Early observations from the HIV self-testing program among key populations and sexual partners of pregnant mothers in Kampala, Uganda
A cross sectional study
Bibliographic Data
| ID | 19592137 |
|---|---|
| Authors | Esther Nasuuna (0000-0003-2923-6482, Infectious Diseases Institute, corresponding author), Florence Namimbi (Infectious Diseases Institute), Patience A Muwanguzi (0000-0003-0403-9327, Makerere University), Donna Kabatesi (Centers for Disease Control and Prevention), Madina Apolot (Centers for Disease Control and Prevention), Alex Muganzi (Infectious Diseases Institute), Joanita Kigozi (0000-0001-9143-5752, Infectious Diseases Institute) |
| Editors | Christian Wejse (0000-0002-2534-2942) |
| Year | 2022 |
| Volume | 2 |
| Issue | 1 |
| Pages | e0000120 |
| Publication date | 2022-01-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0000120 |
| PMID | 36962171 |
| OpenAlex | W4206474334 |
| Language | EN |
| References cited | 19 |
Background HIV self-testing (HIVST) was adopted for key populations (KPs) and sexual partners of pregnant and lactating women (mothers) in Uganda in October 2018. We report early observations during HIVST implementation in Kampala, Uganda. Methods HIVST was rolled out to reach those with unknown HIV status at 38 public health facilities, using peer-to-peer community-based distribution for female sex workers (FSW) and men who have sex with men (MSM) and secondary distribution for mothers, who gave HIVST kits to their partners. Self-testers were asked to report results within 2 days; those who did not report received a follow-up phone call from a trained health worker. Those with HIV-positive results were offered confirmatory testing at the facility using the standard HIV-testing algorithm. Data on kits distributed, testing yield, and linkage to care were analysed. Results We distributed 9,378 HIVST kits. Mothers received 5,212 (56%) for their sexual partners while KPs received 4,166 (44%) (MSM, 2192 [53%]; FSW1, 974, [47%]). Of all kits distributed, 252 (3%) individuals had HIV-positive results; 126 (6.5%) FSW, 52 (2.3%) MSM and 74 (1.4%) partners of mothers. Out of 252 individuals who had HIV-positive results, 170 (67%) were confirmed HIV-positive; 36 (2%) were partners of mothers, 99 (58%) were FSW, and 35 (21%) were MSM. Linkage to treatment (126) was 74%. Conclusions HIVST efficiently reached, tested, identified and modestly linked to care HIV positive FSW, MSM, and partners of mothers. However, further barriers to confirmatory testing and linkage to care for HIV-positive self-testers remain unexplored
Cross-sectional study · Environmental health · Family medicine · Gynecology · Men who have sex with men · Population · Public health · Reproductive health · Demography · HIV Research and Treatment · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine · Nursing
Promoting Partner Testing and Couples Testing through Secondary Distribution of HIV Self-Tests
Promoting male partner HIV testing and safer sexual decision making through secondary distribution of self-tests by HIV-negative female sex workers and women receiving antenatal and post-partum care in Kenya
Examining the effects of HIV self‐testing compared to standard HIV testing services
Uptake, Accuracy, Safety, and Linkage into Care over Two Years of Promoting Annual Self-Testing for HIV in Blantyre, Malawi
‘If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV’
Accuracy and Acceptability of Oral Fluid HIV Self-Testing in a General Adult Population in Kenya
Accuracy of Un-supervised Versus Provider-Supervised Self-administered HIV Testing in Uganda
| Citation velocity | historical |
|---|---|
| Highly cited | No |