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dc.contributor.authorPasipamire, L
dc.contributor.authorNesbitt, R
dc.contributor.authorDube, L
dc.contributor.authorMabena, E
dc.contributor.authorNzima, M
dc.contributor.authorDlamini, M
dc.contributor.authorRugongo, N
dc.contributor.authorMaphalala, N
dc.contributor.authorObulutsa, TA
dc.contributor.authorCiglenecki, I
dc.contributor.authorKerschberger, B
dc.date.accessioned2020-04-17T13:17:05Z
dc.date.available2020-04-17T13:17:05Z
dc.date.issued2020-03-27
dc.date.submitted2020-04-16
dc.identifier.pmid32219945
dc.identifier.doi10.1111/tmi.13396
dc.identifier.urihttp://hdl.handle.net/10144/619618
dc.description.abstractOBJECTIVES: 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.en_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.rightsWith thanks to Wiley.en_US
dc.subjectEswatini
dc.subjectHIV
dc.subjectHTS
dc.subjectundiagnosed
dc.titleImplementation of community and facility-based HIV self-testing under routine conditions in southern Eswatinien_US
dc.typeArticle
dc.identifier.eissn1365-3156
dc.identifier.journalTropical Medicine & International Healthen_US
dc.source.journaltitleTropical medicine & international health : TM & IH
refterms.dateFOA2020-04-17T13:17:05Z
dc.source.countryEngland


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