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Feasibility of an HIV self-testing intervention: a formative qualitative study among individuals, community leaders, and HIV testing experts in northern Tanzania.

作者信息

Njau Bernard, Lisasi Esther, Damian Damian J, Mushi Declare L, Boulle Andrew, Mathews Catherine

机构信息

School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.

Kilimanjaro Christian Medical University College, Kilimanjaro, Tanzania.

出版信息

BMC Public Health. 2020 Apr 15;20(1):490. doi: 10.1186/s12889-020-08651-3.


DOI:10.1186/s12889-020-08651-3
PMID:32293370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7161285/
Abstract

BACKGROUND: Achieving the 95-95-95 global targets by 2030, innovative HIV testing models, such as HIV self-testing are needed for people, who are unaware of their HIV status. We aimed to explore key informants, mountain climbing porters, and female bar workers' attitudes, perceived norms, and personal agency related to HIV self-testing. METHODS: This was a formative qualitative study to inform the design of an HIV self-testing intervention in Northern Tanzania. Informed by the Integrated Behaviour Model, we conducted four focus group discussions, and 18 in-depth interviews with purposively selected participants. Data were analyzed using the framework method. RESULTS: We recruited 55 participants. Most participants had positive attitudes towards HIVST, in that they anticipated positive consequences related to the introduction and uptake of HIVST. These included privacy and convenience, avoidance of long queues at health facilities, reduced counselor workload, and reduced indirect costs (given that transport to health facilities might not be required). Participants expressed the belief that significant people in their social environment, such as parents and peers, would approve their uptake of HIVST, and that they would accept HIVST. Additionally, features of HIVST that might facilitate its uptake were that it could be performed in private and would obviate visits to health facilities. Most participants were confident in their capacity to use HIVST kits, while a few were less confident about self-testing while alone. Strategies to maximize beliefs about personal agency and facilitate uptake included supplying the self-test kits in a way that was easy to access, and advocacy. Perceived potential constraints to the uptake of HIVST were the cost of buying the self-test kits, poverty, illiteracy, poor eyesight, fear of knowing one's HIV status, lack of policy/ guidelines for HIVST, and the absence of strategies for linkage to HIV care, treatment, and support. CONCLUSIONS: The findings suggest that HIVST may be feasible to implement in this study setting, with the majority of participants reporting positive attitudes, supportive perceived norms, and self-efficacy. Hence, future HIVST interventions should address the negative beliefs, and perceived barriers towards HIVST to increase HIV testing among the target population in Northern Tanzania.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/7161285/30f184c29bcf/12889_2020_8651_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/7161285/30f184c29bcf/12889_2020_8651_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc3/7161285/30f184c29bcf/12889_2020_8651_Fig1_HTML.jpg

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Feasibility of an HIV self-testing intervention: a formative qualitative study among individuals, community leaders, and HIV testing experts in northern Tanzania.

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本文引用的文献

[1]
Sociodemographic and Other Characteristics Associated With Behavioural Risk Factors of HIV Infection Among Male Mountain-Climbing Porters in Kilimanjaro Region, Tanzania.

East Afr Health Res J. 2017

[2]
Mate Yako Afya Yako: Formative research to develop the Tanzania HIV self-testing education and promotion (Tanzania STEP) project for men.

PLoS One. 2018-8-27

[3]
"He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.

Am J Mens Health. 2018-9

[4]
HIV self-testing among female sex workers in Zambia: A cluster randomized controlled trial.

PLoS Med. 2017-11-21

[5]
Acceptability of woman-delivered HIV self-testing to the male partner, and additional interventions: a qualitative study of antenatal care participants in Malawi.

J Int AIDS Soc. 2017-6-26

[6]
'I will choose when to test, where I want to test': investigating young people's preferences for HIV self-testing in Malawi and Zimbabwe.

AIDS. 2017-7-1

[7]
Offering Self-administered Oral HIV Testing as a Choice to Truck Drivers in Kenya: Predictors of Uptake and Need for Guidance While Self-testing.

AIDS Behav. 2018-2

[8]
Examining the effects of HIV self-testing compared to standard HIV testing services: a systematic review and meta-analysis.

J Int AIDS Soc. 2017-5-15

[9]
Zambian Peer Educators for HIV Self-Testing (ZEST) study: rationale and design of a cluster randomised trial of HIV self-testing among female sex workers in Zambia.

BMJ Open. 2017-4-20

[10]
"We as Black Men Have to Encourage Each other:" Facilitators and Barriers Associated with HIV Testing among Black/African American Men in Rural Florida.

J Health Care Poor Underserved. 2017

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