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Values and preferences of adolescent girls and young women in Kenya for three HIV prevention approaches: PrEP, HIV self-testing and HIV partner notification


Author
Anam et al.

Publication year
2017

Country

Type of approach
n/a

Type of assistance
n/a

Specimen
n/a

Study population
Mixed: Females 18-24 yrs, including sex workers and people who inject drugs

Study design
Values and preferences

Sample size
729

UNAIDS HIV prevalence (2017)
5.4 [4.8-6.2]

Methodology
This was a mixed methods study. Females 18-24 years old were eligible for the study. Participants were recruited through national and county networks of PLHIV, youth groups, sex workers and people who inject drugs, and invited to participate in structured questionnaires and focus group discussions (FGDs). FGDs were conducted in both health facilities and community sites.

Summary of findings
Prior to the study, less than half of all participants had heard of PrEP, HIV self-testing or partner notification. However, respondents reported that all three approaches were acceptable for preventing HIV or learning one's HIV status. 89% had previously tested for HIV. Lack of confidentiality at health facilities was considered a barrier to accessing services. Participants felt HIV self-testing would provide much-needed privacy. However, some participants worried about forced testing, increased risk behaviors and the potential for oral HIV self-tests to revive misconceptions that HIV is spread through saliva.

Acceptability
n/a

Acceptability details
Participants reported that HIVST would be acceptable for preventing HIV or learning one's HIV status.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
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HIV positivity
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Accuracy details
n/a

Social harm
Some participants reported worrying about forced testing, increased risk behaviors and the potential for oral HIV self-tests to revive misconceptions that HIV is spread through saliva.

Linkage to prevention, care and treatment
n/a


Study status
Completed