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Expanding Youth-Friendly HIV Self-Testing Services During the COVID-19 Pandemic: Qualitative Analysis of a Crowdsourcing Open Call in Nigeria.

作者信息

Anikamadu Onyekachukwu, Ezechi Oliver, Engelhart Alexis, Nwaozuru Ucheoma, Obiezu-Umeh Chisom, Ogunjemite Ponmile, Bale Babatunde Ismail, Nwachukwu Daniel, Gbaja-Biamila Titilola, Oladele David, Musa Adesola Z, Mason Stacey, Ojo Temitope, Tucker Joseph, Iwelunmor Juliet

机构信息

Brown School of Social Work, Washington University in St. Louis, St Louis, MO, United States.

Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.

出版信息

JMIR Form Res. 2024 Apr 30;8:e46945. doi: 10.2196/46945.


DOI:10.2196/46945
PMID:38687582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11094596/
Abstract

BACKGROUND: HIV self-testing (HIVST) among young people is an effective approach to enhance the uptake of HIV testing recommended by the World Health Organization. However, the COVID-19 pandemic disrupted conventional facility-based HIV testing services, necessitating the exploration of innovative strategies for the effective delivery of HIVST. OBJECTIVE: This study analyzed the outcomes of a digital World AIDS Day crowdsourcing open call, designed to elicit youth responses on innovative approaches to promote HIVST among young people (14-24 years) in Nigeria during COVID-19 restrictions. METHODS: From November 2 to 22, 2020, a World AIDS Day 2020 crowdsourcing open call was held digitally due to COVID-19 restrictions. The crowdsourcing open call followed World Health Organization standardized steps, providing a structured framework for participant engagement. Young people in Nigeria, aged 10-24 years, participated by submitting ideas digitally through Google Forms or email in response to this crowdsourcing open call prompt: "How will you promote HIV self-testing among young people during COVID-19 pandemic?" Data and responses from each submission were analyzed, and proposed ideas were closely examined to identify common themes. Four independent reviewers (AE, SM, AZM, and TG) judged each submission based on the desirability, feasibility, and impact on a 9-point scale (3-9, with 3 being the lowest and 9 being the highest). RESULTS: The crowdsourcing open call received 125 eligible entries, 44 from women and 65 from men. The median age of participants was 20 (IQR 24-20) years, with the majority having completed their highest level of education at the senior secondary school level. The majority of participants lived in the South-West region (n=61) and Lagos state (n=36). Of the 125 eligible entries, the top 20 submissions received an average total score of 7.5 (SD 2.73) or above. The panel of judges ultimately selected 3 finalists to receive a monetary award. Three prominent themes were identified from the 125 crowdsourcing open call submissions as specific ways that HIVST can adapt during the COVID-19 pandemic: (1) digital approaches (such as gamification, photoverification system, and digital media) to generate demand for HIVST and avoid risks associated with attending clinics, (2) awareness and sensitization through existing infrastructures (such as churches, schools, and health facilities), and (3) partnerships with influencers, role models, and leaders (such as religious and youth leaders and social influencers in businesses, churches, organizations, and schools) to build trust in HIVST services. CONCLUSIONS: The crowdsourcing open call effectively engaged a diverse number of young people who proposed a variety of ways to improve the uptake of HIVST during the COVID-19 pandemic. Findings contribute to the need for innovative HIVST strategies that close critical knowledge and practice gaps on ways to reach young people with HIVST during and beyond the pandemic. TRIAL REGISTRATION: ClinicalTrials.gov NCT04710784; https://clinicaltrials.gov/study/NCT04710784.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/49ee10191288/formative_v8i1e46945_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/997805db605b/formative_v8i1e46945_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/105186842519/formative_v8i1e46945_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/49ee10191288/formative_v8i1e46945_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/997805db605b/formative_v8i1e46945_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/105186842519/formative_v8i1e46945_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ea/11094596/49ee10191288/formative_v8i1e46945_fig3.jpg

相似文献

[1]
Expanding Youth-Friendly HIV Self-Testing Services During the COVID-19 Pandemic: Qualitative Analysis of a Crowdsourcing Open Call in Nigeria.

JMIR Form Res. 2024-4-30

[2]
The 4 youth by youth HIV self-testing crowdsourcing contest: A qualitative evaluation.

PLoS One. 2020-5-29

[3]
Using a Designathon to Develop an HIV Self-Testing Intervention to Improve Linkage to Care Among Youths in Nigeria: Qualitative Approach Based on a Participatory Research Action Framework.

JMIR Form Res. 2023-6-29

[4]
Strategies for enhancing uptake of HIV self-testing among Nigerian youths: a descriptive analysis of the 4YouthByYouth crowdsourcing contest.

BMJ Innov. 2021-7

[5]
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[6]
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JAMA Netw Open. 2021-5-3

[7]
Enhancing HIV Self-Testing Among Nigerian Youth: Feasibility and Preliminary Efficacy of the 4 Youth by Youth Study Using Crowdsourced Youth-Led Strategies.

AIDS Patient Care STDS. 2022-2

[8]
Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach.

Glob Health Action. 2021-1-1

[9]
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AIDS Res Ther. 2021-11-20

[10]
Uptake of HIV self-testing and linkage to treatment among men who have sex with men (MSM) in Nigeria: A pilot programme using key opinion leaders to reach MSM.

J Int AIDS Soc. 2018-7

本文引用的文献

[1]
The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review.

AIDS Res Ther. 2023-1-6

[2]
Mitigation strategies and compliance in the COVID-19 fight; how much compliance is enough?

PLoS One. 2021

[3]
Assessment of early COVID-19 compliance to and challenges with public health and social prevention measures in the Kingdom of Eswatini, using an online survey.

PLoS One. 2021

[4]
A designathon to co-create community-driven HIV self-testing services for Nigerian youth: findings from a participatory event.

BMC Infect Dis. 2021-5-31

[5]
Learning From the Past to Guide the Future: HIV and COVID-19.

Clin Nurse Spec. 2021

[6]
COVID-19 Lockdowns: Impact on Facility-Based HIV Testing and the Case for the Scaling Up of Home-Based Testing Services in Sub-Saharan Africa.

AIDS Behav. 2020-11

[7]
The 4 youth by youth HIV self-testing crowdsourcing contest: A qualitative evaluation.

PLoS One. 2020-5-29

[8]
"Everything is a Mess": How COVID-19 is Impacting Engagement with HIV Testing Services in Rural Southwestern Uganda.

AIDS Behav. 2020-11

[9]
'Informed and empowered': a mixed-methods study of crowdsourcing contests to promote uptake of HIV self-testing kits among African Americans.

J Virus Erad. 2020-4-30

[10]
Crowdsourcing in health and medical research: a systematic review.

Infect Dis Poverty. 2020-1-20

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