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Exploring factors that influence the integration of HIVST with HCT using a qualitative comparative cross-over design in KwaZulu-Natal, South Africa

Bibliographic Data

ID15540344
AuthorsCharlene Harichund (0000-0003-4641-1924, Centre for the AIDS Programme of Research in South Africa, corresponding author), Quarraisha Abdool Karim (0000-0002-0985-477X, University of KwaZulu-Natal), Pinky Kunene (Centre for the AIDS Programme of Research in South Africa), Sinenhlanhla Simelane (Centre for the AIDS Programme of Research in South Africa), Mosa Moshabela (0000-0002-9438-7095, University of KwaZulu-Natal)
Year2019
Volume14
Issue9
Pages1275-1287
Publication date2019-03-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2019.1587638
PMID30829120
OpenAlexW2918976215
LanguageEN
Citations received2
References cited18

The World Health Organization recommends using HIV self-testing (HIVST) to improve HIV testing coverage by integrating self-testing for HIV into public domain primary healthcare (PHC) clinics in areas with a high burden of HIV. However, an understanding of the relationship and interaction between HIVST and the standard HIV counselling and testing (HCT), the primary HIV testing approach within public PHC clinics, is limited. We therefore sought to compare experiences of people seeking an HIV test, specifically, how HIVST can be used to enhance HCT when introduced together. A cross-over study design was used wherein participants were randomly exposed to either HCT followed by HIVST or HIVST followed by HCT. Semi-structured interviews were conducted at the baseline, and after each testing exposure. Forty volunteers were enrolled and 119 interviews were completed. Although a higher preference for HIVST was reported, a symbiotic relationship between HIVST and HCT was identified, where benefits of one testing approach overcame barriers of the other. Introducing HIVST as an additional testing approach with HCT within PHC facilities in South Africa could positively influence HIV testing given their complementary relationship. HIVST and HCT should accommodate HIV testing situations among HIV testing naïve and repeat testing populations

Family medicine · Human immunodeficiency virus (HIV · Implementation research · Psychological intervention · Public health · Test (biology · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing

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    Open Access•Akeen Hamilton, Noah Thompson et al.•Frontiers in Public Health•2021

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    Alta C van Dyk•African Journal of AIDS Research•2013

  • HIV testing preferences in Tanzania

    Open Access•Bernard Njau, Joachim Ostermann et al.•BMC Public Health•2014

  • Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test

    Open Access•William Brown, Alex Carballo-Diéguez et al.•AIDS and Behavior•2016

  • Comparison of Home-Based Oral Fluid Rapid HIV Self-Testing Versus Mail-in Blood Sample Collection or Medical/Community HIV Testing By Young Adult Black, Hispanic, and White MSM

    Open Access•Roland C Merchant, Melissa A Clark et al.•AIDS and Behavior•2017

Unique citing works2
Citations per year0,4
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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