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A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya


Author
Maman et al.

Publication year
2017

Country

Type of approach
Community-based

Type of assistance
Directly assisted

Specimen
Oral-fluid

Study population
Mixed: Key population: female sex workers and their sexual partners

Study design
Values and preferences

Sample size
18

UNAIDS HIV prevalence (2017)
5.9 [4.9 - 7.0]

Methodology
Qualitative study with 18 female sex workers who were provided with five oral fluid-based self-tests. They received training on how to use the tests and encouragement to offer the self-tests to their sexual partners, using their discretion. Study period: January to May 2015.

Summary of findings
In general, women were able to offer HIVST to their partners and avoid conflict with partners. They carefully considered with whom to share self-tests, often assessing the possibility for negative reactions from partners as part of their decision making process. When women faced negative reactions from partners, they drew on strategies they had used before to avoid conflict and physical harm from partners, such as not responding to angry partners and forgoing payment to leave angry partners quickly.

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
18.2% (2/11) of the women had primary partners who tested HIV-positive.

Accuracy details
n/a

Social harm
11.1% (2/18) of women were verbally/physically assaulted by a regular client.

Linkage to prevention, care and treatment
n/a

Source

Study status
Completed