High acceptability of HIV self-testing among technical vocational education and training college students in Gauteng and North West Province: what are the implications for the scale-up in South Africa?
Mokgatle and Madiba
Type of approach
Type of assistance
Mixed: General population and young people
Values and preferences
UNAIDS HIV prevalence (2017)
19.2 [18.4 - 20.0]
A cross-sectional survey using a self-administered structured questionnaire was employed to assess the opinions and acceptability of HIVST among college students in South Africa.
Summary of findings
The acceptability of HIVST was high (82.1%); about three-quarters showed a willingness to purchase a self-test kit and a majority would self-test with partners. Acceptability of HIVST was associated with being sexually active (OR = 1.73, p = 0.02, confidence interval (CI): 1.08.75), having ever been tested for HIV (OR = 1.74, p = 0.001, CI: 1.26.38), and having multiple sexual partners (OR = 0.61, p = 0.01, CI: 0.42.88). Three-quarters would confirm test results at a local health facility. In terms of counseling, telephone hotlines were acceptable to only 39.9%, and less than half felt that test-kit leaflets would provide sufficient information to self-test.
The acceptability of HIVST as a testing option was 82.1% (2947/3588).
Willingness to pay
Willingness to pay details
Willingness to buy and use HIVST was 74.6% (2666/3569)
Linkage to prevention, care and treatment
Willingness to confirm HIV positive self-test results at a local health facility was 75.6% (2694/3568).