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


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


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.