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I can do this myself: investigating the acceptability of a web-based, HIV self-testing service in South Africa


Author
Smith et al.

Publication year
2017

Country

Type of approach
Community-based

Type of assistance
Unassisted

Specimen
Fingerstick/whole blood

Study population
General population

Study design
Feasibility/acceptability

Sample size
372

UNAIDS HIV prevalence (2017)
19.2 [18.4 - 20.0]

Methodology
Self-selected participants > 18 years of age logged onto the iTest website via a web search. After viewing text and video study information, participants requested an HIVST kit and were presented with referral options. Following online consent, a courier was notified to deliver the iTest HIVST to the participant's address. A researcher administered a telephonic acceptability questionnaire within two weeks of the HIVST kit delivery.

Summary of findings
55% (205/372) of participants who enrolled were successfully contacted. 141 of these participants (58% female) completed a self-test; 7% were first-time testers. No adverse experiences reported. 97% reported they were satisified with HIVST kit delivery times, which ranged from 2-5 days, with 7 participants reporting non-delivery. 94% considered HIV self-testing confidential, 97% reported the video was easy to understand and 96% reported that the provided written information was easy to understand. The service was rated 4.7/5; 82% stated that their experience of self-testing was better than testing in a facility.

Acceptability
0.82

Acceptability details
82% (115/205) stated that their experience of self-testing was better than testing in a facility.

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
No adverse events were reported.

Linkage to prevention, care and treatment
n/a


Study status
Completed