Peer-led oral HIV-self testing finds undiagnosed HIV among MSM in Malindi, Kenya
Van der Elst et al.
Type of approach
Type of assistance
Key population: Men who have sex with men
UNAIDS HIV prevalence (2017)
This study assessed acceptability and feasibility of HIVST distribution by lay providers compared to clinic-based HIV testing and counseling. the study compared HIV-prevalence and time to immediate treatment initiation among newly diagnosed men who have sex with men who were mobilised either for clinic-based testing or for lay provider distribution. For clinic-based HIV testing, 5 recruiters mobilised between 20 and 30 men who have sex with men per week during 6 months. Lay provider distribution was done by six men who have sex with men who each extended 5 HIVST kits to their peers per week. All participants were asked to report for further testing at the health facility.
Summary of findings
During July-December 2015, 690 men who have sex with men received HIV testing services, and 24 (3.5%) were newly diagnosed through the health facility. 83.3% (20/24) of these, initiated treatment at the hospital after a median 5 days (IQR: 3-14). During March-June 2016, 337 men who have sex with men received HIVST, and 99.1% (333/337) reported for confirmatory testing. A total of 29 MSM (8.7%, p<0.001) were newly diagnosed. 82% (24/29) of these (p=1.0) started treatment on the day of HIV confirmation. MSM were highly motivated with HIVST, which they considered an activity they owned.
MSM were highly motivated with HIVST, which they considered an activity they owned.
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment
82% (24/29) started treatment on the day of HIV confirmation.