Search HIVST

Acceptability of woman-delivered HIV self-testing to the male partner, and additional interventions: a qualitative study of antenatal care participants in Malawi


Author
Choko et al.

Publication year
2017

Country

Type of approach
Community-based

Type of assistance
Directly assisted

Specimen
Oral-fluid

Study population
General population: Antenatal and postpartum women and their male partners

Study design
Feasibility/acceptability

Sample size
42

UNAIDS HIV prevalence (2017)
9.1 [8.4 - 9.9]

Methodology
Formative qualitative study comprised of six focus discussions and 20 in-depth interviews to explore the acceptability of offering HIVST kits alone or in combination with a linkage intervention for pregnant women to distribute to their male partners. Study period: October 2015 and February 2016.

Summary of findings
HIVST kits were highly acceptable for both women and men. Men preferred this approach compared with standard facility-based testing, as HIVST fits into their lifestyles. Men and women emphasized the need for careful communication before and after the collection of HIVST kits to minimize the potential for intimate partner violence. Most men stated a preference to first self-test alone, followed by testing as a couple. Women and men both felt that that a fixed financial incentive of approximately USD$2 would increase linkage. However, there were concerns that financial incentives of greater value may lead to multiple pregnancies and lack of child spacing.

Acceptability
n/a

Acceptability details
Acceptability was high (n=n/a)

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
n/a

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
Participants were asked about different predefined types of strategies to increase linkage to care: fixed financial incentives; higher amount to cover transport and opportunity cost; a lottery incentive; and short messaging service or phone reminders. All participants preferred cash as opposed to voucher incentives.


Study status
Completed

Other studies related to this project
A cluster randomised trial of community-led distribution of HIV self-tests in rural Malawi (HIV Self-Testing Africa)
Discordance, disclosure and normative gender roles: a triad of barrier to couples HIVST provided through a community-based approach in urban Blantyre, Malawi
HIV self-testing in Zambia: User ability to follow the manufacturer's instructions-for-use
Optimising uptake of HIV testing among young people: a mixed-methods study on HIV self-testing preferences in Zimbabwe and Malawi
Prevalence of testing and preference for self-testing in Malawi and Zambia: baseline data from the STAR (HIV self-testing in Africa) project
Increasing knowledge of HIV status among men: a cluster-randomised trial of community-based distribution of oral HIV self-test kits nested in four HPTN 071 communities in Zambia
I will choose when to test, where I want to test: investigating young people's preferences for HIV self-testing in Malawi and Zimbabwe
Perceptions of introducing HIVST and peer-led delivery model amongst female sex workers in rural and urban districts in southern Malawi
Introducing HIV self-testing to rural communities in Malawi: cognitive interviewing may alert implementers to the need for additional support beyond that provided by manufacturer
Economic costs and health-related quality of life outcomes of HIV treatment after self- and facility-based HIV testing in a cluster randomized trial
Understanding coercion in the context of semi-supervised HIV self-testing in urban Blantyre, Malawi
Acceptability of woman-delivered HIVST to the male partner: a qualitative study of ANC clinic-linked participants in Blantyre, Malawi
Factors shaping initial decision-making to self-test amongst cohabiting couples in urban Blantyre, Malawi
The uptake and accuracy of oral kits for HIV self-testing in high HIV prevalence setting: a cross-sectional feasibility study in Blantyre, Malawi
Community-based distribution of oral HIV self-testing kits
Uptake, accuracy, safety, and linkage into care over two years of promoting annual self-testing for HIV in Blantyre, Malawi: a community-based prospective study
Cost and quality of life analysis of HIV self-testing and facility-based HIV testing and counseling in Blantyre, Malawi
Providing user support for HIV self-testing beyond instructions-for-use in Malawi
Effect of optional home initiation of HIV care following HIV self-testing on antiretroviral therapy initiation among adults in Malawi: a randomized clinical trial.
Stigmatising attitudes among people offered home-based HIV testing and counseling in Blantyre, Malawi: construction and analysis of a stigma scale
The influence of masculinity on HIVST community intervention: a qualitative evaluation of empirical evidence from Blantyre, Malawi
Is OraQuick HIV-self-testing valid among intended users? Analysis from a clinical performance study in Lusaka, Zambia
A trial investigating multiple potential interventions for increasing uptake of HIV testing and linkage into care for male partners of pregnant women attending antenatal clinic through HIV self-testing