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What are the constraints and opportunities for HIVST scale-up in Africa? Evidence from Kenya, Malawi, and South Africa


Author
van Rooyen et al.

Publication year
2015

Country
Multi-country

Type of approach
Dual

Type of assistance
n/a

Specimen
n/a

Study population
Mixed: Government policy makers, academics, activists, donors, procurement specialists, laboratory practitioners, and health providers

Study design
Values and preferences

Sample size
54

UNAIDS HIV prevalence (2017)
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Methodology
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.

Acceptability
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Acceptability details
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Willingness to pay
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Willingness to pay details
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Sensitivity
n/a

Specificity
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Concordance
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HIV positivity
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Accuracy details
n/a

Social harm
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Linkage to prevention, care and treatment
n/a


Study status
Completed