Perceived social harms and abuses associated with the public availability of home-based self-testing kits for HIV in Kenya
Sidze et al.
Type of approach
Type of assistance
General population: General population
Values and preferences
UNAIDS HIV prevalence (2017)
5.9 [4.9 - 7.0]
Cross-sectional survey among men and women aged 15-49 in urban and rural Keya. Descriptive and multivariate analyses were utilized to examine 'perceived social harm' in communities and to determine the factors associated with perceptions of social harm.
Summary of findings
80% of respondents had tested for HIV before. 91% of respondents were willing to use an oral fluid-based HIVST kit compared to other HIV testing alternatives. 63% did perceive there to be disadvantages associated with public availability of oral fluid-based HIVST--61% perceived it would be misused/abused by others. There were also concerns about challenges that HIVST introduces, e.g. difficulty calculating HIV incidence and prevalence and increased risk of counterfeit tests due to high costs of official kits. Potential solutions identified included: (1) restricting sale of HIVST kits to trained providers and retailers (in line with current national policy), (2) instructions and guidelines available in local languages, and (3) community sensitization programs.
The majority (91%) of the respondents expressed their willingness to use oral HIV self-testing.
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment