Heard Anna C, Brown Annette N
a International Initiative for Impact Evaluation, 3ie , Washington , DC , USA.
AIDS Care. 2016 Dec;28(12):1528-1532. doi: 10.1080/09540121.2016.1191602. Epub 2016 Jun 2.
High interest and a growing body of evidence suggest that HIV self-testing could help fill the HIV testing gap for populations who have been hesitant to access testing services through current mechanisms. Evidence from five of six studies funded by 3ie answers questions posed by the Kenyan government to understand the readiness of Kenyans for HIV self-testing. The findings suggest that Kenyans are generally ready for HIV self-testing. Most people would not only like to obtain self-test kits through public health facilities but also expect to be able to obtain them from pharmacies - easy access being a key factor for a distribution outlet. Respondents across the studies seem to understand the importance of counseling and confirmatory testing, although the decision to access services after an HIV self-test will certainly be influenced by the results of the test. Respondents do have some concerns about potential harms and abuses from HIV self-tests. These concerns are focused on what they expect others would do, rather than reflections of what they say they would do themselves. Additionally, most people believe that such concerns were mostly unwarranted and/or could be addressed.
高度的关注以及越来越多的证据表明,艾滋病毒自我检测有助于填补那些一直对通过现有机制获得检测服务犹豫不决的人群的艾滋病毒检测缺口。由国际影响评价倡议(3ie)资助的六项研究中的五项研究证据,回答了肯尼亚政府提出的关于肯尼亚人对艾滋病毒自我检测准备情况的问题。研究结果表明,肯尼亚人总体上已做好艾滋病毒自我检测的准备。大多数人不仅希望通过公共卫生机构获得自我检测试剂盒,还期望能够从药店买到——便捷获取是销售渠道的一个关键因素。各项研究中的受访者似乎都理解咨询和确认检测的重要性,尽管艾滋病毒自我检测后是否寻求服务的决定肯定会受到检测结果的影响。受访者确实对艾滋病毒自我检测可能带来的危害和滥用情况有所担忧。这些担忧主要集中在他们认为其他人会怎么做,而不是反映他们自己声称会怎么做。此外,大多数人认为这些担忧大多是没有根据的和/或可以解决的。
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