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Peer-led oral HIV-self testing finds undiagnosed HIV among MSM in Malindi, Kenya


Author
Van der Elst et al.

Publication year
2017

Country

Type of approach
Dual

Type of assistance
n/a

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
1027

UNAIDS HIV prevalence (2017)

Methodology
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.

Acceptability
n/a

Acceptability details
MSM were highly motivated with HIVST, which they considered an activity they owned.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
8.7% (29/333)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
82% (24/29) started treatment on the day of HIV confirmation.