Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC, USA.
Elizabeth Glaser Pediatric AIDS Foundation, Dar-es-Salaam, Tanzania.
Trop Med Int Health. 2020 Sep;25(9):1155-1165. doi: 10.1111/tmi.13456. Epub 2020 Jul 29.
To generate evidence on willingness to use HIV self-test kits and willingness to pay among antenatal care clients in public and private facilities in Cote d'Ivoire and Tanzania.
Cross-sectional survey data were collected from 414 clients recruited from 35 high-volume facilities in Cote d'Ivoire and from 385 clients in 33 high-volume facilities in Tanzania. Surveys covered willingness to use HIV self-test kits, prices clients were willing to pay, advantages and disadvantages and views on specific qualities of HIV self-tests. Market data on availability of proxy self-testing products (e.g. pregnancy and malaria tests) and attitudes of pharmacists towards HIV self-test kits were collected from 51 pharmacies in Cote d'Ivoire and 59 in Tanzania.
Willingness to use HIV self-test kits was 65% in Cote d'Ivoire and 69% in Tanzania. Median ideal prices women would pay ranged from USD 1.77 in Cote d'Ivoire to USD 0.87 in Tanzania. Proxy self-test kits were available in pharmacies, and interest was high in stocking HIV self-test kits.
Implications for national HIV self-test policy and planning include keeping prices low, providing psychological and HIV counselling, and ensuring linkage to HIV care and treatment services. Private pharmacies will play a key role in providing access to HIV self-test kits.
在科特迪瓦和坦桑尼亚的公立和私立医疗机构中，针对产前护理客户，生成关于使用 HIV 自检试剂盒的意愿和支付意愿的证据。
从科特迪瓦 35 个大容量设施中招募的 414 名客户和坦桑尼亚 33 个大容量设施中招募的 385 名客户中收集了横断面调查数据。调查涵盖了使用 HIV 自检试剂盒的意愿、客户愿意支付的价格、优势和劣势以及对 HIV 自检具体质量的看法。从科特迪瓦的 51 家药店和坦桑尼亚的 59 家药店收集了关于代理自检产品（如妊娠和疟疾检测）的可用性和药剂师对 HIV 自检试剂盒的态度的市场数据。
在科特迪瓦和坦桑尼亚，愿意使用 HIV 自检试剂盒的比例分别为 65%和 69%。女性愿意支付的理想价格中位数从科特迪瓦的 1.77 美元到坦桑尼亚的 0.87 美元不等。代理自检试剂盒在药店中均有销售，而且对储备 HIV 自检试剂盒的兴趣很高。
对国家 HIV 自检政策和规划的影响包括保持价格低廉、提供心理和 HIV 咨询，并确保与 HIV 护理和治疗服务的联系。私人药店将在提供 HIV 自检试剂盒方面发挥关键作用。
