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A hora e agora - The time is now: HIVST to reach men who have sex with men in Brazil


Author
Grinjstein et al.

Publication year
2015

Country

Type of approach
Community-based

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
520

UNAIDS HIV prevalence (2017)
0.6 [0.4 - 0.8]

Methodology
This implementation research study assesses accessibility and feasibility of an e-testing platform and promotional campaign for HIVST. Participants complete a short questionnaire. Then, the study provides each participant with two oral fluid-based HIVST kits by mail or pick-up in a pharmacy. Participants are also provided with condoms, lubricant, written test instructions, and a pre-paid card for returning the test results. Instructions to perform the test are also provided in a step-by-step video and through access to a 24/7 hotline for managing crises or doubts about the testing process.

Summary of findings
432 participants uploaded their HIVST results to the website and 88 by mail. 23 participants had a reactive test result from HIVST. 13 participants had indeterminate results. Individuals with reactive or indeterminate test results, along with 20% of individuals with non-reactive test results, were encouraged to come in for confirmatory testing at a health facility in Curitiba. 37 participants went to Centro de Orientacao e Aconselhamento and identified themselves from e-testing. Of these 37, 30 tested HIV-positive and 7 tested HIV-negative upon confirmatory testing. 100% of those who uploaded positive or indeterminate results came in for confirmatory testing. Of those who provided an opinion on their HIVST experience, 98% would recommend self-testing to a friend. No adverse events were reported on the hotline or the website, although one individual expressed that he felt ashamed because someone saw him self-testing.

Acceptability
0.98

Acceptability details
Of those who provided an opinion on their HIVST experience, 98% would recommend self-testing to a friend.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
4.3% (19/432)

Accuracy details
n/a

Social harm
No adverse events were reported on the hotline or the website, although one individual expressed that he felt ashamed because someone saw him self-testing.

Linkage to prevention, care and treatment
n/a


Study status
Completed