Combined Interventions for HIV and Schistosomiasis in Malawi: Practical Solutions and Value
Highlights:
Undiagnosed HIV and schistosomiasis are common among Malawian fishermen near the African Great Lakes.
Three-arm trial in 45 fishing communities assessed lakeside interventions for HIV and male genital schistosomiasis.
Main outcomes were prevalence of schistosomiasis, uptake of antiretroviral therapy (ART), and voluntary male medical circumcision (VMMC).
Peer education and distribution of HIV self-test kits were compared to enhanced standard of care.
Peer distribution education showed strong evidence for reducing schistosomiasis prevalence and promoting engagement with services.
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