Kalibala Samuel, Tun Waimar, Cherutich Peter, Nganga Anne, Oweya Erick, Oluoch Patricia
Population Council, HIV and AIDS Program, 4301 Connecticut Avenue, Suite 280, Washington, DC, 20008, USA,
AIDS Behav. 2014 Jul;18 Suppl 4(Suppl 4):S405-14. doi: 10.1007/s10461-014-0830-z.
Health care workers (HCWs) in sub-Saharan Africa are at a high risk of HIV infection from both sexual and occupational exposures. However, many do not seek HIV testing. This paper examines the acceptability of an unsupervised facility-based HIV self-testing (HIVST) intervention among HCWs and their partners and factors associated with uptake of HIVST among HCWs. HCWs in seven large Kenyan hospitals were invited to participate in pre-HIVST information sessions during which they were offered HIVST kits to take home for self-testing. A post-intervention survey was conducted among 765 HCWs. Forty-one percent attended the information session; of those, 89% took the HIVST kits and of those, 85% self-tested. Thirty-four percent of surveyed HCWs used the HIVST to test themselves. Of those who took the HIVST kit and had partners, 73% gave the kit to their partner and 86% of them indicated their partner self-tested. Factors positively associated with use of the HIVST on self were being female, being single, and being a HCW from Homa Bay Hospital (located in a high HIV prevalence area). HIVST is acceptable to HCWs and their partners. However, strategies are needed to increase HCWs attendance at pre-implementation information sessions.
撒哈拉以南非洲的医护人员面临着因性接触和职业暴露而感染艾滋病毒的高风险。然而，许多人并未寻求艾滋病毒检测。本文探讨了在医护人员及其伴侣中开展基于设施的无人监督的艾滋病毒自我检测（HIVST）干预措施的可接受性，以及与医护人员采用HIVST相关的因素。邀请了肯尼亚七家大型医院的医护人员参加HIVST前的信息发布会，会上为他们提供了HIVST试剂盒以便带回家进行自我检测。对765名医护人员进行了干预后调查。41%的人参加了信息发布会；其中，89%拿走了HIVST试剂盒，而这些人中，85%进行了自我检测。34%的接受调查的医护人员使用HIVST进行自我检测。在拿走HIVST试剂盒且有伴侣的人中，73%将试剂盒给了伴侣，其中86%表示其伴侣进行了自我检测。与自我使用HIVST呈正相关的因素包括女性、单身以及是霍马湾医院的医护人员（该医院位于艾滋病毒高流行地区）。HIVST为医护人员及其伴侣所接受。然而，需要采取策略提高医护人员参加实施前信息发布会的出席率。
