Search HIVST

Digital vending machine technology to distribute HIV self-tests to high risk men who have sex with men


Author
Dean et al.

Publication year
2018

Country

Type of approach
Community-based

Type of assistance
Unassisted

Specimen
Fingerstick/whole blood

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
281

UNAIDS HIV prevalence (2017)

Methodology
A cross-sectional survey in a sex-on-premises venue (sauna) assessed feasibility and informed development of a vending machine interface. A vending machine distributing fingerprick/whole blood HIV self-test kits was developed and installed in the sauna. Participant demographics were collected via the user-friendly touchpad screen on the vending machine. An online questionnaire and structured interviews gathered information on user experience, acceptability and attitudes towards HIV self-tests accessed via a machine. Study period: June to December 2017.

Summary of findings
The survey found that 32% of 281 sauna users had never tested for HIV, despite high infection risks. Acceptability of HIV self-testing before installation of the vending machine was 93%. A total of 204 HIVST kits were accessed during the study period by participants with a mean age of 31 years. 4% (n=7) of participants accessing HIVST had never tested for HIV before and 11% (n=22) had tested within the last 1–5 years. Uptake of testing was higher via the vending machine compared to testing conducted by community outreach workers in the same venue and study period (34 vs. 6 tests per month). Qualitative interview and online questionnaires demonstrated high acceptability and support for this intervention.

Acceptability
0.93

Acceptability details
Acceptability of HIVST was 93% before installation of the vending machine.

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
n/a


Study status
Completed