HIV self-testing (HIVST)

9th SA AIDS Conference 2019

The 9th South African AIDS Conference took place from 11-14 June 2019 in Durban, South Africa, and the SHARE team was there to bring you updates, related content, and live coverage! The Conference focused on unprecedented scientific, social and digital innovations and technologies which could expand possibilities and opportunities towards controlling the HIV and AIDS epidemic. It also aimed to determine how contemporary explosive and disruptive technologies can contribute towards sustained HIV prevention efforts, HIV testing, ART uptake and adherence, trigger the development of new drugs, effectively utilise enormous volumes of data, and improve communication and service delivery, and eventually end the epidemic. Browse our dedicated SA AIDS 2019 page here.
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Exploring social harms during distribution of HIV self-testing kits using mixed-methods approaches in Malawi

INTRODUCTION: HIV self-testing (HIVST) provides couples and individuals with a discreet, convenient and empowering testing option. As with all HIV testing, potential harms must be anticipated and mitigated to optimize individual and public health benefits. Here, we describe social harms (SHs) reported during HIVST implementation in Malawi, and propose a framework for grading and responding to harms, according to their severity.

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HIV self-testing: South African young adults' recommendations for ease of use, test kit contents, accessibility, and supportive resources

The uptake of HIV self-testing (HIVST) could address socio-structural barriers that prevent South African youth from utilizing the testing resources available in their communities. However, to facilitate this, we must tailor components of the HIVST kit and process to ensure that we reach and encourage youth to test. The purpose of this study to elucidate concerns and issues regarding HIVST rollout among South African youth.
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Repeat HIV testing practices in the era of HIV self-testing among adults in KwaZulu-Natal, South Africa

Repeat HIV testing is important in high HIV burden communities to enable sustainability of prevention initiatives; however, an understanding of repeat testing practices is limited. Additional HIV testing approaches may be required to increase testing. HIV self-testing is an additional testing approach, but knowledge on its potential for repeat testing is limited. This study explored repeat HIV testing practices and uptake of HIV self-testing among repeat testers, following exposure to HIV self-testing.
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HIV self-testing alone or with additional interventions, including financial incentives, and linkage to care or prevention among male partners of antenatal care clinic attendees in Malawi: An adaptive multi-arm, multi-stage cluster randomised trial

Conventional HIV testing services have been less comprehensive in reaching men than in reaching women globally, but HIV self-testing (HIVST) appears to be an acceptable alternative. Measurement of linkage to post-test services following HIVST remains the biggest challenge, yet is the biggest driver of cost-effectiveness. We investigated the impact of HIVST alone or with additional interventions on the uptake of testing and linkage to care or prevention among male partners of antenatal care clinic attendees in a novel adaptive trial.
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HIV self-screening programme: Transport Hub Sexual Health and HIV Survey, Awareness and Distribution Project

Author
HIV Self-Testing Africa (STAR) Initiative
With men remaining largely under-tested, the Unitaid-funded HIV Self-Testing Africa (STAR) Initiative has launched a campaign targeting men at transportation hubs, such as taxi ranks and bus stops, in order to raise awareness about and distribute self-test kits to those who are unaware of their HIV status.
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‘If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV’: HIV self-testing perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda

Author
Joseph K. B. Matovu, Rose Kisa, Esther Buregyeya, Harriet Chemusto, Shaban Mugerwa, William Musoke, Caroline J. Vrana, Angela M. Malek, Jeffrey E. Korte & Rhoda K. Wanyenze

Background: HIV self-testing (HIVST) can improve HIV-testing rates in ‘hard-to-reach’ populations, including men. We explored HIVST perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda.

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HIV self-testing: Bringing HIV testing to your doorstep

HIV self-testing (HIVST) was introduced to overcome barriers to conventional testing services such as facility- and community-based HIV testing and counseling. It allows a person to perform and interpret their own HIV test results in a private space and time of their choice - making testing more accessible and acceptable. I strongly believe in the power of autonomy and choice when it comes to accessing health services, especially now that health care providers understand that one size does not fit all. Why not apply this approach to HIV testing services as well?
Author
Tapiwa Tembo, Regional Research Fellow at Baylor College of Medicine Children’s Foundation Malawi

AIDSFree HIV HTS Guidance Database

Is the resource available on the Internet?
Yes
Author
AIDSFree

The AIDSFree HIV Testing Services (HTS) Guidance Database has been updated with new guidelines from many PEPFAR priority countries. The database features HTS guidelines & policies on consent and confidentiality, testing algorithms & strategies, use of mandatory testing, quality assurance & quality improvement, and self-testing.

Visit the database now to find new policies from Botswana, Ethiopia, India, Mozambique, Nepal, Nigeria, Rwanda, South Africa, Swaziland, and Zimbabwe.

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