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Financial Incentives for Pediatric HIV Testing in Kenya

Njuguna, Irene N., MBChB*,†; Wagner, Anjuli D., PhD; Omondi, Vincent O., BSc§; Otieno, Verlinda A., BSc§; Neary, Jillian, MPH; Bosire, Rose, MBChB; Babigumira, Joseph B., PhD‡,¶,‡‡; Levin, Carol, PhD; Maleche-Obimbo, Elizabeth, MMed; Wamalwa, Dalton C., MMed; John-Stewart, Grace, MD*,‡,**,††; Slyker, Jennifer, PhD*,‡

The Pediatric Infectious Disease Journal: November 2018 - Volume 37 - Issue 11 - p 1142–1144
doi: 10.1097/INF.0000000000002035
HIV Reports

The acceptability of financial incentives for pediatric HIV testing was evaluated in Kenya. Sixty HIV-positive women with children of unknown status were randomized to receive $5, $10 or $15 conditional upon HIV testing. Forty-four (73%) completed child testing, with similar rates across arms. Uptake was significantly higher than a cohort with similar procedures but no incentives (73% vs. 14%, P < 0.001).

From the *Department of Global Health, University of Washington, Seattle, WA

Department of Global Health, Research and Programs, Kenyatta National Hospital, Nairobi, Kenya

Department of Global Health, University of Washington, Seattle, WA

§Kenya Pediatric Research Consortium, Kenya Pediatric Association, Nairobi, Kenya

Department of Pharmacy, University of Washington, Seattle, WA

Department of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya

**Department of Medicine, University of Washington, Seattle, WA

††Department of Pediatrics, University of Washington, Seattle, WA

‡‡Center for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya.

Accepted for publication March 15, 2018.

Supported by Center for AIDS Research (CFAR) International Pilot Award, which is supported through the National Institutes of Health award P30AI027757 and the Collaborative Initiative for Pediatric HIV Education and Research, International AIDS Society (323-NJU). This publication was supported in part by the National Institute of Child Health and Development F32HD088204 to A.D.W. and the Fogarty International Center R25 TW009345 and D43TW009783 to A.D.W. and I.N.N., respectively. Additional support was provided by the UW Global Center for Integrated Health of Women, Adolescents and Children (Global WACh) and the University of Washington CFAR (P30 AI027757). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the funders.

The authors have no conflict of interests to disclose.

Address for correspondence: Irene Njuguna, MBChB, Kenyatta National Hospital, Research and Programs, P.O. Box 20723-00202, Nairobi, Kenya. E-mail:

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