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Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda

Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Trial

Introduction

Humanitarian areas often lack access to HIV self-testing (HIV-ST).

Methods

We conducted a trial to test three approaches:

  • Arm 1: HIV-ST alone
  • Arm 2: HIV-ST with edutainment comics
  • Arm 3: Edutainment comics only

These were compared to the standard care (SOC) to see which method increased HIV testing among refugee youth aged 16-24 in the Bidi Bidi Refugee Settlement, Uganda. We evaluated the results after 3 months using statistical models and open-ended questions.

Results

We had a high retention rate of 98% (117 out of 120 participants) at the 3-month follow-up. The results showed:

  • Arm 2: Highest increase in testing (adjusted odds ratio [aOR]: 8.46)
  • Arm 3: Moderate increase (aOR: 4.14)
  • Arm 1: No significant change

Conclusion

HIV self-testing is practical for refugee youth in Uganda. Adding edutainment comics can further enhance HIV prevention efforts.

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