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Scaling up HIV self-testing among fishermen in the fishing communities of Uganda


Author
Birungi et al.

Publication year
2017

Country

Type of approach
Community-based

Type of assistance
Directly assisted

Specimen
Oral-fluid

Study population
Vulnerable population: Vulnerable population: fishermen

Study design
Values and preferences

Sample size
19

UNAIDS HIV prevalence (2017)

Methodology
Two categories of participants were recruited from the landing site on the shores of Lake Albert in Uganda: fishermen HIV Negative or with unknown status and fishermen living with HIV and currently engaged in care at a TASO community antiretroviral Drug distribution point. Prior to distribution of the HIVST kits, focus group discussions were held to assess the perception and opinions about HIVST, to establish the most preferred provider/place in the community for the men to pick HIVST kits and the reasons for HIVST preference over conventional testing. A thematic analysis was conducted to establish the key themes.

Summary of findings
19 fishermen participated in the focus group discussion, 10 were HIV positive and 9 were of unknown status. Majority of the fishermen said they would prefer to receive HIVST from peers more than from the health providers or health centres. The reasons for preference of HIVST over conventional HIV testing included; time saving, maximum confidentiality, no need to prick their finger (non-invasive). While the reasons for fear of HIVST method included; failure to interpret results, distress following a positive results and accuracy of results.

Acceptability
n/a

Acceptability details
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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
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Linkage to prevention, care and treatment
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