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Feasibility of HIV self-testing

Experiences of people seeking HIV testing in rural and urban KwaZulu-Natal, South Africa

Bibliographic Data

ID15456873
AuthorsCharlene Harichund (0000-0003-4641-1924, Centre for the AIDS Programme of Research in South Africa, corresponding author), Pinky Kunene (Centre for the AIDS Programme of Research in South Africa), Mosa Moshabela (0000-0002-9438-7095, Africa Health Research Institute)
Year2019
Volume18
Issue2
Pages115-122
Publication date2019-04-03
Open AccessNo
TypeARTICLE
VenueAfrican Journal of AIDS Research (JOURNAL)
Journal identifiersISSN: 1608-5906 • E-ISSN: 1727-9445
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.2989/16085906.2019.1621358
PMID31282305
OpenAlexW2959088098
LanguageEN
Citations received1
References cited30

HIV status awareness is a rate limiting step in HIV treatment and prevention initiatives aimed at addressing the global HIV epidemic. Uptake of HIV testing remains suboptimal despite global campaigns aimed at improving uptake. HIV self-testing (HIVST) displays the potential to increase uptake of HIV testing in public health care facilities, which are the main access points for HIV testing, but evidence to support this notion is limited. Therefore, this study determined the factors that influence the feasibility of introducing HIVST into public facilities in KwaZulu-Natal, South Africa, through a mixed method crossover study design, implemented among 40 consenting adults who were either regular HIV testers or HIV testing naïve. Qualitative assessments were conducted using a topic guide centred on the feasibility of HIVST. Usability of HIVST was quantitatively assessed by means of a HIVST usability assessment checklist. Technical, environmental and economic factors were found to influence HIVST feasibility. The majority of participants were able to conduct unsupervised HIVST but training may be required for those unable to follow instructions. Accessibility of HIVST was associated with affordability and convenience. Environmental factors such as storage and location to perform the test and a disposal kit require further consideration in limited resource settings due to lack of privacy and confidentiality. While we demonstrated that HIVST is feasible, and identified factors that may influence its feasibility, these factors require further consideration in primary health care facilities in resource limited settings prior to scale-up

Checklist · Computer security · Confidentiality · Developing country · Economic growth · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Public health · Test (biology · Usability · Adolescent Sexual and Reproductive Health · Computer Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology

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Citations per year0.2
Citation span2021 - 2021 (1)
Highly citedNo

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