Department of Health, Ethics & Society, Research School for Public Health and Primary Care, Maastricht University, Postbus 616, 6200 MD, Maastricht, The Netherlands.
Division of Pulmonology, Department of Medicine, Centre for Lung Infection and Immunity, UCT Lung Institute, University of Cape Town, Anzio Road, Cape Town, 7925, South Africa.
AIDS Behav. 2020 Feb;24(2):467-474. doi: 10.1007/s10461-019-02516-6.
HIV self-testing has the potential to improve test access and uptake, but concerns remain regarding counselling and support during and after HIV self-testing. We investigated an oral HIV self-testing strategy together with a mobile phone/tablet application to see if and how it provided counselling and support, and how it might impact test access. This ethnographic study was nested within an ongoing observational cohort study in Cape Town, South Africa. Qualitative data was collected from study participants and study staff using 33 semi-structured interviews, one focus group discussion, and observation notes. The app provided information and guidance while also addressing privacy concerns. The flexibility and support provided by the strategy gave participants more control in choosing whom they included during testing. Accessibility concerns included smartphone access and usability issues for older and rural users. The adaptable access and support of this strategy could aid in expanding test access in South Africa.
HIV 自我检测有可能改善检测的可及性和接受度，但人们仍然对 HIV 自我检测期间和之后的咨询和支持感到担忧。我们研究了一种口服 HIV 自我检测策略以及一款手机/平板电脑应用程序，以了解它是否以及如何提供咨询和支持，以及它可能如何影响检测的可及性。这项人种学研究嵌套在南非开普敦正在进行的观察性队列研究中。使用 33 次半结构化访谈、一次焦点小组讨论和观察记录，从研究参与者和研究人员那里收集定性数据。该应用程序提供了信息和指导，同时解决了隐私问题。该策略的灵活性和支持使参与者在选择检测时更能掌控自己的情况。可及性方面的顾虑包括智能手机的使用和农村及老年用户的可用性问题。该策略的适应性访问和支持可以帮助扩大南非的检测范围。
