Effectiveness of interventions to promote couples-based HIV testing and family health during pregnancy and postpartum in Kenya: a multicentre, couples-based, randomised controlled trial.

In 30 seconds

This multicentre, couples-based, randomised controlled trial in Kenya evaluated the effectiveness of two interventions—home visits and HIV self-testing kits—on couples' HIV testing uptake and maternal and child health outcomes. Among 800 couples, CHTC uptake was significantly higher in the home visit group (56.2%) and HIV self-test group (50.0%) compared to standard care (13.6%), indicating the interventions' effectiveness in promoting health during pregnancy and postpartum.

Key findings

• Couples in the home visit group had a CHTC uptake of 56.2% compared to 13.6% in the standard care group.
• The HIV self-test group reported a CHTC uptake of 50.0%, significantly higher than standard care.
• Two-thirds of couples included a woman living with HIV, highlighting the study's relevance to HIV-affected families.
• 54 severe adverse events were reported, none related to study procedures.

Why it matters

Engaging couples in HIV testing during pregnancy can enhance health outcomes for mothers and children, addressing a critical public health issue in areas with high HIV prevalence.