Using traditional healers to offer HIV testing and counseling instead of standard clinic-based care in rural South Africa
Official title: Know Your Status: A Cluster Randomized Controlled Trial Comparing Healer-initiated HIV Counseling and Testing to Standard of Care in Rural South Africa
Run by Vanderbilt University Medical Center · NCT06483854 · Data updated 2026-11-12
This project will test whether training traditional healers to offer free HIV counseling, testing, and linkage services helps more adults in rural South Africa get tested and linked to care compared with standard clinic-based services.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 230907 (estimated) |
| Sponsor | Vanderbilt University Medical Center Academic / other |
| Locations | 1 site (Agincourt, MP) |
| Status | Recruiting |
| Started | November 25, 2024 |
| Main results expected | May 1, 2028 |
| Study ends | September 1, 2028 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT06483854 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18 years and older) living in the study catchment areas who choose to receive an HIV test from a participating traditional healer are ideal candidates.
✕Probably not a fit
People under 18, those who do not visit traditional healers, or individuals unable to provide informed consent (for example due to intoxication or acute mental health conditions) are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial is a cluster randomized controlled design in 42 clinical catchment areas in rural Bushbuckridge (Agincourt), building on a successful pilot where trained healers offered testing within their local clinics. Traditional healers will be trained to advertise free healer-initiated counseling and testing, provide point-of-care HIV tests, and facilitate linkage to public HIV care and treatment services. Adult community members (≥18) who choose to receive an HIV test from a participating healer will be enrolled and outcomes will include testing uptake, number of new HIV diagnoses, and successful linkage to care. The intervention will be compared to standard of care catchment areas to measure whether healer-initiated services increase testing and treatment entry among populations who underutilize clinic-based services.
Why it matters
Potential benefit: If successful, this approach could increase HIV testing and rapid linkage to care among people who avoid clinics, helping close gaps in diagnosis and treatment.
How similar studies have gone: A prior pilot with 15 trained healers reached 463 clients, with 77% of eligible participants agreeing to test and 95% of those testing positive linked to HIV care, indicating promising initial results.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Community members \> 18 years of age, who chose to receive an HIV test from a traditional healer. Exclusion Criteria: * Community members who are not of sound mind or body during the recruitment (inebriated, experiencing a mental health issue).
Where it's running
-
Bushbuckridge
Agincourt, Mp, South Africa Recruiting
Study contacts
- Principal investigator: Carolyn Audet, PhD — Vanderbilt University
- Study coordinator: Carolyn M Audet, PhD
- Email: carolyn.m.audet@vumc.org
- Phone: 6153432118
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.