a Master of Health Sciences in Nursing , Durban University of Technology , Durban , South Africa.
b Faculty of Health Sciences , Durban University of Technology , Durban , South Africa.
SAHARA J. 2018 Dec;15(1):103-109. doi: 10.1080/17290376.2018.1517607.
Progress in promoting knowledge of HIV status has been made globally, but half of all people living with HIV are still unaware of their HIV status. It is argued the new innovative HIV self-testing strategy could increase the uptake of HIV testing among the people. The aim of the study was to assess outpatients' health care user's knowledge, attitudes and perceptions towards HIV self-testing (HIVST) at selected Gateway clinics at eThekwini District, KwaZulu-Natal Province, South Africa. The objectives of the study were to determine health care users' knowledge of HIVST, assess health care users' attitudes and perceptions towards HIVST and establish if there is any relationship between knowledge, attitudes and perceptions of health care users towards HIVST. A quantitative, non-experimental descriptive design was used to determine knowledge, attitudes and perceptions of health care users at three purposefully selected Addington, R. K. Khan and Prince Mshiyeni Memorial Hospital Gateway clinics at eThekwini Health District. A convenience sampling of 442 respondents were sampled from the three study sites. Results of the study revealed that health care users had a reasonable knowledge of HIV self-testing and there were indications that they could use it if it can be made freely available to the public and be properly regulated. Generally, health care users indicated positive attitudes towards HIV self-testing. Nevertheless, issues of lack of pre and post-test counselling, false negative results and sale of unregulated testing kits seemed to be issues of concern that require addressing if HIV self-testing is to be promulgated in South Africa.
在全球范围内，人们对 HIV 感染状况的认知取得了一定进展，但仍有一半的 HIV 感染者未意识到自身的 HIV 感染状况。有观点认为，新的 HIV 自我检测创新策略可能会增加人们对 HIV 检测的接受度。本研究旨在评估南非夸祖鲁-纳塔尔省埃滕哈赫区选定的 Gateway 诊所的门诊患者对 HIV 自我检测（HIVST）的卫生保健使用者的知识、态度和看法。本研究的目的是确定卫生保健使用者对 HIVST 的了解程度，评估卫生保健使用者对 HIVST 的态度和看法，并确定卫生保健使用者对 HIVST 的知识、态度和看法之间是否存在任何关系。本研究采用定量、非实验性描述性设计，以确定埃滕哈赫卫生区三个特定的阿丁顿、R.K.汗和普林斯·姆希耶尼纪念医院 Gateway 诊所的卫生保健使用者的知识、态度和看法。采用便利抽样法从三个研究地点抽取了 442 名受访者。研究结果表明，卫生保健使用者对 HIV 自我检测有一定的了解，并且如果能够向公众免费提供并进行适当监管，他们有可能使用这种检测方法。总体而言，卫生保健使用者对 HIV 自我检测持积极态度。然而，缺乏检测前和检测后的咨询、假阴性结果以及未经监管的检测试剂盒销售等问题似乎是需要解决的问题，如果要在南非推广 HIV 自我检测，这些问题需要得到解决。
