Acceptability of HIV self-testing kits using the peer to peer distribution model among fishermen in Bulisa, Uganda
Mastula et al.
Type of approach
Type of assistance
Other: Vulnerable population: fishermen
UNAIDS HIV prevalence (2017)
Lay providers who were able to engage other participants were selected from a health facility (TASO clinic) and from the fishing community. Lay providers were then trained in basic pre-test counseling, and received a demonstration on how to interpret HIVST results and how to approach others. Each lay provider received up to 5 kits, a referral coupon, and instructions for use. Participants recruited were advised to return the used or unused kit within a month. Lay providers and participants recruited underwent self-interviews using audio computer assisted self-interview (ACASI). Analysis using Fisher's exact test used to compare acceptability indicators among participants recruited by lay provider's HIV status.
Summary of findings
19 lay providers were selecte, ten were on antiretroviral and nine had unknown HIV status. Median age was 49 years (IQR: 27; 52) and 29 (IQR: 23; 35) for lay providers and recruits, respectively. Lay providers were able to reach 115 participants, 82.6% (95/115) accepted to self-test of whom 25.8% (29/95) had never tested and 44.2% (42/95) were tested more than a year ago. 42.1% of lay providers (8/19) experienced rejection. Acceptability of HIVST was extremely high among recruits and did not differ by HIV status of lay providers. 87.6% (87/115) of participants recruited used HIVST immediately. No coercion was reported among participants recruited although one lay provider experienced hostility from family members of the participant. HIV positivity was 4.3%, with a yield of 1 per 6.3 seeds. Acceptability was statistically significant in association with lay provider's HIV status (p=0.002).
82.6% (95/115) accepted to self-test
Willingness to pay
Willingness to pay details
4.3% (n/a) with a yield of 1 per 6.3 lay provider.
No coercion was reported among participants recruited although one lay provider experienced hostility from family members of the participant.
Linkage to prevention, care and treatment
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