Long-Acting HIV Pre-Exposure Prophylaxis Integrated With Sexual and Reproductive Health - cRCT

Uptake PrEP,Retention on PrEP

The goal of this hybrid (1a) Cluster Randomised Controlled Trial phase 3B trial is to
 evaluate the effectiveness and implementation of offering a choice of HIV Pre-Exposure
 Products (PrEP) through community-based sexual and reproductive health services, on PrEP
 uptake and retention, and population prevalence of sexually transmissible HIV amongst
 adolescents and young adults living in rural South Africa.
 
 Researchers will compare adding the choice of long-acting PrEP, i.e. two monthly injectable
 cabotegravir (CAB LA) or dapiravine vaginal ring and HIV post exposure prophylaxis packs to
 daily oral PrEP integrated with community-based SRH in the 20 intervention clusters with
 standard of care (SoC), daily oral PrEP integrated with community-based SRH in the 20 control
 clusters, on uptake and retention on PrEP. We hypothesise that offering a choice of
 long-acting or oral PrEP and PEP within the community-based delivery of SRH services will
 overcome the challenges and barriers to effective use of oral daily PrEP and lead to a
 population-level effect on uptake and retention on PrEP and thus the prevalence of sexually
 transmissible HIV amongst 15-30 year olds living in rural KwaZulu-Natal, South Africa.