HIV is the leading cause of death for adolescents and young people (AYP) in sub-Saharan Africa (SSA). Uganda hosts 1.3 million refugees/displaced persons, and more than 80,000 live in Kampala, most in slums, yet little is known of HIV testing and prevention needs with displaced/refugee AYP living in Kampala's slums. This study aims to develop, implement and evaluate an oral HIV-self testing (HIVST) intervention with displaced/refugee AYP aged 16- 24 in Kampala. HIVST is acceptable and properly used with AYP in other SSA regions, yet there are knowledge gaps regarding the best way to link HIVST to HIV care. This study aims to explore how m-health (healthcare delivered on mobile-phones), congruent with how AYP learn and socialize, can improve linkage to care with HIVST. This trial focuses on implementing a cluster randomized trial with displaced/refugee AYP aged 16-24 living in informal settlements in Kampala (Arm1: HIVST; Arm 2: HIVST + m-health; Arm 3: standard of care). The study will assess changes in HIV testing practices, HIV status knowledge, and linkage to HIV prevention and care between the 3 arms.
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Changes in HIV testing Frequency
Timeframe: Time 1 (month 0), Time 2 (month 9), Time 3 (month 12)
Change in Knowledge of HIV status
Timeframe: Time 1 (month 0), Time 2 (month 9), Time 3 (month 12)
Changes in Linkage to confirmatory HIV testing
Timeframe: Time 2 (month 9), Time 3 (month 12)
Changes in Linkage to HIV care
Timeframe: Time 2 (month 9), Time 3 (month 12)
HIVST kit use
Timeframe: Time 3 (month 12)