Patient-Centered Care Project (PCCP)
Promoting HIV Testing and Care in sub-Saharan Africa

Principal Investigator: 

Robert Remien, PhD

K Rivet Amico, PhD

Elizabeth A. Bukusi, MBChB, MMed, MPH, PhD

Benjamin Young, MD, PhD

Co-Investigator(s):

Joanne Mantell, PhD

Kenneth Ngure, MPH, MSc, PhD

Zachary Kwena, MA, PhD 

Nelly Mugo, MBChB, MPH

Nadia Nguyen, MSPH

Funding Agency:

National Institute of Mental Health (NIMH)

Collaborating Institution: 

University of Michigan
International Association of Physicians in AIDS Care (IAPAC)
Kenya Medical Research Institute (KEMRI)

Study Location:

Kisumu, Siaya

Homa Bay, Kenya

Description:

This qualitative study seeks to identify individual, community and structural level factors influencing uptake, use, and patient-centered delivery of HIV-testing and HIV-care services from the perspective of groups at elevated risk for HIV-infection and transmission.  We are currently conducting over 500 in-depth interviews (IDIs) with (1) HIV-negative/status unknown individuals, (2) HIV-positive individuals in care, and (3) HIV-positive individuals not in care. Within these three cohorts, we are focusing on the following target populations: (a) heterosexual men aged 18 and older, (b) adolescent/young women aged 15 to 24, and (c) men who have sex with men (MSM) aged 18 and older. We are sampling from both fishing and non-fishing communities in three high-prevalence counties in Kenya (Homa Bay, Kisumu, Siaya). We will also conduct up to 12 focus group discussions (FGDs) with key informants in these communities. Participants will complete a one-time, semi-structured interview or focus group conducted by Kenyan collaboration teams in the community. IDIs and FGDs will be transcribed using de-identification procedures, translated to English, and coded for main themes within each of the areas targeted in the interview guides. Themes emerging from discourse with people at risk of/affected by HIV and key informants within and across localities will guide intervention efforts in countries served by PEPFAR and support progress toward 90-90-90 goals.