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HIV self-test distribution via STI partner services to reach untested men who have sex with men


Author
Katz et al.

Publication year
2015


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
3757

UNAIDS HIV prevalence (2017)
0.2 [0.2 - 0.2]

Methodology
Study evaluated the effect of offering HIVST to men who have sex with men who were not tested as part of sexually transmitted infection screening or care.

Summary of findings
Men were offered HIVST or sampling collection kits, 49 (64%) accepted a self-test and 1 (1%) a sampling collection kit. Most men who have sex with men (MSM) tested for HIV infection prior to partner services intervention (87%) or attended a clinic or provider following partner services (4%). MSM diagnosed with urethral infections or who reported no prior HIV test were most likely to benefit from offering HIVST through partner services. One new positive case (2% of MSM accepting tests) was identified. Only 78% of MSM accepting HIVST or home sampling were reached for results. Men who have sex with women with gonorrhea were less likely to test prior to partner services intervention and more likely to benefit from HIVST or home sampling, but none tested positive.

Acceptability
0.69

Acceptability details
70 (28%) were offered HIVST or sampling collection kits, of whom 48 (69%) accepted a self-test.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
2% (1/49)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
The individual with a reactive self-test linked to confirmatory testing and HIV care within 2 weeks of disease intervention specialist mailing the test


Study status
Completed