Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Providing HIV self-test kits to women who sell sex for distribution to their male partners

Official title: Reaching the Last 20%: a Targeted HIV Self-test Secondary Distribution Intervention to Engage High-risk Men in Kenya

Run by RTI International · NCT05882916 · Data updated 2026-11-12

This study is testing if giving HIV self-test kits to women who sell sex can help them share these kits with their male partners to encourage more men to get tested and access treatment.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment5000 (estimated)
SponsorRTI International
Academic / other
Locations1 site (Kisumu)
StatusRecruiting
StartedMarch 1, 2024
Main results expectedMay 29, 2026
Study endsAugust 7, 2026
Registry record updatedMarch 18, 2025
Trial IDNCT05882916 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are women aged 18 and older who exchange sex for compensation and are willing to distribute HIV self-test kits to their male partners.

Probably not a fit

Patients who do not engage in sex for compensation or are unwilling to provide informed consent may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This cluster randomized controlled trial aims to evaluate the effectiveness of distributing multiple oral fluid-based HIV self-test kits to women who sell sex, enabling them to share these kits with their male partners who purchase sex. The study will take place in Kisumu and Siaya counties in Western Kenya, targeting high-risk populations to enhance HIV service uptake. Participants will receive counseling on the use of self-test kits, which include tailored information about local clinic services and the benefits of antiretroviral therapy and pre-exposure prophylaxis. The intervention's impact on male partners' engagement with HIV services will be monitored to assess its effectiveness.

Why it matters

Potential benefit: If successful, this approach could significantly increase HIV testing and service uptake among high-risk male populations.

How similar studies have gone: Preliminary data suggest that secondary distribution of HIV self-tests is feasible and acceptable, indicating potential for success in this innovative approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Female
* Age ≥18 years
* Reports exchanging sex for compensation with ≥2 men in the past month
* Engages in sex for compensation in the intervention cluster catchment area
* Willing to participate in a brief questionnaire 6 weeks after enrollment
* Plan to remain in the area of study recruitment for the next 8 weeks

Exclusion Criteria:

* Unwilling or unable to provide informed consent for participation

Where it's running

  • Impact Research and Development Organization (IRDO)
    Kisumu, Kenya
    Recruiting

Study contacts

  • Principal investigator: Sue Napierala, PhD, MPH — RTI International
  • Study coordinator: Sue Napierala, PhD, MPH
  • Email: snapierala@rti.org
  • Phone: 5104188198

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.