Home testing for HIV combined with internet counselling in the Netherlands: interim results of the HIVTest@Home trial
Zuure et al.
Type of approach
Type of assistance
Mixed: Vulnerable population and key population: migrants abd men who have sex with men
Values and preferences
UNAIDS HIV prevalence (2017)
Using media specific to men who have sex with men and migrants, a campaign aimed to motivate men who have sex with men and migrants to visit project website (www.time2test.nl) to access an HIV self-testing service. The website included information about HIV self-testing, an optional questionnaire measuring demographics, and the option to buy HIVST packages for 29,50 euro each, either online or via pick-up locations. The test packages included an oral fluid-based test, a manual, and a code to access online instructions and counseling. Website log data and an evaluation questionnaire sent five weeks after website visit measured website use, self-reported HIVST results, user satisfaction, reasons for self-testing, previous HIV-testing behavior and linkage to care.
Summary of findings
From Aug 2014 to July 2015 the website attracted ~30 000 visitors, of whom 2138 accepted terms and conditions and answered demographic questions. 73% were men who have sex with men, 88% were born in Europe, and median age was 35 years. A total of 599 tests were sold to 472 persons. Half (52%; 244/472) of participants accessed the online instructions and counseling and 23.9% (113/472) self-reported their HIVST result, of which 0.9% (1/113) tested positive. 11% (52/472) of participants completed evaluation. The majority (92%; 48/52) were satisfied or very satisfied with the service. Immediate test results, time savings, anonymity, and no need for a blood draw were prominent reasons for using service. 29% (15/52) never tested for HIV before, whereas for 17% (9/52) and 17% (9/52) their last test was 1-3 years and more than 3 years ago, respectively. The person who tested positive was confirmed positive and accessed HIV care (CD4 cell count <250 cells/mm3).
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment
The person who tested positive received confirmatory testing and accessed HIV care (CD4 cell count <250 cells/mm3).
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