I know that I do have HIV but nobody saw me: oral HIV self-testing in an informal settlement in South Africa
Martinez-Perez et al.
Type of approach
Type of assistance
Mixed: Health-care workers and clients
Values and preferences
UNAIDS HIV prevalence (2017)
19.2 [18.4 - 20.0]
Mixed methods study using formative qualitative study and pilot implementation of HIVST at the Wellness Hub (offering HIVST to all clents who refused standard clinic-based HIV testing). Aim of the study was to assess uptake and linkage to care among those offered HIVST by Hub counsellor.
Summary of findings
20 participants (clients and staff) were included in the qualitative research. Participants reported fear, public image (stigma / discrimination), and lack of trust were deterrents to HIV testing. HIV self-testing was found to be acceptable, but participants noted instructions in local language would be useful and that pre- and post-test counseling is needed. Men were suggested to have the greatest interest in and benefit most from HIVST. Youth were also perceived to benefit from HIVST.
Willingness to pay
Willingness to pay details
Participants did not believe coercive testing would be more likely with self-testing than with HTS. Consensus was reached that violent events would not necessarily be more frequent with home O-HIVST than following clinic-based HTS.
Linkage to prevention, care and treatment
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