Perceived Cost Advantages and Disadvantages of Purchasing HIV
                        Self-Testing Kits among Urban Tanzanian Men: An Inductive Content
                        Analysis

Jennings, Larissa; Conserve, Donaldson F.; Kajula, Lusajo; Iwelunmor, Juliet; Maman, Suzanne

doi:10.1016/j.aogh.2017.03.145

Cited by 9 publications

(19 citation statements)

References 45 publications

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“…As a result of the research method used (qualitative or mixed methods), qualitative data from the sixteen included studies were extracted. The included studies were conducted in the following countries: Zambia [24], Malawi [11,25], South Africa [12,[26][27][28][29][30], Tanzania [31][32][33], Uganda [34,35], Zimbabwe and Malawi [36], and Kenya [37]. Twelve studies were predominantly qualitative and four were mixed methods.…”

Section: The Characteristics Of Included Studiesmentioning

confidence: 99%

“…Evidence on knowledge of HIVST was reported on in four articles [12,[31][32][33]. In two studies conducted in Tanzania, the majority of the men had no prior knowledge of HIVST [31,32].…”

Section: Knowledge Of Hivstmentioning

confidence: 99%

“…Although this was the case, once the participants became aware of its benefits, they were willing to utilise HIVST after it was introduced to them and promote its use among their peers [12,31]. Some male participants indicated the need to conduct HIVST awareness campaigns to increase HIVST knowledge and ensure the successful implementation [32,33], as illustrated by one participant in Tanzania:…”

Section: Knowledge Of Hivstmentioning

confidence: 99%

“…The evidence on acceptability was reported on in nine studies [11,12,25,26,[31][32][33][34]37]. The majority of men showed a willingness to use HIVST in studies conducted in Malawi [11], Tanzania [32,33], South Africa [26], and Kenya [37], with most of the participants having administered HIVST in the past in Tanzania [33]. The oral HIVST was preferred over finger-pricking [26], although respondents agreed that HIVST, in general, was easy to use [26,37].…”

Section: Acceptability Of Hivstmentioning

confidence: 99%

“…Evidence of the convenience of HIVST was reported in nine studies [12,26,29,[32][33][34][35][36][37]. Specifically, men preferred HIVST because it was viewed as efficient and convenient [26,29,32,33,37].…”

Section: Convenience Of Hivstmentioning

confidence: 99%

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Men’s perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis

et al. 2020

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Background: Despite the many HIV testing models implemented in Africa, the level of HIV testing uptake remains relatively poor, especially among men. The HIV self-testing (HIVST) model offers an additional approach for encouraging men to get tested. This study aimed to synthesise evidence on men's perspectives regarding HIVST in sub-Saharan Africa (SSA). Methods: The databases searched included PubMed/MEDLINE, American Doctoral Dissertations via EBSCO host; Union Catalogue of Theses and Dissertations; SA ePublications via SABINET Online; World Cat Dissertations; Theses via OCLC; ERIC; CINAH; PsychInfo; Embase, Sociological Abstract, Scopus; and Google Scholar. The World Health Organization (WHO) and The Joint United Nations' Programme on HIV and AIDS (UNAIDS) websites were further searched. We only extracted qualitative information from the included studies, despite the research method used (qualitative or mixed methods). The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), as well as the Mixed Method Appraisal Tool (MMAT) version 2018, were used to determine the methodological quality of the included studies. NVivo version 11 was used for thematic analysis. Results: A total of 21,184 articles were identified by the initial search criteria, but only 16 articles were included in the data extraction and quality assessment stage. The following key themes emerged: knowledge of HIVST; acceptability of HIVST; need for HIVST counselling; confidentiality of HIVST; convenience of HIVST; and accuracy of HIVST. The study shows that while HIVST provides men with an alternative, confidential and convenient testing model, the potential for psychological and physical harm remains a challenge. Conclusion: The introduction of the HIVST strategy has the potential of improving men's uptake in HIV testing services, thereby contributing towards addressing the first cascade of the 90-90-90 strategy. While HIVST has a potential for addressing men's barriers to attending clinic settings, such as confidentiality and convenience, it barely addresses the HIVST counselling and accuracy concerns.

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Section: The Characteristics Of Included Studiesmentioning

confidence: 99%

“…Evidence on knowledge of HIVST was reported on in four articles [12,[31][32][33]. In two studies conducted in Tanzania, the majority of the men had no prior knowledge of HIVST [31,32].…”

Section: Knowledge Of Hivstmentioning

confidence: 99%

Section: Knowledge Of Hivstmentioning

confidence: 99%

Section: Acceptability Of Hivstmentioning

confidence: 99%

Section: Convenience Of Hivstmentioning

confidence: 99%

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Men’s perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis

et al. 2020

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Men missing from the HIV care continuum in sub‐Saharan Africa: a meta‐analysis and meta‐synthesis

et al. 2022

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Introduction:Men are missing along the HIV care continuum. However, the estimated proportions of men in sub-Saharan Africa meeting the UNAIDS 95-95-95 goals vary substantially between studies. We sought to estimate proportions of men meeting each of the 95-95-95 goals across studies in sub-Saharan Africa, describe heterogeneity, and summarize qualitative evidence on factors influencing care engagement. Methods: We systematically searched PubMed and Embase for peer-reviewed articles published between 1 January 2014 and 16 October 2020. We included studies involving men ≥15 years old, with data from 2009 onward, reporting on at least one 95-95-95 goal in sub-Saharan Africa. We estimated pooled proportions of men meeting these goals using DerSimonion-Laird random effects models, stratifying by study population (e.g. studies focusing exclusively on men who have sex with men vs. studies that did not), facility setting (healthcare vs. community site), region (eastern/southern Africa vs. western/central Africa), outcome measurement (e.g. threshold for viral load suppression), median year of data collection (before vs. during or after 2017) and quality criteria. Data from qualitative studies exploring barriers to men's HIV care engagement were summarized using meta-synthesis. Results and discussion: We screened 14,896 studies and included 129 studies in the meta-analysis, compiling data over the data collection period. Forty-seven studies reported data on knowledge of serostatus, 43 studies reported on antiretroviral therapy use and 74 studies reported on viral suppression. Approximately half of men with HIV reported not knowing their status (0.49 [95% CI, 0.41-0.58; range, 0.09-0.97]) or not being on treatment (0.58 [95% CI, 0.51-0.65; range, 0.07-0.97]), while over three-quarters of men achieved viral suppression on treatment (0.79 [95% CI, 0.77-0.81; range, 0.39-0.97]. Heterogeneity was high, with variation in estimates across study populations, settings and outcomes. The meta-synthesis of 40 studies identified three primary domains in which men described risks associated with engagement in HIV care: perceived social norms, health system challenges and poverty. Conclusions: Psychosocial and systems-level interventions that change men's perceptions of social norms, improve trust in and accessibility of the health system, and address costs of accessing care are needed to better engage men, especially in HIV testing and treatment.

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Health care users’ knowledge, attitudes and perceptions of HIV self-testing at selected gateway clinics at eThekwini district, KwaZulu-Natal province, South Africa

Gumede

Sibiya

2018

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Progress in promoting knowledge of HIV status has been made globally, but half of all people living with HIV are still unaware of their HIV status. It is argued the new innovative HIV self-testing strategy could increase the uptake of HIV testing among the people. The aim of the study was to assess outpatients’ health care user’s knowledge, attitudes and perceptions towards HIV self-testing (HIVST) at selected Gateway clinics at eThekwini District, KwaZulu-Natal Province, South Africa. The objectives of the study were to determine health care users’ knowledge of HIVST, assess health care users’ attitudes and perceptions towards HIVST and establish if there is any relationship between knowledge, attitudes and perceptions of health care users towards HIVST. A quantitative, non-experimental descriptive design was used to determine knowledge, attitudes and perceptions of health care users at three purposefully selected Addington, R. K. Khan and Prince Mshiyeni Memorial Hospital Gateway clinics at eThekwini Health District. A convenience sampling of 442 respondents were sampled from the three study sites. Results of the study revealed that health care users had a reasonable knowledge of HIV self-testing and there were indications that they could use it if it can be made freely available to the public and be properly regulated. Generally, health care users indicated positive attitudes towards HIV self-testing. Nevertheless, issues of lack of pre and post-test counselling, false negative results and sale of unregulated testing kits seemed to be issues of concern that require addressing if HIV self-testing is to be promulgated in South Africa.

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Perceived Cost Advantages and Disadvantages of Purchasing HIV Self-Testing Kits among Urban Tanzanian Men: An Inductive Content Analysis

Cited by 9 publications

References 45 publications

Men’s perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis

Men’s perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis

Men missing from the HIV care continuum in sub‐Saharan Africa: a meta‐analysis and meta‐synthesis

Health care users’ knowledge, attitudes and perceptions of HIV self-testing at selected gateway clinics at eThekwini district, KwaZulu-Natal province, South Africa

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