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    Jan 16, 2021
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    Implementation of community and facility-based HIV self-testing under routine conditions in southern Eswatini

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    Name:
    Pasipamire et al 2020 Implemen ...
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    Authors
    Pasipamire, L
    Nesbitt, R
    Dube, L
    Mabena, E
    Nzima, M
    Dlamini, M
    Rugongo, N
    Maphalala, N
    Obulutsa, TA
    Ciglenecki, I
    Kerschberger, B
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    Issue Date
    2020-03-27
    Submitted date
    2020-04-16
    
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    Journal
    Tropical Medicine & International Health
    Abstract
    OBJECTIVES: WHO recommends HIV self-testing (HIVST) as an additional approach to HIV testing services. The study describes the strategies used during phase-in of HIVST under routine conditions in Eswatini (formerly Swaziland). METHODS: Between May 2017 and January 2018, assisted and unassisted oral HIVST was offered at HIV testing services (HTS) sites to people aged ≥ 16 years. Additional support tools were available, including a telephone hotline answered 24/7, HIVST demonstration videos and printed educational information about HIV prevention and care services. Demographic characteristics of HIVST users were described and compared with standard blood-based HTS in the community. HIVST results were monitored with follow-up phone calls and the hotline. RESULTS: During the 9-month period, 1895 people accessed HIVST and 2415 HIVST kits were distributed. More people accessed HIVST kits in the community (n = 1365, 72.0%) than at health facilities (n = 530, 28.0%). The proportion of males and median age among those accessing HIVST and standard HTS in the community were similar (49.3%, 29 years HIVST vs. 48.7%, 27 years standard HTS). In total, 34 (3.9%) reactive results were reported from 938 people with known HIVST results; 32.4% were males, and median age was 30 years (interquartile range 25-36). Twenty-one (62%) patients were known to have received confirmatory blood-based HTS; of these, 20 (95%) had concordant reactive results and 19 (95%) were linked to HIV care at a clinic. CONCLUSION: Integration of HIVST into existing HIV facility- and community-based testing strategies in Eswatini was found to be feasible, and HIVST has been adopted by national testing bodies in Eswatini.
    Publisher
    Wiley
    URI
    http://hdl.handle.net/10144/619618
    DOI
    10.1111/tmi.13396
    PubMed ID
    32219945
    Type
    Article
    Language
    en
    EISSN
    1365-3156
    ae974a485f413a2113503eed53cd6c53
    10.1111/tmi.13396
    Scopus Count
    Collections
    HIV/AIDS

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