Matonyane Lebogang G, Ross Andrew, Qolesa Sandra, Sibeko Zandile
Department of Health Sciences, Faculty of Public Health and Family Medicine, University of KwaZulu-Natal, Durban.
Afr J Prim Health Care Fam Med. 2025 Jun 25;17(1):e1-e13. doi: 10.4102/phcfm.v17i1.4869.
The HIV Testing Services (HTS) are a vital component of human immunodeficiency virus (HIV) prevention initiatives, and the essential first step to healthcare. Men in South Africa have been shown to test for HIV at a lower rate than women, with a resulting higher mortality rate.
This narrative review aimed to describe the approaches used to improve the uptake of HTS by men both at the facility and community level in sub-Saharan Africa (SSA).
Online databases were used to search for relevant studies published from 2019 to 2024 in English. A total of 475 records were identified, with 426 being included after duplicates were removed. After reviewing the abstracts, only 13 studies were included in the review.
This findings revealed three themes and seven sub-themes related to improving HTS uptake: improved access to testing (HIV self-testing, community-based testing and workplace testing), motivation and support (stakeholder involvement and creating a demand for testing) and health facility services (facility-based testing and services provided by male healthcare workers).
The limited number of studies highlights the need for more research into developing and testing interventions to encourage men to utilise HTS. A multipronged approach that includes various role-players can be beneficial. This needs to be supported by continuous demand creation utilising platforms such as social media, radio and local newspapers.Contribution: The study collates the interventions intended to encourage men to undertake HTS in SSA.
艾滋病毒检测服务（HTS）是人类免疫缺陷病毒（HIV）预防举措的重要组成部分，也是医疗保健的关键第一步。在南非，男性进行HIV检测的比例低于女性，导致死亡率更高。
本叙述性综述旨在描述撒哈拉以南非洲（SSA）在机构和社区层面提高男性对HTS接受度所采用的方法。
使用在线数据库搜索2019年至2024年以英文发表的相关研究。共识别出475条记录，去除重复记录后纳入426条。在审查摘要后，仅13项研究被纳入综述。
研究结果揭示了与提高HTS接受度相关的三个主题和七个子主题：改善检测途径（HIV自我检测、社区检测和工作场所检测）、动机与支持（利益相关者参与和创造检测需求）以及医疗机构服务（机构检测和男性医护人员提供的服务）。
研究数量有限凸显了需要更多研究来开发和测试鼓励男性利用HTS的干预措施。包括各类参与者的多管齐下方法可能会有益。这需要通过利用社交媒体、广播和当地报纸等平台持续创造需求来加以支持。贡献：该研究整理了旨在鼓励SSA地区男性进行HTS的干预措施。
