3TC 300mg/300mg)) * offer refills for contraception (EE/LNG 30mcg/15mcg or 50mcg/15mcg) or self-injectable contraception (s.c. 104mg/0.65ml medroxypregosteronacetate * monitoring for all dispensed drug regimens
- OTHER
-
Referral to the nearest responsible health facility
* refer participants eligible for biomedical HIV prevention to the nearest health facility * offer family planning education, pregnancy screening, and refer participants for contraception.
Sponsors & Collaborators
-
Swiss Agency for Development and Cooperation (SDC)
collaborator UNKNOWN -
World Diabetes Foundation (WDF)
collaborator UNKNOWN -
SolidarMed
collaborator OTHER -
University Hospital, Basel, Switzerland
lead OTHER
Principal Investigators
-
Niklaus Labhardt · Division of Clinical Epidemiology, University Hospital Basel
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 15 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-06-30
- Primary Completion
- 2027-06-30
- Completion
- 2027-06-30
Countries
- Lesotho
- Switzerland
Study Locations
More Related Trials
-
Peer-Educator-coordinated vs Nurse-coordinated ART Refill for Adolescents and Young Adults Living With HIV in Lesotho
NCT03969030 ·Status: COMPLETED ·Phase: NA
-
Enhanced HIV Prevention in Couples: Feasibility Study #3
NCT02027519 ·Status: COMPLETED
-
Improving HIV Prevention Among Heterosexual Men Seeking STI Services in Malawi
NCT06200545 ·Status: COMPLETED ·Phase: NA
-
Implementing Oral (Event-driven and Daily) and Long-acting Pre-Exposure Prophylaxis in Mobile Men in Sub-Saharan Africa
NCT06133686 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Improving HIV Prevention Among Adolescent Girls and Young Women (AGYW) in Uganda
NCT05516602 ·Status: COMPLETED ·Phase: NA
-
TwySHE - An Mhealth Peer-navigator Intervention to Increase PrEP and Contraceptive Use
NCT06852508 ·Status: RECRUITING ·Phase: NA
-
Empowering Knowledge, Self-Testing & Resilience Through Innovative Methods for HIV
NCT07039682 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
HIV Self-Testing and Long-Acting Injectables for HIV Treatment and Prevention Among Commercial Minibus Drivers (I-TEST LAIs) in Nigeria
NCT07000513 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
PathToScale: An Implementation Evaluation
NCT06319105 ·Status: RECRUITING
-
Isisekelo Sempilo Trial to Optimize Peer (Thetha Nami) Delivery of HIV Prevention to Young People in Rural KwaZulu-Natal
NCT04532307 ·Status: COMPLETED ·Phase: NA
-
Suubi4PrEP: Improving PrEP Access and Adherence Among Adolescent Girls and Young Women in Uganda
NCT07002866 ·Status: RECRUITING ·Phase: NA
-
Integrating Enhanced HIV PrEP Into a STI Clinic in Lilongwe
NCT05307991 ·Status: COMPLETED
-
Harnessing Male Peer Networks to Enhance Engagement With HIV Prevention
NCT06370923 ·Status: RECRUITING ·Phase: NA
-
Feasibility and Interest of a HIV Quarterly Preventive Global Care in Men Who Have Sex With Men in Sub-Saharan Africa
NCT02626286 ·Status: COMPLETED ·Phase: NA
-
Sustainable Healthcenter Implementation PrEP Pilot Study
NCT02074891 ·Status: COMPLETED
-
Evaluation of Free STI Testing Pilot Projects in Lucerne and Zurich, Switzerland
NCT07516912 ·Status: NOT_YET_RECRUITING
-
HOme-based SElf-testiNG - a Cluster Randomized Controlled Trial in Rural Lesotho (HOSENG)
NCT03598686 ·Status: COMPLETED ·Phase: NA
-
Prevention ICONA Dedicated Ensemble
NCT07186244 ·Status: RECRUITING
-
Trial of Safe Water Storage Among People Living With HIV
NCT01376336 ·Status: UNKNOWN ·Phase: NA
-
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
-
Population Effectiveness of Dolutegravir Implementation in Sub-Saharan Africa
NCT04066036 ·Status: COMPLETED
-
Acceptability/Feasibility of HIV Testing by ELISA or Rapid Test to Adult Patients in Paris, France
NCT02574208 ·Status: COMPLETED ·Phase: NA
-
Risk of Morbidity, Mortality and Long-term Monitoring of Antiretroviral Treatment in People Living With HIV
NCT03296202 ·Status: RECRUITING
-
Link4Health: A Combination Strategy for Linkage and Retention, Swaziland
NCT01904994 ·Status: COMPLETED ·Phase: NA
-
Improving Access to HIV Testing for Children in Uganda
NCT07236905 ·Status: RECRUITING ·Phase: NA