Manicaland VMMC Uptake Through Behavioural Incentives Trial
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ClinicalTrials.gov Identifier: NCT03565588 |
Recruitment Status :
Completed
First Posted : June 21, 2018
Last Update Posted : October 6, 2021
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Primary Objective The purpose of this study is to evaluate the impact of an interactive VMMC education session offered by a circumcised health worker and contribution to transport costs for accessing VMMC along with either (1) conditional economic compensation for wages or (2) lottery-based economic incentives on the uptake of VMMC.
Hypothesis VMMC education session offered by a role model - a young male health worker who has been previously benefited from VMMC services in this community - addressing risks of HIV infection, benefits of VMMC, and the fear of pain associated with VMMC, with/without a conditional fixed or lottery-based financial incentives off-setting present-biased preferences, will improve risk perception and increase uptake of VMMC in HIV-negative young men.
Study outcomes The primary outcomes for the study will be risk perception measured in a follow-up survey at 6 months and proportion of men taking up VMMC within 6 months measured through self-reports and matched to program records.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
HIV/AIDS | Behavioral: Education session with fixed incentive Behavioral: Education session with lottery incentive | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 1028 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Prevention |
Official Title: | Improving Risk Perception and Uptake of Voluntary Medical Male Circumcision (VMMC) With Education Sessions and Conditional Behavioural Incentives |
Actual Study Start Date : | July 7, 2018 |
Actual Primary Completion Date : | July 30, 2020 |
Actual Study Completion Date : | January 30, 2021 |
Arm | Intervention/treatment |
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Experimental: Education session with fixed incentive
Education sessions offered by a circumcised health worker and contribution towards transport costs to the health facility with payments conditional on being circumcised.
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Behavioral: Education session with fixed incentive
All participants will receive an education session on the risk of HIV infection and benefits from medical male circumcision. The sessions will be implemented by trained male healthcare workers who have undergone VMMC. All participants will receive contributions towards transport costs to access medical male circumcision at participating clinics. On completing VMMC, participants assigned to receive fixed incentives will receive payment through mobile payments. In two sites a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures. |
Experimental: Education session with lottery incentive
Education sessions offered by a circumcised health worker and contribution towards transport costs but with conditional lottery financial incentives.
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Behavioral: Education session with lottery incentive
All participants will receive an education session on the risk of HIV infection and benefits from medical male circumcision. The sessions will be implemented by trained male healthcare workers who have undergone VMMC. All participants will receive contributions towards transport costs to access medical male circumcision at participating clinics. On completing VMMC, participants will participate in a lottery with prizes equivalent in expected value to the fixed incentives. In two sites a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures. |
No Intervention: Control arm
No intervention will be administered to the control arm
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- Uptake of voluntary medical male circumcision (VMMC) [ Time Frame: 6 months ]Proportion of men taking up VMMC within 6 months measured through self-reports and matched to programme records
- Changes in perception of risk of HIV [ Time Frame: 6 months ]Risk perception will be measured in a follow-up survey at 6 months

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Ages Eligible for Study: | 15 Years to 29 Years (Child, Adult) |
Sexes Eligible for Study: | Male |
Gender Based Eligibility: | Yes |
Gender Eligibility Description: | Participant eligibility is based on self-representation of gender identity. |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Men
- Age 15-29 years
Exclusion Criteria:
- Participants testing HIV-positive at baseline
- Self-reporting have already undergone circumcision

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03565588
Zimbabwe | |
Manicaland Centre for Public Health Research | |
Bonda, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Eastern Highlands, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Hobhouse, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Honde, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Nyanga, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Nyazura, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Sakubva, Manicaland, Zimbabwe | |
Manicaland Centre for Public Health Research | |
Selbourne, Manicaland, Zimbabwe |
Principal Investigator: | Simon Gregson, PhD | Imperial College London |
Responsible Party: | Simon Gregson, Professor of Demography and Behavioural Science, Imperial College London |
ClinicalTrials.gov Identifier: | NCT03565588 |
Other Study ID Numbers: |
P67251_VMMC 1R01MH114562-01 ( U.S. NIH Grant/Contract ) |
First Posted: | June 21, 2018 Key Record Dates |
Last Update Posted: | October 6, 2021 |
Last Verified: | October 2021 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Voluntary medical male circumcision HIV prevention Risk perception |
Acquired Immunodeficiency Syndrome HIV Infections Blood-Borne Infections Communicable Diseases Infections Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Lentivirus Infections |
Retroviridae Infections RNA Virus Infections Virus Diseases Slow Virus Diseases Genital Diseases Urogenital Diseases Immunologic Deficiency Syndromes Immune System Diseases |