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Innovative HIV Testing Strategy for Middle-to-Upper Income Men in a Resource Limited Setting

Award Number: R21TW011069
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/01/2018
PERIOD OF PERFORMANCE END DATE: 04/30/2022

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Innovative HIV Testing Strategy for Middle-to-Upper Income Men in a Resource Limited Setting - PROJECT SUMMARY In Botswana, the setting of the proposed study, nearly one in five adults are living with HIV. Men in Botswana over age 40, the focus on the present research, show relatively high levels of HIV prevalence and risk behavior, and low levels of HIV testing. Moreover, higher income is associated with increased risk of being HIV-positive in sub-Saharan Africa (SSA). The proposed research will use mixed methods to develop an intervention that de- stigmatizes and encourages HIV testing among men of middle-to-higher socio- economic status (SES) in Gaborone, Botswana. We will focus on increasing HIV testing among men of higher SES. Fear of being stigmatized among financially secure men in employment in Botswana may contribute to low HIV testing uptake. The Specific Aims are: Aim 1: To initially conduct formative qualitative work to explore the role of stigma on low HIV testing uptake among 20 men via face to face interviews, and then to obtain feedback about potential interventions using asynchronous online focus group discussion among 40 men all with relatively high socio-economic status (SES) in Botswana. Aim 2: To develop and conduct a small pilot test of a local, culturally appropriate HIV testing strategy targeting 100 men in the higher-SES in Botswana. Hypothesis: At least 60% of men will access the new HIV testing strategy, equivalent to a ~20% point increase above testing strategies not tailored to men. Aim 3: To build capacity for HIV stigma and related behavioral research by conducting focused workshops in Botswana. To reach the remaining 10-10-10, it is essential to develop differentiated, tailored approaches for risk groups, such as men of relatively higher SES, that are untouched by existing prevention and testing frameworks in countries of high HIV prevalence.!


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2019	UNIVERSITY OF BOTSWANA	PLOT 4775 NOTWANE ROAD	GABORONE				BWA	International Research and Research Training	000	2	11/9/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2019	UNIVERSITY OF BOTSWANA	PLOT 4775 NOTWANE ROAD	GABORONE				BWA	International Research and Research Training	000	2	5/7/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2019 ( Subtotal = $132,243 )
2019	2019	UNIVERSITY OF BOTSWANA	NOTWANE ROAD	GABORONE				BWA	International Research and Research Training	001	2	5/10/2019	NON-COMPETING CONTINUATION	$106,708
2019	2018	UNIVERSITY OF BOTSWANA	NOTWANE ROAD	GABORONE				BWA	International Research and Research Training	000	1	1/24/2019	NEW	$25,535
														Subtotal = $132,243

Issue Date FY: 2018 ( Subtotal = $99,410 )
2018	2018	UNIVERSITY OF BOTSWANA	NOTWANE ROAD	GABORONE				BWA	International Research and Research Training	000	1	6/22/2018	NEW	$99,410
														Subtotal = $99,410

Grand Total All Awards = $231,653

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Innovative HIV Testing Strategy for Middle-to-Upper Income Men in a Resource Limited Setting

Award Number: R21TW011069

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/01/2018

PERIOD OF PERFORMANCE END DATE: 04/30/2022

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