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Perceptions of adolescent girls about their ability to offer HIV self-test kits to their sexual partners: a pilot study in Siaya County, western Kenya


Author
Agot et al.

Publication year
2017

Country

Type of approach
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Type of assistance
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Specimen
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Study population
Young people: Adolescent girls (15-19 years)

Study design
Values and preferences

Sample size
101

UNAIDS HIV prevalence (2017)

Methodology
A survey was conducted amongst adolescent girls aged 15-19 years who reported having 1 or more sexual partners with whom they intended to continue having sex. Participants were referred to the study by a program offering HIV counselling and testing services, and were screened for eligibility. Participants were provided basic information about HIV self-testing (HIVST) and then administered a structured questionnaire.

Summary of findings
Between December 2016 and February 2017, 101 adolescent girls were enrolled in the study, 52% (53/101) of whom were aged 15-17 years. All had attended some school and 12% (12/101) reported completing secondary school. Twenty percent (20/101) were married or divorced, 38% (38/101) had ≥1 child, and first sexual intercourse before age 15 years was reported by 56% (57/101). Younger age at first sex was protective against having multiple partners (OR: 0.33, 95% CI 0.15-0.74). All participants except one (99%, 100/101) had not heard of HIV self-testing (HIVST) prior to the study, but all of them reported being willing to use the self-tests themselves. Additionally, 98% (99/101) believed they could offer HIVST kits to their partners, with 17% (17/101) believing this could raise tension in their relationship.

Acceptability
98%

Acceptability details
98% (99/101) of adolescent girls felt offering HIV self-tests (HIVST) to their partners was acceptable. 100% (101/101) reported being willing to use HIVST themselves.

Willingness to pay
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Willingness to pay details
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Sensitivity
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Specificity
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Concordance
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HIV positivity
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Accuracy details
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Social harm
17% (17/101) believed offering HIV self-tests (HIVST) to their partner could raise tension in their relationship.

Linkage to prevention, care and treatment
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