Acceptability of HIV self-testing among men and women in KwaZulu-Natal, South Africa
Bibliographic Data
| ID | 19442956 |
|---|---|
| Authors | Charlene Harichund (0000-0003-4641-1924, Centre for the AIDS Programme of Research in South Africa, corresponding author), Mosa Moshabela (0000-0002-9438-7095, ,), Pinky Kunene (Centre for the AIDS Programme of Research in South Africa), Quarraisha Abdool Karim (0000-0002-0985-477X, Centre for the AIDS Programme of Research in South Africa) |
| Year | 2019 |
| Volume | 31 |
| Issue | 2 |
| Pages | 186-192 |
| Publication date | 2019-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2018.1503638 |
| PMID | 30058362 |
| OpenAlex | W2884775132 |
| Language | EN |
| Citations received | 16 |
| References cited | 22 |
Successful implementation of Universal Test and Treat as a strategy to achieve the 90-90-90 target requires higher HIV testing rates. Currently, uptake of HIV testing is not optimal which has directed research initiatives towards identification of additional HIV testing methods. HIV self-testing (HIVST) has received growing attention as a complementary testing approach as it overcomes barriers that are commonly associated with current HIV testing methods. In sub-Saharan Africa, acceptability rates showed a gendered pattern of men benefitting more than women, with limited evidence to explain this difference. This study assessed whether men or women in KwaZulu-Natal displayed a higher acceptance of HIVST and also explored factors that influenced and motivated their acceptability. Participants were recruited through purposive sampling at two clinical research sites to participate and underwent qualitative assessments. The outcomes from focus group discussions coupled with findings from a scoping review informed the design and data collection instruments for in-depth interviews. A randomised cross-over study design exposed participants to HIV counselling and testing and HIVST, accompanied by before (baseline) and after in-depth interviews. HIVST was acceptable among most participants with acceptability higher in women. Men preferred HIVST due to convenience and efficiency, whilst women favoured HIVST due to its potential to provide autonomy and empowerment. Also, lack of HIV counselling and managing a positive HIV result as well as linkage to care were raised as deterrents of HIVST. As HIVST was acceptable by most participants, future research efforts should be directed towards evaluating the feasibility of its introduction into the public health sector
Autonomy · Empowerment · Environmental health · Family medicine · Focus group · Nonprobability sampling · Political science · Population · Qualitative research · Adolescent Sexual and Reproductive Health · HIV Research and Treatment · HIV/AIDS Research and Interventions · Medicine
Exploring Women’s Decision-Making Power and HIV/Aids Prevention Practices in South Africa
Operationalizing the distribution of oral HIV self-testing kits to men who have sex with men (MSM) in a highly homophobic environment
HIV Self-Testing Uptake and Intervention Strategies Among Men in Sub-Saharan Africa
Enthusiasm for Introducing and Integrating HIV Self-Testing but Doubts About Users
The cost and intermediary cost-effectiveness of oral HIV self-test kit distribution across 11 distribution models in South Africa
The cost effectiveness and optimal configuration of HIV self-test distribution in South Africa
Barriers and Facilitating Factors to HIV Treatment Among Men in a High-HIV-Burdened District in KwaZulu-Natal, South Africa
Comprehensive HIV/Aids knowledge and HIV testing among men in sub-Saharan Africa
‘When I have these kits … I have confidence’ – HIV self-testing provides agency for women in their sexual decision-making
Perspectives and experiences of Zambian pregnant and postpartum women receiving two intervention models to increase uptake of male partner HIV testing
Barriers and facilitators influencing the use of HIV self-testing amongst adolescent girls and young women in South Africa
HIV testing preferences among pregnant women attending antenatal care and their male partners
Interventions to improve young men’s utilisation of HIV-testing services in KwaZulu-Natal, South Africa
Uptake and acceptability of oral HIV self-testing in the context of assisted partner services in Western Kenya
Awareness of and willingness to use oral HIV self-test kits among Kenyan young adults living in informal urban settlements
Adolescents’ and caregivers’ perceptions of caregiver-provided testing and HIV self-testing using oral mucosal transudate tests in Zimbabwe
Supervised and Unsupervised Self-Testing for HIV in High- and Low-Risk Populations
Focus-group interview and data analysis
The Ethical, Legal and Human Rights Concerns Raised by Licensing HIV Self-Testing for Private Use
Factors Shaping Initial Decision-Making to Self-test Amongst Cohabiting Couples in Urban Blantyre, Malawi
Factors Associated with Acceptability of HIV Self-Testing Among Health Care Workers in Kenya
Accuracy and Acceptability of Oral Fluid HIV Self-Testing in a General Adult Population in Kenya
Gay and Bisexual Men’s Views on Rapid Self-Testing for HIV
| Citations per year | 2.29 |
|---|---|
| Citation span | 2019 - 2026 (8) |
| Highly cited | No |