What are the constraints and opportunities for HIVST scale-up in Africa? Evidence from Kenya, Malawi, and South Africa
van Rooyen et al.
Type of approach
Type of assistance
Mixed: Government policy makers, academics, activists, donors, procurement specialists, laboratory practitioners, and health providers
Values and preferences
UNAIDS HIV prevalence (2017)
Fifty-four key informant interviews were conducted in Kenya (n=16), Malawi (n=26) and South Africa (n=12) with government policy makers, academics, activists, donors, procurement specialists, laboratory practitioners, and health providers. A thematic analysis was conducted in each country and a common coding framework allowed for inter-country analysis to identify common and divergent themes across contexts.
Summary of findings
Stakeholders in three HIV-endemic sub-Saharan countries felt that HIVST will be an important complement to existing community and facility-based testing approaches if accompanied by the same essential components of any HIV testing service, including access to accurate information and linkages to care. While there is an increasingly positive global policy environment regarding HIVST, several implementation and social challenges limit scale-up. There is a need for further research to provide contextual and operational evidence that addresses concerns and contributes to normative WHO guidance.
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment