- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05091489
ANRS 12415 - Quali PrEP Cambodia (ANRS 12415)
Qualitative Assessment About PrEP Acceptability in Key-populations and Conditions Required for Community-based PrEP Implementation in Cambodia
Hypothesis:
- Hypothesis 1 : Regarding the recentness of preexposure prophylaxis (PrEP) implementation with an uptake of 20% and according to the first consultative meeting, awareness and acceptability of PrEP seems to be low in key-populations of Cambodia
- Hypothesis 2 : Individual, social and structural barriers and facilitating factors of PrEP implementation as perceived by health workers and community-based organizations would be similar to what was observed worldwide 4,8.
- Hypothesis 3: Some subgroups of key-populations are difficult to reach in health facilities. Community organizations can play a critical role to provide PrEP information, initiation and counselling with the support of new technologies.
- Hypothesis 4: Community organizations might lack financial, logistical and skill capacities to deliver PrEP in good conditions
Main objective:
• To qualitatively evaluate the knowledge, awareness, perception, experience and acceptability of PrEP among key populations (entertainment workers (EW), men who have sex with men (MSM), transgender women (TW)), and among healthcare and community workers in charge of key populations
Secondary objectives:
- To better understand the characteristics, needs and expectations of community-based organizations (CBOs), in order to define the optimal conditions for community-based PrEP implementation
- To identify tools that could be useful to increase PrEP awareness and acceptability, especially new technologies (apps, websites)
Methodology: Qualitative study Focus groups with key-populations, healthcare and community workers Semi-directive interviews with decision makers and policy makers Estimated enrolment: 10 participants per focus group, 8 focus groups, 80 participants in focus groups, 6 interviewed persons, 86 participants in total
Study population: Men who have sex with men (MSM), entertainment workers (EW), transgender women (TGW), healthcare workers, community workers, decision and policy makers
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
Phnom Penh, Cambodia
- University of Health Sciences
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
MSM, TGW, MEW, FEW will be recruited through community-based organisations, or online, or directly on hotspots.
PrEP users will be recruited through the pilot program "Khmer PrEP" or online or through community-based organisations or directly on hotspots.
Health workers will be recruited in HIV services targeting key-populations. Decision makers will be recruited in their organizations respectively.
Description
Eligibility criteria for key-populations included in focus groups
All key-populations
- Having consented to participate into the research
- Self-declared negative HIV status
- Men who have sex with men (MSM): being sexually active and having had anal sex with at least one male (including TGW women) partner in the past 12 months.
- Transgender women (TGW): Being biologically male at birth and self-identified as a woman or third gender, reporting having anal sex with at least one male in the past 12 months
- Male entertainment workers (MEW): having at least one sexual intercourse in exchange of money in the last month. MEW are engaged in transactional sex by Facebook, via online App (Grinder, Blue) and massage parlor.
- Female entertainment workers: Venue-based (work in entertainment establishment) or non-venue based (freelance/street-based or park-based) women having at least one sexual intercourse in exchange of money in the last month. Venue-based EW (VEW) are defined as EW engaged in transactional sex for supplementary income which are employees in entertainment venues such as karaokes, bars, beer gardens, massage parlours. Free-lance EW (FEW) are defined as EW engaged in transactional sex in short-time hotel or public parks21 or "high-class" EW working in salons or using apps such as Line. We hypothesized that FEW and VEW have different sex behaviours as well as different perceptions and motivations towards PrEP.
- PrEP users: MSM or TGW who have started medical PrEP in the pilot program "Khmer PrEP" and MSM or TGW who have independently started medical PrEP in private. If possible, individuals who are currently receiving PrEP and individuals who discontinued will be included.
Exclusion criteria for key-populations : self-declared HIV-positive
Eligibility criteria for community and health workers
- Health workers and counselors: 1/ currently working in a HIV service targeting key populations (Samdach Ov Referral Hospital, Meanchey Referral Hospital, Social Health Clinic). 2/ currently working in a health service delivering PrEP (Chhouk Sar Clinic, Pochentong and Chaktomuk hospitals, RHAC)
- Community workers: currently working in CBOs with EW, TG and/or MSM (Cambodian Women for Peace and Development (CWPD), Men's Health Cambodia (MHC), Men's Health Social Service (MHSS)
Individual semi-directive interviews will be conducted:
- NCHADS (operational unit of the Ministry of Health in charge of health sector policy development for HIV/AIDS)
- National Aids Authority: in charge to lead, manage, coordinate and facilitate the comprehensive and multi-sectoral response to HIV and AIDS in Cambodia
- Ministry of Health
- Key influencer in the MSM and/or TG community
- Key influencer in the EW community
- Khana : an umbrella organization belonging to the HIV/AIDS international Alliance.
- High class and hidden MSM
- Discontinued PrEP user
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Men who have sex with men (MSM) non-using PrEP
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Male entertainment workers
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Free-lance based entertainment female workers non-using PrEP
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Venue-based entertainment female workers non-using PrEP
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Transgender women (TGW) non-using PrEP
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Healthcare workers in charge of key-populations
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Community workers in charge of key-populations
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
PrEP users
Focus group (10 persons)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
NCHADS
Individual semi-directive interview (1 person) (NCHADS: operational unit of the Ministry of Health in charge of health sector policy development for HIV/AIDS)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
National Aids Authority
Individual semi-directive interview (1 person) (National Aids Authority: in charge to lead, manage, coordinate and facilitate the comprehensive and multi-sectoral response to HIV and AIDS in Cambodia)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Ministry of Health
Individual semi-directive interview (1 person)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Key influencer in the MSM and/or TGW community
Individual semi-directive interview (1 person)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Key influencer in the EW community
Individual semi-directive interview (1 person)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Khana
Individual semi-directive interview (1 person) Khana : an umbrella organization belonging to the HIV/AIDS international Alliance |
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
High class and hidden MSM
Individual semi-directive interview (1 person)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
Discontinued PrEP user
Individual semi-directive interview (1 person)
|
Qualitative research among key-populations, community and healthcare workers, and decision and policy makers, including focus group and semi-directive interviews
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knowledge about PrEP
Time Frame: 1 hour
|
qualitative assessement
|
1 hour
|
Perception of PrEP
Time Frame: 1 hour
|
qualitative assessement
|
1 hour
|
Acceptability of PrEP
Time Frame: 1 hour
|
qualitative assessement
|
1 hour
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To better understand the characteristics, needs and expectations of community-based organisations (CBOs), in order to define the optimal conditions for community-based PrEP implementation
Time Frame: 1 hour
|
qualitative assessement
|
1 hour
|
To identify tools that could be useful to increase PrEP awareness and acceptability, especially new technologies (apps, websites)
Time Frame: 1 hour
|
qualitative assessement
|
1 hour
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Vonthanak SAPHONN, University of Health Sciences (UHS)
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- PREP2021-MF
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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