CClinicalTrials.gg
CompletedNCT06274060Updated Jun 18, 2026Results posted

Project Phakama: Testing Support Strategies to Empower Young Women on PrEP in South Africa

An interventional study of Case management and Food vouchers in Pre-exposure Prophylaxis and HIV Infections, sponsored by Johns Hopkins Bloomberg School of Public Health. Completed at 1 site in South Africa. Open to female participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by Johns Hopkins Bloomberg School of Public Health · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
304
Allocation
Randomized
Ages
16 Years and older
Sex
Female
01

Study summary

The goal of this trial is to understand which strategies work best to support pre-exposure prophylaxis (PrEP) use among female sex workers (FSW) and adolescent girls and youth women (AGYW) in uMgungundlovu, KwaZulu-Natal, South Africa. Participants will be randomly assigned to receive a combination of up to four support strategies encourage the participants in continuing to use PrEP. The four strategies being tested are: case management, food vouchers, peer support buddies, and community-based PrEP pick-up points. The intention of this trial is to determine which PrEP support strategy or bundle(s) of strategies best promote(s) long-term PrEP use, so that these services can be scaled up to other districts in South Africa.

Read the detailed description

The overall aim of this trial is to investigate which PrEP support strategies most effectively and efficiently optimize(s) PrEP persistence among female sex workers (FSW) and adolescent girls and youth women (AGYW) in South Africa. The trial will be implemented by TB HIV Care, a South African non-profit organization that provides direct HIV service delivery to FSW and AGYW across 10 districts in South Africa. The investigators plan to individually randomize 304 FSW and AGYW at the TB HIV Care site in uMgungundlovu, KwaZulu-Natal, to a fractional factorial trial, randomizing combinations of four separate strategies to support PrEP continuation. As fthe strategies are being tested, this results in 16 different intervention/study conditions, with one condition serving as a control where FSW and AGYW will receive the standard of care and no additional PrEP support. The other 15 conditions will be a combination of the standard of care alongside different PrEP delivery and support strategies implemented by TB HIV Care: case management, food vouchers, peer support buddies, and PrEP pick-up points. The intention of this trial is to determine which PrEP support strategy or bundle(s) of strategies best promote(s) long-term PrEP use and persistence, so that these services can be scaled up to other TB HIV Care sites. By utilizing the fractional factorial design in alignment the multiphase optimization strategy framework (MOST) the trial is feasible to conduct even with 16 arms, as the design compares results in arms with and without each of the strategies, but is not fully powered to test every combination of strategies.Thus, each strategy will be received by half of the participants, though the combinations of strategies will vary.

02

Conditions studied

  • Pre-exposure Prophylaxis
  • HIV Infections

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Keywords

  • PrEP
  • HIV prevention
  • Adolescent girls and young women
  • Female sex workers
  • South Africa
03

In context

HIV Infections

4,259 studies on the registry are indexed under HIV Infections; 241 are open to participants now.

This study's enrollment of 304 is above the median of 83 across 3,252 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Johns Hopkins Bloomberg School of Public Health is the lead sponsor of 364 studies on the registry; 41 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Initiated PrEP within the past 48 hours by the TB HIV Care PrEP programme in uMgungundlovu through the female sex worker (FSW) or adolescent girls and young women (AGYW) PrEP programme teams

Exclusion criteria

Exclusion Criteria:

  • Not eligible for PrEP
  • Currently on PrEP, but initiated onto PrEP more than 48 hours previously
  • Under 16 years of age if AGYW OR under 18 years of age if FSW
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
304 participants (actual)

Study arms

  • No intervention
    Standard of care

    The TB HIV Care programme standard of care includes full-time peer educators employed by the programme to engage women, layered PrEP promotion across prevention programmes, and "refer a friend" strategies, information, education and communication (IEC) materials, service user testimonials, risk reduction posters to better align young women's perception of risk, working after hours/weekends to reach young women, working with school governing bodies, and door-to-door outreach.

  • Experimental
    Case management

    Participants will receive case management layered on existing standard of care.

    Behavioral: Case management

  • Experimental
    Food vouchers

    Participants will receive food vouchers layered on existing standard of care.

    Behavioral: Food vouchers

  • Experimental
    PrEP support buddy

    Participants will receive the PrEP support buddy intervention layered on existing standard of care.

    Behavioral: PrEP support buddy

  • Experimental
    Community-based PrEP pickup points

    Participants will receive the community-based PrEP pickup point intervention layered on existing standard of care.

    Behavioral: Community-based PrEP pickup points

  • Experimental
    PrEP support buddy + Community-based PrEP pickup points

    Participants in this arm will receive both the PrEP support buddy and community-based PrEP pickup point interventions in combination.

    Behavioral: PrEP support buddy · Behavioral: Community-based PrEP pickup points

  • Experimental
    Food vouchers + Community-based PrEP pickup points

    Participants in this arm will receive both the food voucher and community-based PrEP pickup point interventions in combination.

    Behavioral: Food vouchers · Behavioral: Community-based PrEP pickup points

  • Experimental
    Food vouchers + PrEP support buddy

    Participants in this arm will receive both the food voucher and PrEP support buddy interventions in combination.

    Behavioral: Food vouchers · Behavioral: PrEP support buddy

  • Experimental
    Case management + Community-based PrEP pickup points

    Participants in this arm will receive both the case management and community-based PrEP pickup point interventions in combination.

    Behavioral: Case management · Behavioral: Community-based PrEP pickup points

  • Experimental
    Case management + PrEP support buddy

    Participants in this arm will receive both the case management and PrEP support buddy interventions in combination.

    Behavioral: Case management · Behavioral: PrEP support buddy

  • Experimental
    Case management + Food vouchers

    Participants in this arm will receive both the case management and food voucher interventions in combination.

    Behavioral: Case management · Behavioral: Food vouchers

  • Experimental
    Food voucher + PrEP support buddy + Community-based PrEP pickup points

    Participants in this arm will receive the food voucher, PrEP support buddy, and community-based PrEP pickup point interventions in combination.

    Behavioral: Food vouchers · Behavioral: PrEP support buddy · Behavioral: Community-based PrEP pickup points

  • Experimental
    Case management + PrEP support buddy + Community-based PrEP pickup points

    Participants in this arm will receive the case management, PrEP support buddy, and community-based PrEP pickup point interventions in combination.

    Behavioral: Case management · Behavioral: PrEP support buddy · Behavioral: Community-based PrEP pickup points

  • Experimental
    Case management + Food vouchers + Community-based PrEP pickup points

    Participants in this arm will receive the case management, food vouchers, and community-based PrEP pickup point interventions in combination.

    Behavioral: Case management · Behavioral: Food vouchers · Behavioral: Community-based PrEP pickup points

  • Experimental
    Case management + Food vouchers + PrEP support buddy

    Participants in this arm will receive the case management, food vouchers, and PrEP support buddy interventions in combination.

    Behavioral: Case management · Behavioral: Food vouchers · Behavioral: PrEP support buddy

  • Experimental
    Case management + Food vouchers + PrEP support buddy + Community-based PrEP pickup points

    Participants in this arm will receive the case management, food vouchers, PrEP support buddy, and community-based PrEP pickup point interventions in combination.

    Behavioral: Case management · Behavioral: Food vouchers · Behavioral: PrEP support buddy · Behavioral: Community-based PrEP pickup points

Interventions

  • BehavioralCase management

    Participants will receive case management delivered by a peer with PrEP experience/success for seven months, with the goal of improving self-efficacy to take PrEP. The intention of this intervention is to help participants to develop individualized strategies to address and overcome barriers to PrEP use, as well as develop disclosure strategies. This strategy includes weekly face-to-face support with the case manager for the first month of the trial, followed by monthly face-to-face support for the remainder of the trial follow up period. The strategy will also include client-initiated on-demand phone consultation with the case manager and mental health/substance use screening and referrals. Participants randomized to this strategy may also opt into daily timed PrEP pill-taking reminders via short message service (SMS).

  • BehavioralFood vouchers

    Participants will be given food vouchers with a value of 200 South African Rand at the time of PrEP initiation and at 1- and 4-month standard of care visits at which clinical checkups and PrEP refills are provided. The goal of these vouchers is to improve participants' capacity to persist on PrEP. While PrEP can be taken without food, some experience increased side effects or prefer to take pills with food, making adherence difficult if they cannot afford food at times.

  • BehavioralPrEP support buddy

    Participants will identify a person in their network (such as a friend, partner, parent) that they wish to support them in their PrEP usage, with the goal of improving participants' motivation and self-efficacy to persist on PrEP and providing social support to facilitate ongoing PrEP use. Support buddies selected by FSW and AGYW randomized to this intervention will receive a one-time training session on PrEP and support strategies as well as informational materials and text reminders to assist them in providing ongoing PrEP support.

  • BehavioralCommunity-based PrEP pickup points

    Participants will be able to pick up PrEP from alternative pick-up points within the community that are convenient for them, with the goal of making PrEP more accessible to participants. Ten pickup points will be established at existing Hubs of Hope throughout the subdistricts served by the TB HIV Care programme. Hubs of Hope are based in the War Rooms within subdistricts, where the TB HIV Care programme operates, and serve as meeting places for service users to receive support searching for jobs, completing online courses, and other personal development activities to support a multi-sectoral approach to health. A TB HIV Care ambassador is based at each Hub of Hope to coordinate activities and provide support to service users. Participants who choose to use pick-up points will have the option of either completing an HIV self-test or testing with the on-site TB HIV Care staff to confirm HIV-negative status prior to receipt of PrEP refills.

06

What researchers measure

Primary outcomes

  1. PrEP Persistence at 7 Months After PrEP Initiation

    Participants who had PrEP in their possession 7-months after initiation, or returned for their 7-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

    Time frame: Month 7

  2. PrEP Adherence at 7 Months After PrEP Initiation

    The investigators will use dried blood spot (DBS) samples to measure PrEP adherence as an indicator of actual pill-taking. High PrEP adherence will be defined as taking 4 doses or more/week, measured as tenofovir-diphosphate (TFV-DP) ≥700 femtomoles per DBS sample. Among participants that do not return for DBS, the investigators will assume non-adherence and they will not be included in this outcome.

    Time frame: Month 7

Secondary outcomes

  1. PrEP Persistence at 1 Month After PrEP Initiation

    Participants who had PrEP in their possession 1-month after initiation, or returned for their 1-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

    Time frame: Month 1

  2. PrEP Persistence at 4 Months After PrEP Initiation

    Participants who had PrEP in their possession 4-months after initiation, or returned for their 4-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

    Time frame: Month 4

  3. PrEP Persistence at 13 Months After PrEP Initiation

    Participants who had PrEP in their possession 13-months after initiation, or returned for their 13-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

    Time frame: Month 13

  4. PrEP Adherence at 7 Months After PrEP Initiation Among Trial Participants Who Provided Dried Blood Spot Samples

    The investigators will use dried blood spot (DBS) samples to measure PrEP adherence as an indicator of actual pill-taking. High PrEP adherence will be defined as taking 4 doses or more/week, measured as tenofovir-diphosphate (TFV-DP) ≥700 femtomoles per DBS sample. Those who do not return at 7-months or do not provide a DBS sample will be excluded from this analysis.

    Time frame: Month 7

07

Results

Posted Jun 17, 2026

Participant flow

Recruitment took place at the TB HIV Care drop-in center in uMgungundlovu, KwaZulu-Natal from April to September 2024. The first participant was enrolled on April 16, 2024 and the last participant was enrolled September 6th, 2024.

Participant flow — Overall Study
MilestoneStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
Started19181919191919191920191919191919
Completed12161617151916171717171818181815
Not completed7232403223211114
Withdrew: Death0000000000000010
Withdrew: Adverse event0000000011000001
Withdrew: Lost to follow-up7232403212211103

Outcome measures

PrimaryPrEP Persistence at 7 Months After PrEP Initiation

Participants who had PrEP in their possession 7-months after initiation, or returned for their 7-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

Time frame:
Month 7
Reported as:
Count of participants · Participants
PrEP Persistence at 7 Months After PrEP Initiation
ParticipantsStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
PrEP Persistence at 7 Months After PrEP Initiation61097968104881287104
PrimaryPrEP Adherence at 7 Months After PrEP Initiation

The investigators will use dried blood spot (DBS) samples to measure PrEP adherence as an indicator of actual pill-taking. High PrEP adherence will be defined as taking 4 doses or more/week, measured as tenofovir-diphosphate (TFV-DP) ≥700 femtomoles per DBS sample. Among participants that do not return for DBS, the investigators will assume non-adherence and they will not be included in this outcome.

Time frame:
Month 7
Reported as:
Count of participants · Participants
PrEP Adherence at 7 Months After PrEP Initiation
ParticipantsStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
PrEP Adherence at 7 Months After PrEP Initiation1601012212132211
SecondaryPrEP Persistence at 1 Month After PrEP Initiation

Participants who had PrEP in their possession 1-month after initiation, or returned for their 1-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

Time frame:
Month 1
Reported as:
Count of participants · Participants
PrEP Persistence at 1 Month After PrEP Initiation
ParticipantsStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
PrEP Persistence at 1 Month After PrEP Initiation1011141015916121112131411121111
SecondaryPrEP Persistence at 4 Months After PrEP Initiation

Participants who had PrEP in their possession 4-months after initiation, or returned for their 4-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

Time frame:
Month 4
Reported as:
Count of participants · Participants
PrEP Persistence at 4 Months After PrEP Initiation
ParticipantsStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
PrEP Persistence at 4 Months After PrEP Initiation610111011810106991012798
SecondaryPrEP Persistence at 13 Months After PrEP Initiation

Participants who had PrEP in their possession 13-months after initiation, or returned for their 13-month PrEP refill visit. PrEP persistence was determined using programmatic data on PrEP visits among participants successfully linked to TB HIV Care program records.

Time frame:
Month 13
Reported as:
Count of participants · Participants
PrEP Persistence at 13 Months After PrEP Initiation
ParticipantsStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
PrEP Persistence at 13 Months After PrEP Initiation1001100210100011
SecondaryPrEP Adherence at 7 Months After PrEP Initiation Among Trial Participants Who Provided Dried Blood Spot Samples

The investigators will use dried blood spot (DBS) samples to measure PrEP adherence as an indicator of actual pill-taking. High PrEP adherence will be defined as taking 4 doses or more/week, measured as tenofovir-diphosphate (TFV-DP) ≥700 femtomoles per DBS sample. Those who do not return at 7-months or do not provide a DBS sample will be excluded from this analysis.

Time frame:
Month 7
Reported as:
Count of participants · Participants
PrEP Adherence at 7 Months After PrEP Initiation Among Trial Participants Who Provided Dried Blood Spot Samples
ParticipantsStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
PrEP Adherence at 7 Months After PrEP Initiation Among Trial Participants Who Provided Dried Blood Spot Samples1601012212132211

Adverse events

Collected over During the trial period from April 2024-May 2025, approximately 13 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard of Care0/19 (0%)0/19 (0%)0/19 (0%)
Case Management0/18 (0%)0/18 (0%)0/18 (0%)
Food Vouchers0/19 (0%)0/19 (0%)0/19 (0%)
PrEP Support Buddy0/19 (0%)0/19 (0%)0/19 (0%)
Community-based PrEP Pickup Points0/19 (0%)0/19 (0%)0/19 (0%)
PrEP Support Buddy + Community-based PrEP Pickup Points0/19 (0%)0/19 (0%)0/19 (0%)
Food Vouchers + Community-based PrEP Pickup Points0/19 (0%)0/19 (0%)0/19 (0%)
Food Vouchers + PrEP Support Buddy0/19 (0%)0/19 (0%)0/19 (0%)
Case Management + Community-based PrEP Pickup Points0/19 (0%)1/19 (5.3%)0/19 (0%)
Case Management + PrEP Support Buddy0/20 (0%)1/20 (5%)0/20 (0%)
Case Management + Food Vouchers0/19 (0%)0/19 (0%)0/19 (0%)
Food Voucher + PrEP Support Buddy + Community-based PrEP Pickup Points0/19 (0%)0/19 (0%)0/19 (0%)
Case Management + PrEP Support Buddy + Community-based PrEP Pickup Points0/19 (0%)0/19 (0%)0/19 (0%)
Case Management + Food Vouchers + Community-based PrEP Pickup Points0/19 (0%)0/19 (0%)0/19 (0%)
Case Management + Food Vouchers + PrEP Support Buddy1/19 (5.3%)0/19 (0%)0/19 (0%)
Case Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points0/19 (0%)1/19 (5.3%)0/19 (0%)
Most frequent serious events
Most frequent serious events
EventStandard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup Points
HIV SeroconversionInfections and infestations0/190/180/190/190/190/190/190/191/191/200/190/190/190/190/191/19

Baseline characteristics

Age, Continuous
Age, Continuous(years)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
Mean22.4 ± 6.122.3 ± 4.021.5 ± 2.422.3 ± 4.121.9 ± 4.722.8 ± 4.923.5 ± 5.723.4 ± 5.324.4 ± 6.722.9 ± 5.622.5 ± 5.023.5 ± 5.823.5 ± 4.423.5 ± 6.121.3 ± 3.922.7 ± 3.322.8 ± 4.9
Age, Customized
Age, Customized(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
Age cateogry — 16-17300110220022012016
Age cateogry — 18-2413151814161311111216121214131414218
Age cateogry — 25-29021314344223222439
Age cateogry — 30-34210001111131321119
Age cateogry — 35-3900011121100000007
Age cateogry — 40+10000000110101005
Sex: Female, Male
Sex: Female, Male(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
Female19181919191919191920191919191919304
Male00000000000000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
American Indian or Alaska Native00000000000000000
Asian00000000000000000
Native Hawaiian or Other Pacific Islander00000000000000000
Black or African American19181919191919191920191919191919304
White00000000000000000
More than one race00000000000000000
Unknown or Not Reported00000000000000000
Region of Enrollment
Region of Enrollment(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
South Africa19181919191919191920191919191919304
Population
Population(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
Female sex worker7677777778677778112
Adolescent girls and young women12121212121212121212131212121211192
Education
Education(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
Up to Grade 9001100202001210010
Grade 10-11033132342122032435
Grade 12 (Matric)755117776914657777117
Post-secondary312101121123321024
Currently studying9985996754987698118
Living situation
Living situation(Participants)Standard of CareCase ManagementFood VouchersPrEP Support BuddyCommunity-based PrEP Pickup PointsPrEP Support Buddy + Community-based PrEP Pickup PointsFood Vouchers + Community-based PrEP Pickup PointsFood Vouchers + PrEP Support BuddyCase Management + Community-based PrEP Pickup PointsCase Management + PrEP Support BuddyCase Management + Food VouchersFood Voucher + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + PrEP Support Buddy + Community-based PrEP Pickup PointsCase Management + Food Vouchers + Community-based PrEP Pickup PointsCase Management + Food Vouchers + PrEP Support BuddyCase Management + Food Vouchers + PrEP Support Buddy + Community-based PrEP Pickup PointsTotal
Family Home1415131113131313131314912111014201
Renting own place436753553646557478
Partner's place00000111100200107
Other100112002112231118

10 further baseline measures are reported on the registry.

08

Study locations

1 site
  • TB HIV Care
    Pietermaritzburg, KwaZulu-Natal 3200, South Africa
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 18, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06274060
Lead sponsor
Johns Hopkins Bloomberg School of Public Health
Collaborators
TB HIV Care, Unity Health Toronto, National Institute of Mental Health (NIMH)
Responsible party
Sponsor
First posted
Feb 23, 2024
Start date
Apr 16, 2024
Primary completion
Jun 1, 2025
Completion
Jun 1, 2025
Results posted
Jun 17, 2026
Last update
Jun 18, 2026

Study contacts

Sheree Schwartz, PhD, MPH
principal investigator · Johns Hopkins Bloomberg School of Public Health
Harry Hausler, MD, PhD, MPH
principal investigator · TB HIV Care

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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