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Distributing HIV self-test kit by vending machines to raise serostatus awareness among high-risk populations in Taiwan: a pilot study in 2016


Author
Huang et al.

Publication year
2017

Country

Type of approach
Facility-based

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
4812

UNAIDS HIV prevalence (2017)
<0.1

Methodology
From Sept to Dec 2016, a pilot feasibility study was conducted using vending machines at non-governmental organizations or health stations, LGBT health centres and gay saunas. In one county (Hualien), HIV self-test kits were also available for pick up at a chain of convenience stores. All clients paid US$6 per kit, which was reimbursed if users reported their test results through an online system. Users could also join a lottery to receive store coupons (value US$3) after completing a questionnaire.

Summary of findings
4812 kits were sold: 2526 (52.5%) through vending machines, 1990 (41.4%) distributed by LGBT health centres and health stations. At Hualien County, 88.1% (296/336) of kits were distributed convinience stores. Of 2249 (46.7%) who reported their self-test results, 22 (1%) reported it was their first positive test result. 1203 (89.7%) said it was convenient to get the kit, 1253 (93.4%) said the price was acceptable or cheap. 521 (38.6%) reported that this self-test was their first time testing. For future access to kits, 883 (65.9%) said they'd like to get the kit from vending machines, 559 (41.7%) through convenience stores.

Acceptability
0.881

Acceptability details
4812 kits were sold: 2526 (52.5%) through vending machines, 1990 (41.4%) distributed by LGBT health centres and health stations. At Hualien County, 88.1% (296/336) of kits were distributed convinience stores. 1253 (93.4%) respondents said the price was acceptable or cheap.

Willingness to pay
n/a

Willingness to pay details
1253 (93.4%) said the price was acceptable or cheap. Cost was US$6 but people were reimbursed if they reported their test results.

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
1% (22/2249)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a


Study status
Completed