Search HIVST

If there was a kit we could use to test our stubborn husbands without their knowledge, it would help us: women's perceptions and experiences with HIV self-testing in central Uganda


Author
Matovu et al.

Publication year
2018

Country

Type of approach
Dual

Type of assistance
n/a

Specimen
Oral-fluid

Study population
Other: Vulnerable population: pregnant women and their male partners

Study design
Values and preferences

Sample size
1514

UNAIDS HIV prevalence (2017)

Methodology
Qualitative study among 1514 pregnant women attending antenatal care services at three health facilities in Central Uganda between July 2016 and February 2017. This study was nested in a randomized controlled trial, women were randomized to receive HIVST kits (n=777) or health information alone (n=737). Preliminary results show that 95.3% (1442/1514) of the women took HIVST home; of these, 94% (1423/1514) gave them to their male partners. In-depth interviews were conducted with 17 women who gave the kits to their male partners to explore the HIVST delivery processes as well as document any social consequences post-test. Data were audio-recorded, transcribed verbatim, and analyzed manually following a thematic framework approach.

Summary of findings
Women reported that they were initially scared of how they were going to introduce the kits to their male partners. However, with adequate preparation, nearly half of the women delivered the kits on the same day while the rest waited for opportune moments when their partners were in good moods. In delivering the kits, some women were open about the intended purpose of the kit (i.e. test for HIV) while others lied about its purpose or concealed some information about the HIVST process. In some cases, women invoked the support of health workers to complete the HIVST delivery process. A few women swabbed their male partners and also used another kit to performed the test themselves; with one woman swabbing her male partner while he was asleep. Women reported that HIVST provided them with an opportunity to learn about their partners HIV status. No serious adverse events were reported.

Acceptability
n/a

Acceptability details
n/a

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
Some women lied their partners or concealed some information about the HIVST process. One woman tested her male partner while he was asleep. No serious adverse events were reported post-test.

Linkage to prevention, care and treatment
n/a