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Acceptability, usability, and willingness to pay for HIV self-test kits distributed through community-based, PLHIV network-led and private practitioners models in India: Results from the STAR III Initiative.

التفاصيل البيبلوغرافية
العنوان: Acceptability, usability, and willingness to pay for HIV self-test kits distributed through community-based, PLHIV network-led and private practitioners models in India: Results from the STAR III Initiative.
المؤلفون: Laxmeshwar C; PATH, Mumbai, India., Hegde A; PATH, Mumbai, India., Dange A; The Humsafar Trust, Mumbai, India., Mariyappan K; PATH, Mumbai, India., Soosai M; Solidarity and Action Against The HIV Infection in India (SAATHII), Chennai, India., Mane S; The Humsafar Trust, Mumbai, India., Sivasubramanian M; The Humsafar Trust, Mumbai, India., Doddamane M; Solidarity and Action Against The HIV Infection in India (SAATHII), Chennai, India., Mukherjee M; International Training and Education Centre for Health (I-TECH), New Delhi, India., Shreenivas GS; PATH, Mumbai, India., Pardesi M; National Coalition of People Living with HIV in India (NCPI+), New Delhi, India.; Network of Maharashtra By People Living With HIV/AIDS (NMP+), Pune, India., Jambhale V; Network of Maharashtra By People Living With HIV/AIDS (NMP+), Pune, India., Rao Pakkela V; Voluntary Health Services (VHS), Chennai, India., Arumugam V; Voluntary Health Services (VHS), Chennai, India., Rungta V; William J. Clinton Foundation, New Delhi, India., Bansal Y; William J. Clinton Foundation, New Delhi, India., Chaudary J; The Humsafar Trust, Mumbai, India., Yeldandi V; Society for Health Allied Research & Education India (SHARE India), Hyderabad, India., Periasamy M; Society for Health Allied Research & Education India (SHARE India), Hyderabad, India., Uthappa C; Division of Global HIV and TB, Centres for Disease Control and Prevention (CDC), New Delhi, India., Chawla S; Division of Global HIV and TB, Centres for Disease Control and Prevention (CDC), New Delhi, India., Upadhyaya S; Division of Global HIV and TB, Centres for Disease Control and Prevention (CDC), New Delhi, India., Nyendak M; Division of Global HIV and TB, Centres for Disease Control and Prevention (CDC), New Delhi, India., Chakrapani V; Centre for Sexuality and Health Research and Policy (C-SHaRP), Chennai, India., Godbole S; Indian Council of Medical Research, National AIDS Research Institute (ICMR-NARI), Pune, India., Verma V; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India., Singh Kushwaha B; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India., Das C; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India., Rajan S; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India., Kumar Puri A; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India., Prasada Rao JVR; Former Health Secretary, Government of India, New Delhi, India., Bhatnagar T; Indian Council of Medical Research, National Institute of Epidemiology (ICMR-NIE), Chennai, India., Reddy DCS; Independent Consultant, Lucknow, India., Green K; PATH, Hanoi, Vietnam.
المصدر: Journal of the International AIDS Society [J Int AIDS Soc] 2024 Aug; Vol. 27 (8), pp. e26348.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Inc Country of Publication: Switzerland NLM ID: 101478566 Publication Model: Print Cited Medium: Internet ISSN: 1758-2652 (Electronic) Linking ISSN: 17582652 NLM ISO Abbreviation: J Int AIDS Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Hoboken, NJ : John Wiley & Sons, Inc
Original Publication: [London] : BioMed Central
مواضيع طبية MeSH: HIV Infections*/diagnosis , HIV Infections*/drug therapy , Patient Acceptance of Health Care*/statistics & numerical data , Self-Testing* , HIV Testing*/methods , HIV Testing*/economics, Humans ; India ; Cross-Sectional Studies ; Male ; Female ; Adult ; Middle Aged ; Young Adult ; Adolescent ; Reagent Kits, Diagnostic/economics
مستخلص: Introduction: HIV self-testing (HIVST) has been shown to increase the uptake of HIV testing and help achieve the UNAIDS 95-95-95 targets. This study assessed the acceptability, usability (ease of use and result interpretation) and the willingness to pay for HIVST kits distributed through three distribution models, namely the community-based, PLHIV network-led and private practitioners models, in India.
Methods: This cross-sectional study was implemented across 14 states in India between September 2021 and June 2022. All participants could choose between blood-based or oral-fluid-based test kits. Participants were shown a test-kit usage demonstration video, and pre- and post-test counselling was provided for all. Participants were followed-up after testing, and if reported reactive, were further supported for linkage to confirmatory testing and antiretroviral therapy (ART) initiation.
Results: Among the 90,605 participants found eligible, 88,080 (97%) accepted an HIVST kit. Among the 87,976 who reported using an HIVST kit, 45,207 (51%) preferred a blood-based kit, and 42,120 (48%) reported testing for the first time. For future testing, 77,064 (88%) reported preferring HIVST over other HIV testing methods. Among those who used the kit, 83,308 (95%) found the kit easy to use, and 83,237 (95%) reported that the test results were easy to interpret. Among those who preferred HIVST for future use, 52,136 (69%) were willing to pay for the kit, with 35,854 (69%) of those willing to pay less than US$ 1.20. Only one instance of social harm was reported, with a participant reporting suicidal tendencies due to discord with their partner. Out of 328 participants (0.4%) who tested reactive with HIVST, 291 (89%) were linked to confirmatory testing; of these, 254 were confirmed HIV positive, and 216 (85%) successfully initiated ART.
Conclusions: Overall, we report that nearly all participants were willing to accept HIVST, found the test kits easy to use and interpret, and about two-thirds were willing to pay for HIVST. Given the high levels of acceptance and the ability to reach a large proportion of first-time testers, HIVST in India could contribute to achieving the UNAIDS first 95 and ending the HIV epidemic.
(© 2024 The Author(s). Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.)
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فهرسة مساهمة: Keywords: HIV self‐testing; HIV testing; HIV/AIDS; India; key population; operational research
المشرفين على المادة: 0 (Reagent Kits, Diagnostic)
تواريخ الأحداث: Date Created: 20240809 Date Completed: 20240809 Latest Revision: 20240811
رمز التحديث: 20240812
مُعرف محوري في PubMed: PMC11310287
DOI: 10.1002/jia2.26348
PMID: 39118294
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-2652
DOI:10.1002/jia2.26348