Country of Operation
Target income level
- Lower-middle income (20-40%)
SummaryMP3-Youth is a pilot study to evaluate the feasibility and acceptability of a genderspecific combination HIV-prevention package in high-burden settings. MP3-Youth has a combination package in a mobile health delivery format using an integrated HIV combination/HIVprevention services approach.
The MP3-Youth package for all youth includes HIV counseling and testing (HTC) and linkage-to-care for the HIV infected. For males it also includes condoms and medical male circumcision (MMC). For females it also includes contraception (male/female condoms) and family planning. HIV-uninfected females who meet high-risk criteria and are out of school can access pre-exposure prophylaxis (PrEP) or, for eligible girls in-school, conditional cash transfer (CCT) to continue with classes. Youth subcohorts are followed up for 12 months to document behaviors/adherence related to selected interventions via unstructured supplementary service data (USSD) and short message service (SMS).
Key program components
Study procedures (combination HIV-prevention package) are offered in a mobile event in tents erected for two weeks. At enrollment, each participant’s biometrics are collected using Mobiotrics, a smartphone-based system for identification and follow-up at the different service delivery points.6 Mobiotrics is an offline/field-settings biometric system The use of ICT tools in this field-based approach to HIV prevention for at-risk youth in Kenya has been critical to success of efficient service delivery and data collection both at mobile events and during the follow-up period. Jasmine Buttolph, NYU mHEALTH COMPENDIUM VOLUME 5 n 33 running on Android devices. A fingerprint reader attached to the device captures participant fingerprints. Mobiotrics converts the fingerprint image to an alphanumeric identifier; the image is not stored. Once registered, fingerprint scans identify MP3-Youth participants at different service delivery points. Biometric information is stored locally on the tablet and synchronized across devices in different tents via a secure Wi-Fi direct connection; this guards against double enrollment and enhances tracking of participants’ access to multiple intervention components.7 Via the secure wireless local area network, the biometric data are available in real time as participants move from tent to tent. Study staff use the software to collect data in each tent, ensuring all staff know what services the participant has accessed, the results of tests (HIV, pregnancy, etc.), and key responses to behavioral questions collected in other tents. Tablets are used to collect data via Open Data Kit (ODK). ODK is an Android application used on smartphones/tablets for electronic data collection. In our study, ODK is used for behavioral and clinical data collection