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Self-testing: an effective means of increasing HIV-testing and status awareness


Author
Moore et al.

Publication year
2017

Country

Type of approach
Facility-based

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
General population: Patients who refused HIV testing services

Study design
Feasibility/acceptability

Sample size
744

UNAIDS HIV prevalence (2017)
19.2 [18.4 - 20.0]

Methodology
HIV testing was offered at 2 clinics; those who refused HIV testing were offered HIV self-testing. Participants were given pictorial instructions in addition to a test kit and asked to report their results by texting their test result to a toll-free number and to return to clinic for confirmatory testing at the clinic. Reminder texts were then sent daily for 7 days, then weekly x 3. Clients not responding were called every week for 3 weeks.

Summary of findings
88% (655/744) of individuals who refused HIV testing and were offered HIVST accepted. 95% of those taking up HIVST were women, median age 28 years, age 18-65 tested. 73% (467/655) documented a result and 83% (382/467) reported via SMS. 7% (34/382) had a positive result and 41% (14/34) of positives returned within 2 months. The individuals who did not accept HIVST refused because: 40% said they were scared/not ready, 21% reported no reason, and 20% would rather have traditional testing. 50% (17/34) of those with a positive self-test were newly diagnosed. 71% (12/17) were confirmed and 4/12 (33%) started ART. No identified risk of social harm or adverse events were reported. There was no use of the study phone number for queries or assistance.

Acceptability
0.88

Acceptability details
88% (655/744) of individuals who refused HIV testing and were offered HIVST accepted.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
7.7% (19/245)

Accuracy details
n/a

Social harm
No identified risk of social harm or adverse events were reported.

Linkage to prevention, care and treatment
71% (12/17) were confirmed HIV-positive and 4/12 (33%) started ART.


Study status
Completed