Martínez Pérez Guillermo, Cox Vivian, Ellman Tom, Moore Ann, Patten Gabriela, Shroufi Amir, Stinson Kathryn, Van Cutsem Gilles, Ibeto Maryrene
Médecins Sans Frontières, Cape Town, South Africa.
Médecins Sans Frontières Khayelitsha, Cape Town, South Africa.
PLoS One. 2016 Apr 4;11(4):e0152653. doi: 10.1371/journal.pone.0152653. eCollection 2016.
Reaching universal HIV-status awareness is crucial to ensure all HIV-infected patients access antiretroviral treatment (ART) and achieve virological suppression. Opportunities for HIV testing could be enhanced by offering self-testing in populations that fear stigma and discrimination when accessing conventional HIV Counselling and Testing (HCT) in health care facilities. This qualitative research aims to examine the feasibility and acceptability of unsupervised oral self-testing for home use in an informal settlement of South Africa. Eleven in-depth interviews, two couple interviews, and two focus group discussions were conducted with seven healthcare workers and thirteen community members. Thematic analysis was done concurrently with data collection. Acceptability to offer home self-testing was demonstrated in this research. Home self-testing might help this population overcome barriers to accepting HCT; this was particularly expressed in the male and youth groups. Nevertheless, pilot interventions must provide evidence of potential harm related to home self-testing, intensify efforts to offer quality counselling, and ensure linkage to HIV/ART-care following a positive self-test result.
实现普遍的艾滋病毒感染状况知晓对于确保所有艾滋病毒感染者能够获得抗逆转录病毒治疗（ART）并实现病毒学抑制至关重要。对于那些在医疗机构接受传统艾滋病毒咨询和检测（HCT）时担心受到耻辱和歧视的人群，提供自我检测可以增加艾滋病毒检测的机会。这项定性研究旨在检验在南非一个非正式定居点进行无人监督的家用口腔自我检测的可行性和可接受性。对7名医护人员和13名社区成员进行了11次深度访谈、2次夫妻访谈和2次焦点小组讨论。在数据收集的同时进行了主题分析。本研究证明了提供家庭自我检测的可接受性。家庭自我检测可能有助于该人群克服接受HCT的障碍；这在男性和青年群体中表现得尤为明显。尽管如此，试点干预措施必须提供与家庭自我检测相关的潜在危害的证据，加大提供优质咨询的力度，并确保在自我检测结果呈阳性后与艾滋病毒/抗逆转录病毒治疗护理建立联系。
